Unión Médica del Norte is a plastic and reconstructive surgery practice in Santiago, Dominican Republic. Dr. Elías Herrera leads the clinic. The team focuses on breast augmentation, abdominoplasty, and rhinoplasty. Dr. Herrera earned his medical degree with honors in 1986. He completed his surgical specialization in Mexico City in 1993. The practice puts a strong focus on pre-operative safety and realistic patient outcomes.
International patients get full support through medical packages. These include airport pickup, city transport, and a dedicated recovery house. Patients can meet the surgeon before travel via video consultation. Post-operative care covers lymphatic drainage and fibrosis management. Dr. Herrera is a member of SODOCIPRE and ISAPS.
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International patients get full support through medical packages. These include airport pickup, city transport, and a dedicated recovery house. Patients can meet the surgeon before travel via video consultation. Post-operative care covers lymphatic drainage and fibrosis management. Dr. Herrera is a member of SODOCIPRE and ISAPS.
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Typical after liposuction or muscle-reducing surgery."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication within 3 months, mostly minor swelling, bruising, numbness or contour irregularity; serious ones under 2%."},"contraindications":["Pregnancy or breastfeeding","Active infection in the treatment area","Uncontrolled medical conditions or unfitness for anesthesia","History of deep vein thrombosis or clotting disorder","Peripheral vascular disease or chronic leg swelling","Body dysmorphic disorder","Smoking (relative; increases wound healing risk)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge or one night of observation after general anesthesia."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Light walking early; strenuous leg exercise only after surgeon clearance, depending on technique."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves gradually; for muscle-based reduction contour settling may take longer."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After wound check and surgeon clearance; longer if muscle-reducing technique, swelling, or clot risk is higher."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"From surgery date."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":10,"unit":"days","qualifier":"From surgery date, if non-absorbable sutures used."}},{"purpose":"result_review","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"From surgery date; can be remote."}}],"indications":["Disproportionately large calves due to fat or muscle hypertrophy","Calf asymmetry","Calf bulk from excess subcutaneous fat","Calf contour disproportion to thigh and ankle"],"main_risks":["Bruising, swelling and prolonged edema","Infection","Hematoma or seroma","Contour irregularities or asymmetry","Scarring","Nerve injury with numbness or altered sensation","Deep vein thrombosis and pulmonary embolism","Calf weakness with muscle-reducing techniques","Anesthesia-related risks","Unsatisfactory result needing revision"],"pain":"Moderate discomfort and tightness for the first several days, controlled with oral analgesics; muscle-based techniques may be more painful. 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