يدير الدكتور سيزار بيرالتا عيادة لجراحة التجميل في سانتو دومينغو، جمهورية الدومينيكان. تركّز العيادة على جراحات الثدي ونحت الجسم وتجديد شباب الوجه. ومن أبرز ميزاتها مسار رعاية من ست خطوات، يرافق المرضى بدءًا من الاستشارات الافتراضية وحتى المتابعة طويلة الأمد.
تُجرى إجراءات الثدي باستخدام تقنية Preservé™. وتشمل خيارات نحت الجسم نحت الدهون 360 درجة وعمليات رفع المؤخرة البرازيلي. أما حالات البطن، فيُجري الجرّاح لها شدّ البطن المصغّر وتصحيح انفراق العضلات. الدكتور بيرالتا جرّاح تجميل معتمد وعضو في عدة جمعيات طبية. ويحصل المرضى الدوليون على دعم مستمر بعد الجراحة عند عودتهم إلى بلدانهم.
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اليوم الثاني - استشارة
اليوم الثالث - الجراحة
اليوم 4 - بعد العملية
اليوم الخامس - التحويل
الأسبوع الأول - إعادة التأهيل
الأسبوع الثاني - إعادة التأهيل
الأسبوع الثالث - إعادة التأهيل
الأسبوع الرابع - النتيجة النهائية
يرجى ملاحظة أن كل حالة فردية وقد يختلف الجدول الزمني قليلاً.
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Physical work or lifting childcare takes about 6-8 weeks."},"complication_rate_pct":{"min":15,"max":35,"unit":"percent","qualifier":"Any complication within 90 days (seroma, wound healing, hematoma, infection); serious events such as VTE under 2%."},"contraindications":["Pregnancy or breastfeeding (wait several months after weaning)","Active smoking or nicotine use (relative, high wound-healing risk)","Unstable or poorly controlled cardiac disease, diabetes or bleeding disorders","History of venous thromboembolism or unassessed high clot risk","Untreated body dysmorphic disorder","Significant obesity (high BMI)","Active infection or breast lesion awaiting work-up","Recent massive weight loss with unstable weight"],"days_in_clinic":{"min":1,"max":2,"unit":"nights","qualifier":"Overnight stay after combined surgery; most stay 1 night, some 2."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":8,"unit":"weeks","qualifier":"Light walking early; strenuous exercise, core and chest-loading activity after surgeon clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling resolves and scars mature gradually; final breast position and contour settle."},"fly_home_after_days":{"min":14,"max":28,"unit":"days","qualifier":"Short flights are fine after drain removal and first check, around 2 weeks. Long-haul waits 3-4 weeks."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check, drain removal if drains used."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":10,"max":21,"unit":"days","qualifier":"If non-absorbable sutures are used."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"Healing and compression garment review."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":365,"unit":"days","qualifier":"Review of the settled result."}}],"indications":["Post-pregnancy breast volume loss or ptosis","Abdominal skin laxity and rectus diastasis after pregnancy","Abdominal fat and skin resistant to diet and exercise"],"main_risks":["Bleeding or hematoma","Seroma","Infection","Delayed wound healing or skin necrosis","Venous thromboembolism including pulmonary embolism, higher with combined surgery","Visible or widened scars","Asymmetry or contour irregularities","Changes in nipple or skin sensation","Implant-related issues if implants used","Anesthesia-related risks","Need for revision surgery","Contour deformity such as dog-ears"],"pain":"Moderate to significant pain for the first several days, most notable in the abdomen and with movement; controlled with prescribed analgesia and gradually easing over 1-2 weeks.","preparation":["Preoperative consultation, examination and surgical planning","Blood tests and medical clearance as needed","Stable weight near goal weight","Stop smoking and nicotine products as advised by the surgeon","Review of current medications and supplements with the surgeon","Fasting before anesthesia as instructed","Arrange help at home and for childcare during early recovery","Preoperative breast imaging when indicated by age or history"],"recovery_timeline":[{"phase":"Days 0-3","description":"Rest, assisted mobilisation, drains and compression garment in place; peak discomfort.","restrictions":["No driving","No lifting","Walk with a slightly flexed posture as advised"]},{"phase":"Weeks 1-2","description":"Pain and swelling decrease; drains removed; short walks.","restrictions":["No lifting children or heavy objects","Wear compression garment and supportive bra"]},{"phase":"Weeks 3-6","description":"Gradual return to normal daily activities and desk work; swelling persists.","restrictions":["Avoid strenuous exercise","Avoid heavy lifting"]},{"phase":"Weeks 6-12","description":"Return to full exercise after surgeon approval; scars still maturing.","restrictions":["Protect scars from sun"]},{"phase":"Months 6-12","description":"Swelling fully resolved and final contour visible.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Light daily activities resume in 2-4 weeks. Abdominal tightness limits weeks 1-2; strenuous activity waits 6-8 weeks."},"result_longevity":"Long-lasting but not permanent; results can be affected by aging, weight changes, future pregnancies and gravity.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Share needing secondary procedures (scar, breast or contour touch-up) within 1-3 years; higher with augmentation-mastopexy."},"scars":"Permanent scars: a horizontal lower abdominal scar and navel scar, plus breast scars (periareolar, vertical and/or inframammary depending on technique); typically fade over 12-18 months but remain.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Typically performed as a single combined operation; staged surgery is used in some cases."},"stages":[{"code":"combined_surgery","label":"Combined breast and abdominal body-contouring surgery in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Standard protocol is one combined surgery; the exact components vary by patient."},"success":{"metric":"Patient satisfaction with breast and abdominal contour","value":90,"unit":"percent satisfied","horizon":"6-12 months after surgery","population":"Healthy adult women with stable weight after pregnancy","evidence_status":"limited"},"techniques":[{"name":"Abdominoplasty with breast lift (mastopexy)","suits_whom":"Patients with breast ptosis and abdominal skin laxity, with adequate breast volume.","recovery":"Typically 2-6 weeks to return to routine activities."},{"name":"Abdominoplasty with breast augmentation (implants or fat) and/or lift","suits_whom":"Patients with breast volume loss and abdominal laxity.","recovery":"Similar to above; avoid heavy chest activity for several weeks."},{"name":"Abdominoplasty with breast reduction","suits_whom":"Patients with heavy or enlarged breasts and abdominal laxity.","recovery":"Typically 2-6 weeks to return to routine activities."},{"name":"Liposuction added to the above","suits_whom":"Patients with localized fat deposits in the flanks or abdomen.","recovery":"Adds bruising and swelling; compression garment worn for several weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":6,"unit":"hours","qualifier":"Typical combined breast and abdominal procedure in a single operation; varies with components."},"initial_assessment_documents":["Front, side and back photos of torso","Close-up photos of breasts and abdomen","Recent mammogram or breast ultrasound report","Recent blood test results","Medical history and previous surgery reports","Current medication list including blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single combined surgery; stay about 2 weeks locally before a short flight home, 3-4 weeks for long-haul."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/city=santiago-de-caballeros/procedure=korrekcia-figury-mommy-makeover/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}