يدير الدكتور رافائيل ميرابال باتيستا مركزًا لجراحة التجميل في سانتياغو، جمهورية الدومينيكان. تركّز العيادة على الإجراءات التجميلية والترميمية للبالغين والأطفال. تشمل الخدمات الرئيسية تكبير الثدي وشد البطن وشفط الدهون. أكمل الدكتور ميرابال باتيستا تدريبه الجراحي في جامعة ديل سالفادور في الأرجنتين، كما أتم زمالة في جراحة التجميل في مركز أوريبورو في بوينس آيرس.
تتبع العيادة بروتوكولات سلامة صارمة للعمليات الجراحية الكبرى، تشمل الوقاية من الجلطات والتخطيط للتخدير بما يناسب كل مريض. ويحصل المرضى على إرشادات مفصلة لما بعد الجراحة لدعم التعافي السليم. تحمل العيادة جميع الشهادات المطلوبة من وزارة الصحة الدومينيكانية. والدكتور ميرابال باتيستا عضو في الجمعية الدومينيكانية لجراحة التجميل. كما يقدم الفريق علاجات تجميلية للوجه غير جراحية باستخدام ذيفان البوتولينوم.
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تتبع العيادة بروتوكولات سلامة صارمة للعمليات الجراحية الكبرى، تشمل الوقاية من الجلطات والتخطيط للتخدير بما يناسب كل مريض. ويحصل المرضى على إرشادات مفصلة لما بعد الجراحة لدعم التعافي السليم. تحمل العيادة جميع الشهادات المطلوبة من وزارة الصحة الدومينيكانية. والدكتور ميرابال باتيستا عضو في الجمعية الدومينيكانية لجراحة التجميل. كما يقدم الفريق علاجات تجميلية للوجه غير جراحية باستخدام ذيفان البوتولينوم.
","images":[{"base_url":"clinic/6ae2d12881603","title":"غرفة علاج في عيادة Dr. Rafael Mirabal Batista بسرير طبي وديكور حديث"},{"base_url":"clinic/6ae2d12a3c969","title":"مكتب الطبيب في عيادة Dr. Rafael Mirabal Batista بديكور عصري ومكتب كمبيوتر"},{"base_url":"clinic/6ae2d12bd8c6e","title":"الدكتور رافائيل ميرابال باتيستا، أخصائي جراحة التجميل في مستشفى خوسيه ماريا كابرال إي بايز"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"جمهورية الدومنيكان","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"سانتياغو دي لوس كاباليروس","id":2525,"alias":"santiago-de-caballeros"},"address":"clinic Corominas, Torre A, Consultorio 201B, Calle Restauración #57, Santiago, República Dominicana."},"rating":{"rating":0,"google":3.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":292},"doctors":{"doctors":[{"doctor":{"id":24030,"alias":"elias-herrera","name":"Elías Herrera","photo":"doctor/6ae3db226c272","first_year_working":1988,"created_at":"2026-10-29T23:47:44.383+00:00","specialities":[{"id":"pls.001","name":"جراح اختصاصي تجميل","illness_kind_id":38},{"id":"pls.003","name":"جراح اختصاص تجميل واعادة بناء","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":9849,"alias":"clinic-union-doctor-del-norte","name":"clinic Unión doctor del Norte","short_description":"أونيون ميديكا ديل نورتي عيادة لجراحة التجميل والترميم في سانتياغو، جمهورية الدومينيكان. يشرف الدكتور إلياس هيريرا على العيادة. يركز الفريق على تكبير الثدي وشد البطن وتجميل الأنف. حصل الدكتور هيريرا على شهادته في الطب مع مرتبة الشرف عام 1986، وأكمل تخصصه في الجراحة في مكسيكو سيتي عام 1993. تولي العيادة اهتمامًا كبيرًا بسلامة المرضى قبل الجراحة وبالنتائج الواقعية.
يحصل المرضى الدوليون على دعم كامل من خلال باقات طبية تشمل الاستقبال من المطار والتنقل داخل المدينة والإقامة في منزل مخصص للتعافي. ويمكن للمرضى مقابلة الجرّاح قبل السفر عبر استشارة بالفيديو. وتشمل الرعاية بعد الجراحة التصريف اللمفاوي والتعامل مع التليف. الدكتور هيريرا عضو في SODOCIPRE وISAPS.
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وهو أستاذ جراحة التجميل في جامعة PUCMM. تلقى تدريبه في مستشفى فيليسيو روشو في البرازيل، وأجرى فترات تدريبية في مستشفى سانت بارناباس في الولايات المتحدة. وتحظى العيادة بتأييد الجمعية الدومينيكية لجراحة التجميل (SODOCIPRE). ويقدم الفريق إجراءات ما بعد جراحات السمنة، وتكبير الثدي، وتجميل الأنف، ونحت الدهون.
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تتبع العيادة بروتوكولات سلامة صارمة للعمليات الجراحية الكبرى، تشمل الوقاية من الجلطات والتخطيط للتخدير بما يناسب كل مريض. ويحصل المرضى على إرشادات مفصلة لما بعد الجراحة لدعم التعافي السليم. تحمل العيادة جميع الشهادات المطلوبة من وزارة الصحة الدومينيكانية. والدكتور ميرابال باتيستا عضو في الجمعية الدومينيكانية لجراحة التجميل. كما يقدم الفريق علاجات تجميلية للوجه غير جراحية باستخدام ذيفان البوتولينوم.
","images":[{"base_url":"clinic/6ae2d12881603","title":"غرفة علاج في عيادة Dr. Rafael Mirabal Batista بسرير طبي وديكور حديث"},{"base_url":"clinic/6ae2d12a3c969","title":"مكتب الطبيب في عيادة Dr. Rafael Mirabal Batista بديكور عصري ومكتب كمبيوتر"},{"base_url":"clinic/6ae2d12bd8c6e","title":"الدكتور رافائيل ميرابال باتيستا، أخصائي جراحة التجميل في مستشفى خوسيه ماريا كابرال إي بايز"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"جمهورية الدومنيكان","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"سانتياغو دي لوس كاباليروس","id":2525,"alias":"santiago-de-caballeros"},"address":"clinic Corominas, Torre A, Consultorio 201B, Calle Restauración #57, Santiago, República Dominicana."},"rating":{"rating":0,"google":3.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}},{"doctor":{"id":22903,"alias":"yusef-marrero-sarkis","name":"Yusef Marrero Sarkis","photo":"doctor/6ae2c21e9fe08","first_year_working":0,"created_at":"2026-10-29T03:48:44.560+00:00","short_description":"الدكتور يوسف ماريرو ساركيس جرّاح تجميل وترميم في سانتياغو، جمهورية الدومينيكان. وهو معتمد من الجمعية الدومينيكانية لجراحة التجميل. تلقّى الدكتور ماريرو ساركيس تدريبه في البرازيل في مستشفى العلوم الطبية الجامعي، ويعمل مع مرضى من جمهورية الدومينيكان وخارجها.
عيادة الدكتور يوسف ماريرو ساركيس لجراحة التجميل في سانتياغو، جمهورية الدومينيكان. تقدم العيادة جراحات تجميلية وترميمية للوجه والثديين والجسم. افتُتحت في عام 2026. تلقّى الدكتور ماريرو ساركيس تدريبه الجراحي في بيلو هوريزونتي بالبرازيل. ويضم فريقه ثلاثة أطباء. كما تتولى العيادة إجراءات الترميم بعد جراحات السمنة والإجراءات التجميلية للرجال.
تحظى العيادة باعتراف دولي من خلال عضويتها في ISAPS وFILACP. كما أنها معتمدة من الجمعية الدومينيكية لجراحة التجميل. ومن أبرز ميزاتها استخدام تقنية الترددات الراديوية TensaMax Roma. ويساعد هذا النظام على تقليل التورم والكدمات بعد الجراحة. وتنشر العيادة نتائجها علنًا، حيث تظهر نتائج طبيعية في وقت مبكر يصل إلى 15 يومًا بعد الجراحة.
","images":[{"base_url":"clinic/6ae2c16e97190","title":"مكتب استشارات في عيادة الدكتور يوسف ماريرو ساركيس بديكور حديث وشهادات"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"جمهورية الدومنيكان","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"سانتياغو دي لوس كاباليروس","id":2525,"alias":"santiago-de-caballeros"},"address":"Bella Terra Mall, primer nivel, módulo A57, Santiago de los Caballeros, Dominican Republic"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"شهادة الجمعية الدولية لجراحة التجميل الترميمية (ISAPS) مقدمة للطبيب","country_code":"US"}]}}],"meta":{"total_count":4,"total_pages":1}},"reviews":{"reviews":[{"id":20795,"user":{"id":857784,"name":"Yessenia mateo alcantara Mateo alcantara","country_code":"DO","country_name":{"ar":"جمهورية الدومنيكان","en":"Dominican Republic"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"ar":"لقد أحببت حقًا الطريقة التي عاملني بها الفريق الطبي، لقد عاملوني بشكل جيد جدًا، أنا راضٍ جدًا، في الوقت الحالي لا أعتقد أن هناك أي شيء يمكن تحسينه، كل شيء جيد جدًا، إنها واحدة من أفضل العيادات، وهي عيادة الجراحة التجميلية المفضلة لدي.","en":"I really liked the way the medical team treated me, they treated me very well, I am very satisfied, for now I don't think there is anything to improve, everything is very good, it is one of the best clinics, my favourite cosmesurgery."},"order":{"operation":{"id":650,"name":{"ar":"تكبير الثدي","en":"Breast augmentation"}}},"clinic_info":{"id":4263,"name":"Cosmesurgery Clinic","alias":"cosmesurgery","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2025-07-17T13:58:23.429+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"ar":"لقد أحببت حقًا الطريقة التي عاملني بها الفريق الطبي، لقد عاملوني بشكل جيد جدًا، أنا راضٍ جدًا، في الوقت الحالي لا أعتقد أن هناك أي شيء يمكن تحسينه، كل شيء جيد جدًا، إنها واحدة من أفضل العيادات، وهي عيادة الجراحة التجميلية المفضلة لدي.","en":"I really liked the way the medical team treated me, they treated me very well, I am very satisfied, for now I don't think there is anything to improve, everything is very good, it is one of the best clinics, my favourite cosmesurgery."},"what_like_text":{"ar":"عندما كنت خائفًا وقلقًا بشأن الجراحة التي أجريتها شجعوني على عدم الخوف. كما أنهم تحدثوا معي كما لو كنت جزءًا من عائلتهم وفي تلك اللحظة شعرت بالأمان. كنت أشعر بالرضا عندما اتصلت بهم وكانوا يأتون دون أي مشكلة وكانوا دائمًا منتبهين.","en":"When I was scared and worried about my surgery and they encouraged me not to be afraid. 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Dr. Luis Gonzalez is a professional and an expert in his field. 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اليوم 2 - ما قبل العملية
اليوم الثالث - الجراحة
اليوم 4 - بعد العملية
اليوم الخامس - السابع
الأسبوع 1 - 3 إعادة التأهيل
الأسبوع الرابع - السادس إعادة التأهيل
الأسبوع السابع وما بعده
ملحوظة: قد تختلف العملية الدقيقة ووقت الشفاء من مريض لآخر.
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"},"591":{"operation":{"name":"إعادة بناء المفاصل وأصابع القدم","alias":"reconstruction-of-foot-joints-and-toes","use_for_listing":true},"country_price":{"TR":{"amount":5300,"max_amount":6200,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":4200,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"KR":{"amount":5500,"max_amount":10000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"TH":false,"KR":false},"description":"يصحح هذا الإجراء تشوهات مفاصل القدم والقدم مما يعزز الحركة ويقلل الألم ويحسن الصحة العامة للقدم.
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"},"1506":{"operation":{"name":"جراحة سديلة الثاقبة البطنية السفلية العميقة","alias":"diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery","use_for_listing":true},"country_price":{"TR":{"amount":9500,"max_amount":15000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":10000,"max_amount":13500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"KR":{"amount":14000,"max_amount":20000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"TH":true,"KR":false},"description":"**DIEP Flap Reconstruction (Deep Inferior Epigastric Perforator Flap Surgery):** This surgery rebuilds the breast using skin and fat from the lower abdomen, preserving muscle for a natural appearance and smoother recovery."}}},"videoReviews":[{"id":"ac41621c-4ed9-4dac-b13b-c2887c544996","link":"https://player.vimeo.com/video/1004504880?badge=0&autopause=0&player_id=0&app_id=58479","description":"لقد حققت حلمي. أخيراً، لن أبكي على شعري بعد اليوم.","userName":"Oksana","user_name":"Oksana","preview":"https://i.vimeocdn.com/video/1921052463-9441b899d97f025bdf15ea4444c6bad76896438435507f931f9dbade65aa9fd2-d?mw=800&mh=1418&q=70","updated_at":"2025-03-07T08:05:42.652+00:00","clinicName":"Dr. MED Clinic","clinic":{"name":"Dr. MED Clinic","alias":"doctor-med"},"clinicUrl":"/clinic/doctor-med/","relations":{"operations":[{"name":"زراعة الشعر","alias":"hair-transplant"},{"name":"زرع الشعر بتقنية FUE","alias":"fue-hair-transplant"}]}},{"id":"8ef8b334-e1a3-4147-974d-fd5996d54d0b","link":"https://player.vimeo.com/video/1006239156?badge=0&autopause=0&player_id=0&app_id=58479","description":"4 أيام فقط في تركيا، وأنا الآن في المنزل بشعر جديد.","userName":"Roman","user_name":"Roman","preview":"https://i.vimeocdn.com/video/1946681900-5faead53777958026fa135874e48fd674bf30c103469d0c4a733df42989f1b73-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:07:34.434+00:00","clinicName":"Hair Clinic","clinic":{"name":"Hair Clinic","alias":"hair-clinic"},"clinicUrl":"/clinic/hair-clinic/","relations":{"operations":[{"name":"زراعة الشعر","alias":"hair-transplant"},{"name":"زراعة الشعر العضوي","alias":"organic-hair-transplantation"}]}},{"id":"53074d0e-9c37-4b1f-86a1-a168d8a910a7","link":"https://player.vimeo.com/video/1004438748?badge=0&autopause=0&player_id=0&app_id=58479","description":"جعل Bookimed هذه الرحلة الطبية سهلة للغاية.","userName":"Jamie","user_name":"Jamie","preview":"https://i.vimeocdn.com/video/1920976253-73e5c27c2f0cb21175de7829a9ba81f50e09c7dac0961f61876317387430849f-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:08:20.298+00:00","clinicName":"Bangkok Plastic Surgery","clinic":{"name":"Bangkok Plastic Surgery","alias":"bangkok-plastic-surgery"},"clinicUrl":"/clinic/bangkok-plastic-surgery/","relations":{"operations":[{"name":"جراحة إعادة تحديد الجنس","alias":"sex-reassignment-surgery"},{"name":"جراحة إعادة تحديد الجنس (ذكر-أنثى)","alias":"male-to-female-mtf-surgery"}]}},{"id":"0c8fcbc4-4296-4057-aa8f-74e222cdb7c5","link":"https://player.vimeo.com/video/1026539266?badge=0&autopause=0&player_id=0&app_id=58479","description":"وصلني Bookimed بعيادة ممتازة. وفرت الكثير من المال.","userName":"Dmitrii","user_name":"Dmitrii","preview":"https://i.vimeocdn.com/video/1946681311-7931e204080192bf6f0e15c5880d649b39f108250f0e2a3c68b75e38b391dabc-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:09:41.145+00:00","clinicName":"Adem and Havva Medical Center ","clinic":{"name":"Adem and Havva Medical Center ","alias":"adameve-medical-center"},"clinicUrl":"/clinic/adameve-medical-center/","relations":{"operations":[{"name":"زرع اللحية","alias":"beard-transplantation"},{"name":"زراعة الشارب","alias":"moustache-transplantation"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-11-04T19:28:54.000Z","activeCountries":["DO","TR","TH","KR"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":7,"rehabilitation_days":4,"satisfied_percent":78,"treatment_duration_hours":5},"illness_kind_details":{"requests_processed":110449}},"direction":{"id":38,"name":"جراحة تجميلية","alias":"plastic-surgery","name_forms":{"base_form":"جراحة تجميلية","form_4":"جراحة تجميلية","form_6":"جراحة تجميلية","form_11":"جراحي التجميل","form_12":"جراحي التجميل"}},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":28,"max":56,"unit":"days","qualifier":"Desk or light work after surgeon clearance following uncomplicated unilateral DIEP; physical or heavy-lifting jobs take longer."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Significant early flap or donor-site complications within about 3 months after unilateral DIEP; varies with risk factors."},"contraindications":["Unfit for prolonged general anesthesia (severe uncontrolled disease)","Active infection at chest, abdominal donor site, or systemic","Current smoking or nicotine use (usually relative)","Insufficient abdominal tissue or damaged epigastric vessels (relative)","Very high BMI or poorly controlled diabetes (relative)","Prior thrombosis or clotting disorder without hematology planning (relative)","Pregnancy","Advanced or inflammatory cancer; reconstruction may be deferred (relative)"],"days_in_clinic":{"min":3,"max":6,"unit":"nights","qualifier":"Uncomplicated unilateral DIEP with flap monitoring, drains and early mobilization. Complications or return to theater lengthen the stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Strenuous exercise, core loading and heavy lifting after surgeon clearance and stable healing; walking starts within days."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling settles and the breast softens; scars mature longer. Optional refinements extend this."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"Once discharged, mobile, drains removed or managed, no flap concerns and team clears travel; take VTE precautions."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"After Hospital discharge: First outpatient wound and flap check; drains reviewed if still in place."}},{"purpose":"other","requirement":"conditional","after":{"min":10,"max":21,"unit":"days","qualifier":"After DIEP flap surgery: Drain removal review once output criteria are met."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":84,"unit":"days","qualifier":"After DIEP flap surgery: Healing and activity clearance review."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"After DIEP flap surgery: Result review and discussion of optional refinement."}}],"indications":["Breast absence after mastectomy for breast cancer, immediate or delayed","Breast deformity after lumpectomy or radiotherapy","Risk-reducing mastectomy in high-risk patients (e.g., BRCA mutation)","Prior or planned radiotherapy, where implants are less suitable","Inadequate skin envelope for implants, with adequate abdominal tissue"],"main_risks":["Flap thrombosis or vascular compromise; flap loss uncommon (about 1–3%)","Fat necrosis or partial flap necrosis","Hematoma, seroma, infection, or delayed healing","Abdominal wall weakness, bulge, hernia, or numbness","Mastectomy skin necrosis and altered breast sensation","Asymmetry or contour irregularity needing revision","Venous thromboembolism and anesthesia complications","Long surgery, blood loss, and transfusion"],"pain":"Moderate to significant pain in the first days, mainly at the abdominal donor site, controlled with multimodal analgesia. Discomfort and tightness usually ease over several weeks. Numbness or altered sensation may persist.","preparation":["Oncologic and plastic surgery planning, including timing","Medical assessment, blood tests, and anesthesia review","CT or MR angiography to map abdominal perforators","Stop smoking and nicotine for weeks before and after","Review medications and supplements, including blood thinners","Fasting before general anesthesia","Pre-operative marking and photographs","Arrange home help and nearby lodging after discharge"],"recovery_timeline":[{"phase":"Hospital stay (about 3-6 nights)","description":"Flap monitoring, drain care, pain control, VTE prevention, and early mobilization with sitting and short walks.","restrictions":["No driving","Avoid pressure or tension on flap and abdomen","Nicotine avoidance continues"]},{"phase":"Weeks 1-6","description":"Home recovery with drains managed until removal, gradual walking, and a flexed-hip posture easing as the abdomen heals.","restrictions":["No heavy lifting","No strenuous or core exercise","Wear supportive garments"]},{"phase":"Weeks 6-12","description":"Ordinary function and desk work fully resume; physical work and exercise return stepwise after clearance.","restrictions":["Heavy lifting and high-impact sport only after surgeon clearance"]},{"phase":"Months 6-12","description":"Swelling resolves, the breast softens, and scars mature; optional refinement can be planned.","restrictions":[]},{"phase":"At any time","description":"Seek urgent care for flap color change or coolness, sudden swelling, fever, wound discharge, chest pain, breathlessness, calf swelling, or severe abdominal pain.","restrictions":[]}],"rehabilitation_days":{"min":28,"max":84,"unit":"days","qualifier":"Ordinary daily function returns after uncomplicated unilateral DIEP; slower with complications or adjuvant therapy."},"result_longevity":"The reconstructed breast is made of the patient's own tissue and is generally long-lasting, changing with weight and aging. Fat necrosis or contour changes may occasionally need revision.","revision_rate_pct":{"min":20,"max":50,"unit":"percent","qualifier":"Later contour, fat grafting, or nipple-related revisions within 1-2 years after unilateral DIEP; many are elective."},"scars":"Breast scar (mastectomy scar or new incision if delayed), a long low horizontal abdominal scar, and a scar around the navel. Small drain marks; scars mature over 12 months or longer.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One primary DIEP free-flap operation with a single hospital admission."},"stages":[{"code":"planning_imaging","label":"Surgical planning and perforator imaging","after":{"min":0,"max":30,"unit":"days","qualifier":"After First consultation: Planning and imaging are scheduled before surgery, counted from the first consultation; timing depends on cancer treatment."}},{"code":"inpatient_monitoring","label":"Inpatient flap monitoring, drain care, and mobilization","after":{"min":0,"max":6,"unit":"days","qualifier":"After DIEP flap surgery: Uncomplicated stay; flap checks continue until discharge."}},{"code":"optional_refinement","label":"Optional contour or nipple-areola refinement","after":{"min":90,"max":180,"unit":"days","qualifier":"After DIEP flap surgery: Conditional, not mandatory; timing depends on healing, swelling, and any adjuvant therapy."}}],"qualifier":"Primary numbers cover only the single DIEP operation. Later refinements are optional, and implant-based reconstruction is outside this profile."},"success":{"metric":"Early flap survival without total flap loss","value":97,"unit":"percent","horizon":"During the initial hospital stay and first weeks","population":"Adults after unilateral DIEP free-flap breast reconstruction in specialist microsurgical centers","evidence_status":"limited"},"techniques":[{"name":"Unilateral DIEP free-flap breast reconstruction (primary profile)","suits_whom":"Patients with enough lower abdominal tissue and suitable perforator vessels who want autologous reconstruction after mastectomy.","recovery":"Several inpatient nights with flap monitoring; ordinary functional recovery takes several weeks."},{"name":"Alternative: implant or tissue expander-based reconstruction (outside primary numbers)","suits_whom":"Patients with adequate skin envelope who prefer a shorter operation or no donor site.","recovery":"Shorter initial stay; may need expansion visits and later implant exchange."},{"name":"Alternative: other flaps (e.g., muscle-sparing TRAM, latissimus dorsi, thigh flaps) (outside primary numbers)","suits_whom":"Patients unsuitable for DIEP because of insufficient abdominal tissue or vessel anatomy.","recovery":"Varies by flap and donor site."},{"name":"Optional nipple-areola reconstruction and contour refinement (outside primary numbers)","suits_whom":"Patients who have healed after breast mound reconstruction and want nipple restoration or symmetry adjustment.","recovery":"Usually short procedures, often day-case; recovery is shorter than for the primary operation."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Operating time for uncomplicated unilateral DIEP with microvascular anastomosis; longer if combined with mastectomy or complicated by vessel problems."},"initial_assessment_documents":["Front, side and back photos of torso","Mastectomy operative and pathology reports","Oncology treatment summary with radiotherapy dates","Abdominal CT or MR angiography (if available)","Previous abdominal surgery history and scars"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single DIEP operation; about 2-3 weeks total for stay, drains and travel clearance. Follow-ups can be done at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/city=santiago-de-caballeros/procedure=vosstanovitelnaya-hirurgiya-grudi/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":3,"alias":"breast-cancer","name":"سرطان الثدي"}],"rendersOffersList":false}