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(фейслифт)","alias":"podtazka-kozi-lica-fejslift","type":"operation","id":21},{"name":"Липосакция","alias":"liposakciya","type":"operation","id":23},{"name":"Увеличение груди","alias":"uvelicenie-grudi","type":"operation","id":650},{"name":"Консультация пластического хирурга","alias":"konsultacia-plasticeskogo-hirurga","type":"diagnostic","id":340},{"name":"Консультация с составлением плана лечения","alias":"konsultacia-s-sostavleniem-plana-lecenia","type":"diagnostic","id":457},{"name":"Анализ крови общий","alias":"obschij-analiz-krovi","type":"diagnostic","id":83},{"name":"Маммография","alias":"mammografiya","type":"diagnostic","id":20},{"name":"Консультация челюстно-лицевого хирурга","alias":"konsultacia-celustno-licevogo-hirurga","type":"diagnostic","id":431},{"name":"Гинекомастия","alias":"ginekomastiya","type":"illness","id":204},{"name":"Non-surgical slimming 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(брахиопластика)","alias":"plastika-ruk-brahioplastika","use_for_listing":true},"country_price":{"US":{"amount":5000,"max_amount":12500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":1700,"max_amount":3500,"currency":"USD","clinic_count":49,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":2600,"max_amount":4800,"currency":"USD","clinic_count":14,"price_kind":"from_range","price_source":"mixed","scope":"country"},"PL":{"amount":2200,"max_amount":3900,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"tariff","scope":"country"},"EG":{"amount":2000,"max_amount":3200,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":true,"US":true,"IL":false,"TR":true,"MX":true,"DE":true,"CA":false,"AE":true,"TH":true,"PL":true,"KR":true,"CZ":true,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":true,"MY":true,"VN":false,"BR":true,"CO":true,"CP":true,"CY":true,"EG":true,"HU":true,"LT":true},"description":"<p>Подтягивает дряблую, обвисшую кожу плеча, улучшая контуры тела и уверенность в себе за счет хирургического переопределения и удаления избыточной ткани.</p>"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":8,"rehabilitation_days":14,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":2},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Эргин Эр","photo":"doctor/5cd02aa7a3f4e","advisory_text":"Доктор Эргин Эр — пластический, реконструктивный и эстетический хирург, выполнивший более 10 000 эстетических процедур. Он является многократным лауреатом Турецких национальных конгрессов пластической хирургии и прошел углубленную подготовку в Медицинском колледже Бейлора в Хьюстоне, штат Техас.","linkedin":"","specialities":[{"id":"pls.001","name":"Пластический хирург","illness_kind_id":38}]},"direction":{"id":38,"name":"Пластическая хирургия","alias":"plasticheskaya-hirurgiya"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk-based work after standard brachioplasty; physically demanding work or heavy arm use usually needs about 4-6 weeks."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Overall 30-day complications, mostly wound problems, seroma or hematoma; major events rarer."},"contraindications":["Pregnancy or breastfeeding","Unstable weight or planned significant weight loss/gain","Active infection or skin disease in the operative area","Uncontrolled medical conditions (cardiac, diabetes, bleeding disorders)","Active smoking or nicotine use (relative; impairs wound healing)","Active lymphedema of the arm (relative)","Psychiatric instability, untreated depression or body dysmorphic disorder","Obesity (BMI >30 kg/m²) (relative)","Prior axillary node dissection or radiotherapy (high lymphedema risk)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Standard brachioplasty alone; often same-day discharge, sometimes one night of observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous upper-body exercise and heavy lifting usually delayed until surgeon clearance."},"final_result_months":{"min":6,"max":18,"unit":"months","qualifier":"Swelling resolves; scars keep maturing up to about 18 months."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Fly once the 1-week check shows stable wounds, drains out, and no hematoma, seroma or dehiscence."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":7,"unit":"days","qualifier":"First postoperative check and dressing change."}},{"purpose":"suture_removal","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Removal of non-absorbable sutures and drains if used, before flight home."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":45,"unit":"days","qualifier":"Healing and compression garment review."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Scar and contour assessment."}}],"indications":["Loose upper arm skin and fat after massive weight loss","Skin laxity from ageing or genetics with hanging arm contour","Clothing fit, hygiene or irritation problems from excess arm skin"],"main_risks":["Visible, widened or hypertrophic scarring","Hematoma or seroma","Infection or wound dehiscence","Delayed wound healing","Numbness or sensory nerve injury (medial antebrachial cutaneous)","Contour asymmetry or under-correction","Swelling, lymphatic injury","Anesthesia-related risks and venous thromboembolism"],"pain":"Moderate discomfort, tightness and soreness for the first several days, controlled with oral analgesics; improves markedly within 1-2 weeks.","preparation":["Preoperative consultation and medical evaluation with routine tests as indicated","Stable weight for several months before surgery","Stop smoking/nicotine as advised by the surgeon","Review of medications and supplements with the surgeon","Fasting before general anesthesia","Arrange help at home and compression garment","Preoperative photos and skin markings"],"recovery_timeline":[{"phase":"Days 0-3","description":"Rest with arms mildly elevated; dressings and compression garment in place; drains sometimes used.","restrictions":["Avoid lifting arms overhead","No lifting or strenuous activity"]},{"phase":"Weeks 1-2","description":"Swelling and bruising subside; sutures removed; return to light daily activities and desk work.","restrictions":["No heavy lifting","Avoid stretching arms"]},{"phase":"Weeks 3-6","description":"Wear compression garment; gradual increase in activity; scars still red and firm.","restrictions":["Avoid strenuous upper-body exercise until cleared"]},{"phase":"Months 3-12","description":"Residual swelling resolves and scars mature and fade.","restrictions":["Protect scars from sun"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Most return to daily activities and desk work within 1–2 weeks; heavy lifting and strenuous arm exercise wait 4–6 weeks."},"result_longevity":"Long-lasting if weight remains stable, though ageing and weight changes can cause recurrent laxity over time.","revision_rate_pct":{"min":2,"max":9,"unit":"percent","qualifier":"Re-operation after primary brachioplasty within 1-2 years; higher in massive weight loss."},"scars":"Permanent scar along the inner or back of the upper arm, sometimes extending to the axilla or chest wall; initially red and raised, usually fading over 12-18 months, with risk of widening or hypertrophy.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks are separate."},"stages":[{"code":"surgery","label":"Brachioplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Both arms are typically treated in one operation."},"success":{"metric":"Patient satisfaction with arm contour","value":85,"unit":"percent satisfied","horizon":"12 months after surgery","population":"Adults with arm skin laxity, stable weight, standalone brachioplasty","evidence_status":"limited"},"techniques":[{"name":"Standard (inner arm) brachioplasty","suits_whom":"Moderate to severe skin excess along the full arm, often after massive weight loss.","recovery":"Typically 1-2 weeks to light activity; longer scar along the arm."},{"name":"Limited incision (mini) brachioplasty","suits_whom":"Mild to moderate laxity confined to the upper arm near the axilla.","recovery":"Somewhat quicker recovery; shorter scar."},{"name":"Extended brachioplasty","suits_whom":"Laxity extending onto the lateral chest wall.","recovery":"Longer recovery with a longer scar."},{"name":"Liposuction-assisted brachioplasty","suits_whom":"Excess fat along with skin laxity.","recovery":"Similar to standard; more swelling and bruising."}],"treatment_conditions":["day_case","outpatient"],"treatment_duration_hours":{"min":2,"max":3,"unit":"hours","qualifier":"Both arms, standard brachioplasty alone."},"initial_assessment_documents":["Front, back and side photos of both arms","Arms-raised photos showing skin laxity","List of blood thinners","Recent blood test results (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until the first check, drain and dressing removal, and flight clearance."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon has significant experience performing arm lift surgery","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/arm-lift","host":"my.clevelandclinic.org","quote":"When considering arm lift, choose a surgeon with significant experience performing the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask the surgeon about their credentials and training","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/arm-lift","host":"my.clevelandclinic.org","quote":"Make sure to ask your cosmetic surgeon about their credentials, training and how many procedures they’ve performed.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Confirm the risks are discussed with you before you consent","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/arm-lift/safety","host":"plasticsurgery.org","quote":"These risks and others will be fully discussed prior to your consent.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Have two consultations with the treating surgeon before any surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that the facility and staff are accredited or certified","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C6","text":"Check whether follow-up care is at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Quoted price is substantially lower than usual offers","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/plastic-surgery-for-cheap-why-some-deals-are-too-good-to-be-true","host":"plasticsurgery.org","quote":"Substantially lower prices can be an indication that something is not completely legitimate.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Clinic asks you to pay for a hospital you have never seen","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"do not pay for a hospital you have never seen.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Offer has no consultation with the treating surgeon before surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"Procedure is offered somewhere that is not a medical setting","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/plastic-surgery-for-cheap-why-some-deals-are-too-good-to-be-true","host":"plasticsurgery.org","quote":"Additionally, it's essential to receive treatments or procedures in a medical setting.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Blood-soaked dressings or excessive bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23367-brachioplasty-arm-lift","host":"my.clevelandclinic.org","quote":"Blood-soaked dressings or excessive bleeding.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Abnormal swelling in your arm","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23367-brachioplasty-arm-lift","host":"my.clevelandclinic.org","quote":"Blood clot symptoms, such as abnormal swelling in your arm.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Discharge from the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23367-brachioplasty-arm-lift","host":"my.clevelandclinic.org","quote":"Fever or discharge from the incision, which could be a sign of infection.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Changes in arm or hand sensation or movement","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23367-brachioplasty-arm-lift","host":"my.clevelandclinic.org","quote":"Sensation or movement changes in your arms or hands.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W5","text":"Sudden shortness of breath or chest pain","urgency":"emergency","general":true,"source":{"url":"https://www.cedars-sinai.org/health-topics/brachioplasty","host":"cedars-sinai.org","quote":"These include sudden shortness of breath or chest pain.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the treatment received and medicine changes","document":"discharge letter","source":{"url":"https://sbuhb.nhs.wales/hospitals/waiting-well/your-medicines-while-you-wait/being-prepared-for-going-home-after-surgerytreatment","host":"sbuhb.nhs.wales","quote":"This letter explains your hospital stay, any treatment you received, and any changes to your medicines.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your skin is elastic and your main concern is fat","name":"Liposuction","source":{"url":"https://www.theaestheticsociety.org/procedures/body/upper-arm-lift/detailed-procedure-information","host":"theaestheticsociety.org","quote":"Arm liposuction, the least invasive method, is an option for you if your skin has enough elasticity to shrink around the remaining tissues after removing fat.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":23},{"id":"A2","text":"You prefer a nonsurgical option over surgery","name":"Nonsurgical skin tightening","source":{"url":"https://www.theaestheticsociety.org/procedures/skin-hair/skin-tightening/detailed-procedure-information","host":"theaestheticsociety.org","quote":"There are three general options for nonsurgical skin tightening.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"standard-brachioplasty","name":"Standard (inner arm) brachioplasty","how_it_works":{"text":"Removes bat-wing skin and fat from the armpit to the elbow","source":{"url":"https://www.theaestheticsociety.org/procedures/body/upper-arm-lift/detailed-procedure-information","host":"theaestheticsociety.org","quote":"If your excess skin extends like a bat wing from the armpit to the elbow, the best option is to remove the arm flab with a standard arm lift.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"limited-incision","name":"Limited incision (mini) brachioplasty","how_it_works":{"text":"Tucks loose skin near the armpit through a short 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