Профессор Агусти Барнадас Молинс обладает 31-летним опытом в области реконструкции груди, включая обучение в Memorial Sloan-Kettering. Стоимость хирургического лечения составляет около 28 000–30 000 евро, включая персонализированные планы диагностики и лечения. Centro Médico Teknon имеет аккредитацию JCI и оснащен первым в Испании роботом da Vinci. Профессор Барнадас является автором более 130 научных публикаций по лечению рака молочной железы.
","text_type":"mt_wow_description","best_texts":{"techniques":"Увеличение груди, мастопексия, замена имплантатов","good_fit_for":"Реконструкция после рака молочной железы","why_its_ranked":"Использование робототехники da Vinci для точной реконструкции. Проведено более 10 000 пластических операций. Аккредитованное JCI учреждение со специализированными хирургами-пластиками."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":16575.754898267518,"price_to":22101.006531023355,"currency":"USD","id":54791},"operation":{"id":108,"name":"Хирургическая реконструкция груди","alias":"vosstanovitelnaya-hirurgiya-grudi"}},{"prices":{"price_from":70,"price_to":130,"currency":"USD","id":46750},"diagnostic":{"id":83,"name":"Анализ крови общий","alias":"obschij-analiz-krovi"}},{"prices":{"price_from":280,"price_to":280,"currency":"USD","id":60180},"diagnostic":{"id":340,"name":"Консультация пластического хирурга","alias":"konsultacia-plasticeskogo-hirurga"}}],"reviews":[],"clinic":{"id":78,"alias":"medicinskij-centr-teknon","name":"Клиника Текнон","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/78-6abd276198357.png","short_description":"Медицинский центр Teknon (Centro Médico Teknon) — частный многопрофильный медицинский центр в Барселоне, Испания, входящий в Quirónsalud, крупнейшую частную медицинскую группу Испании. Центр специализируется на нейрохирургии, ортопедии, онкологии и кардиохирургии, а также предлагает лечение в области кардиологии, репродуктивной медицины, офтальмологии и передовой диагностики. Имея аккредитацию JCI и статус одного из ведущих частных госпиталей Барселоны, Centro Médico Teknon проводит сложные операции и принимает иностранных пациентов, включая публичных людей, спортсменов и знаменитостей. Центр оказывает помощь только взрослым пациентам и ежегодно принимает около 10 000 пациентов, большинство из которых приезжают из русскоязычных стран, Европы и стран Содружества, США, Канады и Австралии.
\n","images":[{"base_url":"clinic/5c87be3904761","title":"Внешний вид клиники Centro Médico Teknon с широкой лестницей, Барселона, Испания"},{"base_url":"clinic/5ab24c738630b","title":"Фасад клиники Centro Médico Teknon с ландшафтным садом в Барселоне, Испания"},{"base_url":"clinic/5ac3164cd87d2","title":"Медицинская команда перед зданием клиники Centro Médico Teknon в Барселоне, Испания"},{"base_url":"clinic/5ac3156221add","title":"Вход в клинику Centro Médico Teknon в Барселоне, Испания"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Барселона","id":98,"alias":"barselona"},"address":"Carrer de Vilana, 12, 08022 Барселона, Испания"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Аккредитация Международной объединенной комиссии JCI","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"Аккредитация Европейского фонда управления качеством (EFQM)","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"Победитель премии IMTJ MEDICAL TRAVEL AWARD в 2019 году","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Выбор пациентов по неврологии","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Выбор пациентов по нейрохирургии","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Выбор пациентов для лечения эпилепсии","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Лучшие клиники мира 2021 по версии журнала Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Клиника Кирон Барселона – это одна из лучших клиник в Испании, известная своим передовым онкологическим лечением через Институт онкологии Баселги, который сотрудничает с ведущими американскими центрами. С 23 операционными залами и современными технологиями, такими как ПЭТ-КТ и МРТ, она предлагает точные и эффективные методы лечения, включая роботизированные операции и вспомогательные репродуктивные технологии.
\n\nКлиника предоставляет индивидуальный подход к международным пациентам, предлагая 165 палат, люксов и королевских апартаментов. Услуги включают персонализированные планы лечения, Wi-Fi, трансферы из аэропорта и размещение в ближайших отелях, что делает её предпочтительным выбором для высококачественного медицинского обслуживания.
\n","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":17800,"price_to":22250,"currency":"USD","id":63509},"operation":{"id":108,"name":"Хирургическая реконструкция груди","alias":"vosstanovitelnaya-hirurgiya-grudi"}},{"prices":{"price_from":280,"price_to":390,"currency":"USD","id":64494},"diagnostic":{"id":457,"name":"Консультация с составлением плана лечения","alias":"konsultacia-s-sostavleniem-plana-lecenia"}},{"prices":{"price_from":220,"price_to":220,"currency":"USD","id":63516},"diagnostic":{"id":340,"name":"Консультация пластического хирурга","alias":"konsultacia-plasticeskogo-hirurga"}}],"reviews":[],"clinic":{"id":279,"alias":"klinika-kiron-barselona","name":"Клиника Кирон Барселона","short_description":"Клиника Кирон Барселона – это одна из лучших клиник в Испании, известная своим передовым онкологическим лечением через Институт онкологии Баселги, который сотрудничает с ведущими американскими центрами. С 23 операционными залами и современными технологиями, такими как ПЭТ-КТ и МРТ, она предлагает точные и эффективные методы лечения, включая роботизированные операции и вспомогательные репродуктивные технологии.
\n\nКлиника предоставляет индивидуальный подход к международным пациентам, предлагая 165 палат, люксов и королевских апартаментов. Услуги включают персонализированные планы лечения, Wi-Fi, трансферы из аэропорта и размещение в ближайших отелях, что делает её предпочтительным выбором для высококачественного медицинского обслуживания.
\n","images":[{"base_url":"clinic/5b040bd627256","title":"Современное здание клиники Hospital Quiron Barcelona, Испания"},{"base_url":"clinic/5b040cf40de89","title":"Операционная с современным диагностическим оборудованием в Hospital Quiron Barcelona"},{"base_url":"clinic/5b040cf51721a","title":"Просторная зона ожидания в Hospital Quiron Barcelona с современными креслами и естественным освещением"},{"base_url":"clinic/5b040cf5d0e1c","title":"Современный коридор с лифтами в Hospital Quiron Barcelona"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Барселона","id":98,"alias":"barselona"},"address":"Plaça d'Alfonso Comín, 5-7, 08023 Barcelona, Spain"},"rating":{"rating":4.4,"google":3.5,"percent_of_satisfied_clients":66},"statistics":{"number_of_reviews":6,"doctors_number":300,"year_foundation":1997},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Аккредитация Международной объединенной комиссии JCI","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"HM Nou Delfos предлагает операцию по реконструкции груди в рамках своих онкологических и хирургических услуг, опираясь на опыт доктора Жоана Альбанелла Местреса, ведущего онколога, специализирующегося на раке молочной железы. Имея 120 опубликованных статей и 9000 цитирований, он возглавляет программу по борьбе с раком молочной железы и курирует онкологические службы в Clin del Mar. Больница оснащена передовыми технологиями диагностики и лечения, включая КТ и МРТ.
Клиника HM Delfos (ЭйчЭм Делфос) — многопрофильный госпиталь в Барселоне, который входит в крупнейшую сеть Испании — HM Hospitales.
\n\nHM Delfos специализируется на хирургии, онкологии, ортопедии, кардиологии, гинекологии, урологии, неврологии (диагностике и лечении эпилепсии).
\n\nКлиника оборудована последними аппаратами для диагностики и лечения — EOS для высокоточных снимков опорно-двигательного аппарата, КТ и МРТ, двумя установками для радиотерапии опухолей без операции.
\n","images":[{"base_url":"clinic/61792839585ce","title":"Внешний вид клиники Hospital HM Nou Delfos в Барселоне, современный медицинский центр"},{"base_url":"clinic/6409ccb4c0348","title":"Стойка регистрации в Hospital HM Nou Delfos, современная клиника в Барселоне"},{"base_url":"clinic/6179278ad430b","title":"Палата с зоной отдыха в Hospital HM Nou Delfos, Барселона"},{"base_url":"clinic/61793493253c9","title":"Палата интенсивной терапии в Hospital HM Nou Delfos, Барселона с современным оборудованием"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Барселона","id":98,"alias":"barselona"},"address":"Av. Vallcarca 151, 08023 Barselona, Spain"},"rating":{"rating":4.6,"google":3.2,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":5,"doctors_number":200,"year_foundation":1966},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"Аккредитация Европейского фонда управления качеством (EFQM)","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725522d15.jpeg","name":"Сертификат качества TÜV NORD DIN EN ISO","country_code":"DE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Antiaging Group Barcelona предлагает операцию по реконструкции груди с использованием передовых методик, стоимость процедур обычно составляет около 8 870 долларов. Клиника признана Американским обществом пластических хирургов и Испанской ассоциацией эстетической пластической хирургии.
","text_type":"mt_wow_description","best_texts":{"techniques":"Операция по реконструкции груди","good_fit_for":"Доступная реконструкция груди","why_its_ranked":"Предлагает реконструкцию груди по цене в 3-4 раза ниже, чем в клиниках США. Признана Американским обществом пластических хирургов и испанскими ассоциациями пластической хирургии."},"procedure_prices":[{"prices":{"price_from":8000,"price_to":18000,"currency":"USD","id":23807},"operation":{"id":108,"name":"Хирургическая реконструкция груди","alias":"vosstanovitelnaya-hirurgiya-grudi"}}],"reviews":[],"clinic":{"id":535,"alias":"antiaging-group-barcelona","name":"Antiaging Group Barcelona","short_description":"Antiaging Group Barcelona — одно из известных медицинских учреждений в Барселоне, Испания. Эстетическая медицина и косметология, оториноларингология/ухо, нос и горло (ЛОР), дерматология — самые сильные специализации. Качество медицинских услуг и лечения подтверждено Американским обществом пластических хирургов, Испанской ассоциацией эстетической хирургии, Испанской ассоциацией пластической хирургии, Испанской ассоциацией пластической хирургии и Эстетической хирургии. Пациенты из США, Канады, Великобритании и других стран выбирают Antiaging Group Barcelona для лечения.","images":[{"base_url":"clinic/cacdedee95522","title":"Зона ресепшн клиники Antiaging Group Barcelona с современным синим и белым дизайном"},{"base_url":"clinic/52aaff3879525","title":"Зона ресепшн клиники Antiaging Group Barcelona с современным интерьером"},{"base_url":"clinic/b613db5b007ab","title":"Кабинет для процедур в Antiaging Group Barcelona с современным медицинским оборудованием"},{"base_url":"clinic/17de629381037","title":"Логотип клиники Antiaging Group Barcelona на белом фоне"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Барселона","id":98,"alias":"barselona"},"address":"Ronda del General Mitre, 84, Barcelona, Spain"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"Американское общество пластических хирургов","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9b2ea8f30b.jpeg","name":"Испанское сообщество пластической, реконструктивной и эстетической хирургии","country_code":"ES"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9b78223cfe.jpeg","name":"Испанская ассоциация эстетической и пластической хирургии","country_code":"ES"}]}}],"meta":{"total_count":4,"total_pages":1}},"clinicsMeta":{"total_count":4,"total_pages":1},"clinicsCount":4,"clinicsCountByEntity":{"clinic_count":294},"doctors":{"doctors":[{"card_text":"Пионер в области 3D-хирургического планирования для реконструкции груди – доктор Эрреро сочетает _doctor_1728_years_ опыта с передовыми виртуальными технологиями.
Д-р Хавьер Эрреро Ховер — сертифицированный пластический хирург в Centro Médico Teknon в Барселоне. Он является пионером в области виртуального хирургического планирования и использует 3D-моделирование для достижения точных результатов. Д-р Эрреро Ховер основал компанию Alma IT Systems для разработки специализированного программного обеспечения для медицинской визуализации. За свою карьеру он провел более 10 000 хирургических операций.
Медицинский центр Teknon (Centro Médico Teknon) — частный многопрофильный медицинский центр в Барселоне, Испания, входящий в Quirónsalud, крупнейшую частную медицинскую группу Испании. Центр специализируется на нейрохирургии, ортопедии, онкологии и кардиохирургии, а также предлагает лечение в области кардиологии, репродуктивной медицины, офтальмологии и передовой диагностики. Имея аккредитацию JCI и статус одного из ведущих частных госпиталей Барселоны, Centro Médico Teknon проводит сложные операции и принимает иностранных пациентов, включая публичных людей, спортсменов и знаменитостей. Центр оказывает помощь только взрослым пациентам и ежегодно принимает около 10 000 пациентов, большинство из которых приезжают из русскоязычных стран, Европы и стран Содружества, США, Канады и Австралии.
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\nОн возглавлял отделение пластической хирургии в Hospital Universitari Quirón-Dexeus с 2003 по 2021 год. В настоящее время работает в Centro Médico Teknon (с ноября 2025 года), Quirónsalud Ciudad Real (с мая 2026 года) и Quirónsalud Clideba (с февраля 2026 года).
\nОн прошёл обучение по пластической, реконструктивной и эстетической хирургии в Clínica Universidad de Navarra. Полноправный член SECPRE и член AAAS. Автор множества статей и книг, прочитал сотни лекций. Его опыт включает подтяжку лица и шеи, блефаропластику, коррекцию груди и контурирование тела, постбариатрическую и реконструктивную хирургию и липофилинг. Применяет 3D-планирование и моделирование, а также оценку с использованием УЗИ.
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Он является руководителем программы по раку груди в HM Delfos и возглавляет онкологические службы в Clin del Mar в Испании. Как директор программы исследований рака в Del Mar, он является видным членом GEICAM, CIBERONC, AIECA и SEOM. Доктор опубликовал 120 статей в авторитетных журналах, собрав более 9000 цитирований.<\\/p>
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\n\nHM Delfos специализируется на хирургии, онкологии, ортопедии, кардиологии, гинекологии, урологии, неврологии (диагностике и лечении эпилепсии).
\n\nКлиника оборудована последними аппаратами для диагностики и лечения — EOS для высокоточных снимков опорно-двигательного аппарата, КТ и МРТ, двумя установками для радиотерапии опухолей без операции.
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восстанавливает форму груди после мастэктомии с помощью имплантатов или тканей тела. 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"},"1287":{"operation":{"name":"Препекторальная реконструкция молочной железы","alias":"prepektoralnaya-rekonstrukciya-molochnoy-zhelezy","use_for_listing":true},"country_price":{"US":{"amount":18000,"max_amount":36000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":10000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":5800,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"PL":{"amount":5900,"max_amount":9800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":7800,"max_amount":11500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"PL":true,"ES":false},"description":"Эта операция переделывает грудь после мастэктомии, помещая имплантаты на грудные мышцы для более естественного вида, ускоряя выздоровление.
"},"1506":{"operation":{"name":"Реконструкция груди с помощью DIEP-лоскута","alias":"rekonstrukciya-grudi-s-pomoshchyu-diep-loskuta","use_for_listing":true},"country_price":{"US":{"amount":45000,"max_amount":75000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":25300,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"},"TH":{"amount":10000,"max_amount":13500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"PL":{"amount":9500,"max_amount":15000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":20500,"max_amount":42700,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"PL":false,"ES":true},"description":"**Реконструкция с использованием лоскута DIEP (Deep Inferior Epigastric Perforator Flap Surgery):** Эта операция восстанавливает грудь, используя кожу и жир из нижней части живота, сохраняя мышцы для естественного вида и более гладкого восстановления."}}},"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}},"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":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."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how many reconstructive breast surgeries the surgeon has performed","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/breast/breast-reconstruction/selecting-surgeon","host":"theaestheticsociety.org","quote":"How many reconstructive breast surgeries have you performed?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask whether the surgeon has before and after photos of breast reconstruction procedures you can see","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/breast/breast-reconstruction/selecting-surgeon","host":"theaestheticsociety.org","quote":"Do you have before and after photos of breast reconstruction procedures that I can see?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you have two consultations with the treating surgeon before any surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/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":"C4","text":"Check how your aftercare will be coordinated before you agree to treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Cut-price campaigns or cheap offers for surgery are a warning sign","scope":"treatment_type","source":{"url":"https://bapras.org.uk/media-government/news-and-views/view/cut-it-out-surgery-societies-and-britain's-largest-surgical-royal-college-slam-summer-discounts","host":"bapras.org.uk","quote":"Surgery should never be subject to cut price campaigns or cheap offers, it is too important.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"A consultation only with sales staff, not the surgeon, is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"make sure you have a consultation with the surgeon (avoid meetings only with sales people)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"A surgeon who cannot show before and after pictures of their work is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","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":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives your home doctor information about your treatment and future care needs","document":"discharge letter for gp","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital","host":"nhs.uk","quote":"You'll also be given a letter for your GP, providing information about your treatment and future care needs.","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 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