Госпиталь Ruber Internacional — частный медицинский центр узкой специализации в Мадриде, Испания, специализирующийся на нейрохирургии, ортопедии и кардиологии. Клиника принимает взрослых и детей, предоставляя медицинскую помощь примерно 25 000 пациентам каждый год. Большинство пациентов приезжают из стран СНГ, Европы и Содружества, а также из США, Канады и Австралии.
\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":220,"price_to":220,"currency":"USD","id":61183},"diagnostic":{"id":340,"name":"Консультация пластического хирурга","alias":"konsultacia-plasticeskogo-hirurga"}}],"reviews":[],"clinic":{"id":6225,"alias":"hospital-ruber-internacional","name":"Госпиталь Ruber Internacional","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/6225-6ac3a2c7a2070.png","short_description":"Госпиталь Ruber Internacional — частный медицинский центр узкой специализации в Мадриде, Испания, специализирующийся на нейрохирургии, ортопедии и кардиологии. Клиника принимает взрослых и детей, предоставляя медицинскую помощь примерно 25 000 пациентам каждый год. Большинство пациентов приезжают из стран СНГ, Европы и Содружества, а также из США, Канады и Австралии.
\n","images":[{"base_url":"clinic/6756f35ff10ac","title":"Вид на фасад Hospital Ruber Internacional ночью, Мадрид, Испания"},{"base_url":"clinic/6756f34586526","title":"Медицинская команда Hospital Ruber Internacional в хирургических халатах, групповое фото в клинике"},{"base_url":"clinic/6756f34626a12","title":"Палата пациента в Hospital Ruber Internacional с современной кроватью и видом на сад"},{"base_url":"clinic/6756f34b1f0c3","title":"Вид снаружи Hospital Ruber Internacional в Мадриде, современное медучреждение"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Мадрид","id":346,"alias":"madrid"},"address":"40, 416114,-3.714781, Centro, 28013 Madrid, Испания"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":800,"year_foundation":1942},"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/5db982e01da4b.jpeg","name":"Международная организация по стандартизации ISO","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Quirónsalud Madrid специализируется на уменьшении груди под руководством доктора Хосе Луиса Мартина дель Йерро Кока, ведущего пластического хирурга с обширными регалиями, включая пост генерального секретаря Испанского общества реконструктивной и эстетической пластической хирургии. Стоимость процедуры обычно составляет около 13 700–16 600 долларов США. Клиника является крупнейшей частной больничной группой Испании и предлагает передовые услуги в области пластической хирургии.
Кирон Мадрид (Quiron Madrid Hospital) — ведущая клиника Испании и Европы, самая крупная в сети Quironsalud по ежегодному количеству пациентов.
\n\nСпециализация — онкология, нейрохирургия, кардиохирургия, пластика и ЭКО.
\n\nНа базе госпиталя Кирон Мадрид проводятся исследования в области лечения рака и нейродегенеративных расстройств (болезней Альцгеймера, Паркинсона, Хантингтона). При желании и соответствии критериям пациенты могут бесплатно пройти лечение в рамках исследований.
\n","images":[{"base_url":"clinic/5d12201e253f9","title":"Современный фасад больницы Quironsalud Madrid в Испании"},{"base_url":"clinic/5d12201e1cd58","title":"Современный зал ожидания в клинике Quironsalud Madrid с яркими креслами и стеклянными стенами"},{"base_url":"clinic/5d12201e0ec16","title":"Просторная зона ресепшн клиники Quironsalud Madrid с современной мебелью и стойкой информации"},{"base_url":"clinic/5d12201c579de","title":"Палата пациента в Quironsalud Madrid с больничной кроватью и удобными креслами"}],"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":"Мадрид","id":346,"alias":"madrid"},"address":"Calle Diego de Velázquez, 1, 28223 Pozuelo de Alarcón, Madrid, Spain"},"rating":{"rating":3.8,"google":3,"percent_of_satisfied_clients":50},"statistics":{"number_of_reviews":6,"doctors_number":0,"year_foundation":2007},"accreditations":[{"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":"Доктор Агустин Гранадо Тьягонсе обладает _doctor_1894_years_ опытом и выполнил более 1 100 операций по уменьшению груди. Комплексный пакет может стоить около 7 760 долларов и обычно включает операцию, предоперационную диагностику, послеоперационный бюстгальтер и все последующие консультации в течение одного года. Как директор клиники и профессор Автономного университета Мадрида, он сочетает академическую точность с практическим опытом. Клиника оснащена технологией 3D-визуализации для предварительного просмотра результатов и поддерживает 100% уровень рекомендаций пациентов.
Клиника Гранадо Тиагонсе (Clinica Granado Tiagonce) — известный центр пластической хирургии в Мадриде, Испания. Специалисты клиники проводят коррекцию груди, абдоминальную липосакцию и подтяжку лица.
\n\nСовременные технологии 3D-визуализации позволяют пациентам увидеть предполагаемый результат ещё до операции, что помогает принять взвешенное решение. Клиника принимает пациентов из разных стран, включая Великобританию, США и Казахстан.
\n","images":[{"base_url":"clinic/675c3d2b006b4","title":"Главное здание Vithas Hospital Universitario, внешний вид, Испания"},{"base_url":"clinic/675c3cd3ab6af","title":"Хирурги проводят операцию в операционной Clinica Granado Tiagonce, Мадрид"},{"base_url":"clinic/675c3c457117c","title":"Хирургическая команда проводит операцию в операционной Clinica Granado Tiagonce"},{"base_url":"clinic/675c3bd4a88d9","title":"Хирург в операционной Clinica Granado Tiagonce с современным медицинским 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":"Мадрид","id":346,"alias":"madrid"},"address":"Ctra de Humera 63, chalet 4 28224 Pozuelo de Alarcón (Мадрид), Испания"},"rating":{"rating":4.5,"google":4.8,"percent_of_satisfied_clients":83},"statistics":{"number_of_reviews":6,"doctors_number":5,"year_foundation":1998},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c1f95138c.jpeg","name":"Американское общество эстетической пластической хирургии","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"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Clínica Tarrazo — центр пластической хирургии и эстетической медицины в Мадриде, Испания. Клиника специализируется на омоложении лица, коррекции контуров тела и восстановлении волос. В Санто-Доминго также работает специализированное отделение по лечению волос. Среди ключевых процедур — ринопластика, подтяжка лица и пересадка волос методом FUE. Команда предлагает индивидуальный подход и нехирургические процедуры, такие как FaceFlash.
Клинику основал доктор Мануэль Тарразо в 1996 году. До этого он в течение 15 лет возглавлял отделение пластической хирургии. В медицинскую команду входят 11 врачей с 30-летним опытом. Они стремятся к естественным результатам в хирургии и эстетической медицине. По данным клиники, эффективность лечения алопеции составляет 90%.
Клиника аккредитована ISAPS за соответствие стандартам хирургической помощи. Специалисты используют метод FUE для пересадки волос без рубцов. За один сеанс можно пересадить до 6 000 графтов. Для омоложения кожи также применяется лазер Fotona. Большинство пациентов приезжают из Испании и Доминиканской Республики.
","text_type":"short_description","reviews":[],"clinic":{"id":9491,"alias":"clinic-tarrazo","name":"clinic Tarrazo","short_description":"Clínica Tarrazo — центр пластической хирургии и эстетической медицины в Мадриде, Испания. Клиника специализируется на омоложении лица, коррекции контуров тела и восстановлении волос. В Санто-Доминго также работает специализированное отделение по лечению волос. Среди ключевых процедур — ринопластика, подтяжка лица и пересадка волос методом FUE. Команда предлагает индивидуальный подход и нехирургические процедуры, такие как FaceFlash.
Клинику основал доктор Мануэль Тарразо в 1996 году. До этого он в течение 15 лет возглавлял отделение пластической хирургии. В медицинскую команду входят 11 врачей с 30-летним опытом. Они стремятся к естественным результатам в хирургии и эстетической медицине. По данным клиники, эффективность лечения алопеции составляет 90%.
Клиника аккредитована ISAPS за соответствие стандартам хирургической помощи. Специалисты используют метод FUE для пересадки волос без рубцов. За один сеанс можно пересадить до 6 000 графтов. Для омоложения кожи также применяется лазер Fotona. Большинство пациентов приезжают из Испании и Доминиканской Республики.
","images":[{"base_url":"clinic/6ae2896736203","title":"Фасад клиники Tarrazo в Испании, центр пластической и эстетической хирургии"},{"base_url":"clinic/6ae28968e4ba9","title":"Кабинет для процедур с креслом и медицинским оборудованием в клинике Tarrazo"},{"base_url":"clinic/6ae2896aa453e","title":"Кабинет для процедур с современным медицинским оборудованием в клинике Tarrazo"},{"base_url":"clinic/6ae2896c4748b","title":"Витрина с косметическими сыворотками в клинике Tarrazo"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Мадрид","id":346,"alias":"madrid"}},"rating":{"rating":0,"google":4.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":11,"year_foundation":1996},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"Сертификат врачу от Международного общества эстетической пластической хирургии (ISAPS)","country_code":"US"}]}},{"text":"HM Hospitales — это группа из 7 ведущих испанских клиник, которые расположены в Мадриде (Испания).
\n\nСпециализация — взрослая и детская онкология, неврология, нейрохирургия, кардиология и ортопедия.
\n\nВ 2018 году 5 госпиталей из 7 вошли в ТОП лучших частных клиник Испании по версии Организации мониторинга медицинской репутации MERCO.
\n\nЕжегодно хирурги HM выполняют более 26 000 операций, а лечение от рака здесь проходят около 2 500 пациентов.
\n","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":310,"alias":"klinika-nm-hm-hospitales","name":"Клиника НМ (HM Hospitales)","short_description":"HM Hospitales — это группа из 7 ведущих испанских клиник, которые расположены в Мадриде (Испания).
\n\nСпециализация — взрослая и детская онкология, неврология, нейрохирургия, кардиология и ортопедия.
\n\nВ 2018 году 5 госпиталей из 7 вошли в ТОП лучших частных клиник Испании по версии Организации мониторинга медицинской репутации MERCO.
\n\nЕжегодно хирурги HM выполняют более 26 000 операций, а лечение от рака здесь проходят около 2 500 пациентов.
\n","images":[{"base_url":"clinic/5c618a022f30f","title":"Современное здание клиники HM Sanchinarro Hospital в Мадриде, Испания"},{"base_url":"clinic/5c618a022f236","title":"Современный фасад университетской клиники HM Hospitales в Мадриде"},{"base_url":"clinic/5c618a0209e17","title":"Линейный ускоритель Versa HD для радиотерапии в клинике HM Hospitales"},{"base_url":"clinic/5c618a021880a","title":"Современная операционная в HM Hospitales Мадрид с хирургическим 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":"Мадрид","id":346,"alias":"madrid"},"address":"Av. de Montepríncipe, 25, 28660 Boadilla del Monte, Madrid, Spain"},"rating":{"rating":4.7,"google":2.1,"percent_of_satisfied_clients":94},"statistics":{"number_of_reviews":17,"doctors_number":0,"year_foundation":1990},"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/5ceb72be5c3ae.jpeg","name":"Сертификат независимой аудиторской компании TÜV","country_code":"DE"},{"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"}]}}],"meta":{"total_count":5,"total_pages":1}},"clinicsMeta":{"total_count":5,"total_pages":1},"clinicsCount":5,"clinicsCountByEntity":{"clinic_count":710},"doctors":{"doctors":[{"doctor":{"id":10804,"alias":"casar-casado-sanchez","name":"Сесар Касадо Санчез","clinic_id":6225,"photo":"doctor/68f104f7b5c69","first_year_working":2008,"created_at":"2025-10-16T14:45:09.278+00:00","specialities":[{"id":"pls.001","name":"Пластический хирург","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":6225,"alias":"hospital-ruber-internacional","name":"Госпиталь Ruber Internacional","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/6225-6ac3a2c7a2070.png","short_description":"Госпиталь Ruber Internacional — частный медицинский центр узкой специализации в Мадриде, Испания, специализирующийся на нейрохирургии, ортопедии и кардиологии. Клиника принимает взрослых и детей, предоставляя медицинскую помощь примерно 25 000 пациентам каждый год. Большинство пациентов приезжают из стран СНГ, Европы и Содружества, а также из США, Канады и Австралии.
\n","images":[{"base_url":"clinic/6756f35ff10ac","title":"Вид на фасад Hospital Ruber Internacional ночью, Мадрид, Испания"},{"base_url":"clinic/6756f34586526","title":"Медицинская команда Hospital Ruber Internacional в хирургических халатах, групповое фото в клинике"},{"base_url":"clinic/6756f34626a12","title":"Палата пациента в Hospital Ruber Internacional с современной кроватью и видом на сад"},{"base_url":"clinic/6756f34b1f0c3","title":"Вид снаружи Hospital Ruber Internacional в Мадриде, современное медучреждение"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Мадрид","id":346,"alias":"madrid"},"address":"40, 416114,-3.714781, Centro, 28013 Madrid, Испания"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":800,"year_foundation":1942},"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/5db982e01da4b.jpeg","name":"Международная организация по стандартизации ISO","country_code":"CH"}]}},{"card_text":"Д-р Хосе Луис Мартин Дель Йерро Кока обладает более чем _doctor_8443_летним_ опытом проведения операций по уменьшению груди и занимает руководящие должности в ассоциациях пластической хирургии по всей Европе.
Д-р Хосе Луис Мартин Дель Йерро Кока — ведущий пластический хирург в Quironsalud Madrid. Он получил первый приз на VI встрече SECPRE за свою клиническую работу. Д-р Йерро Кока специализируется на реконструкции груди, увеличивающей маммопластике и эстетической хирургии лица. Он опубликовал более 80 научных работ в национальных и международных медицинских журналах.
Кирон Мадрид (Quiron Madrid Hospital) — ведущая клиника Испании и Европы, самая крупная в сети Quironsalud по ежегодному количеству пациентов.
\n\nСпециализация — онкология, нейрохирургия, кардиохирургия, пластика и ЭКО.
\n\nНа базе госпиталя Кирон Мадрид проводятся исследования в области лечения рака и нейродегенеративных расстройств (болезней Альцгеймера, Паркинсона, Хантингтона). При желании и соответствии критериям пациенты могут бесплатно пройти лечение в рамках исследований.
\n","images":[{"base_url":"clinic/5d12201e253f9","title":"Современный фасад больницы Quironsalud Madrid в Испании"},{"base_url":"clinic/5d12201e1cd58","title":"Современный зал ожидания в клинике Quironsalud Madrid с яркими креслами и стеклянными стенами"},{"base_url":"clinic/5d12201e0ec16","title":"Просторная зона ресепшн клиники Quironsalud Madrid с современной мебелью и стойкой информации"},{"base_url":"clinic/5d12201c579de","title":"Палата пациента в Quironsalud Madrid с больничной кроватью и удобными креслами"}],"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":"Мадрид","id":346,"alias":"madrid"},"address":"Calle Diego de Velázquez, 1, 28223 Pozuelo de Alarcón, Madrid, Spain"},"rating":{"rating":3.8,"google":3,"percent_of_satisfied_clients":50},"statistics":{"number_of_reviews":6,"doctors_number":0,"year_foundation":2007},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Лучшие клиники мира 2021 по версии журнала Newsweek","country_code":"US"}]}},{"card_text":"Доктор Агустин Гранадо Тиагонсе — специалист по косметической и реконструктивной хирургии молочной железы с опытом работы более 25 лет. Он основал собственную клинику, специализирующуюся на пластической и эстетической хирургии.
Д-р Агустин Гранадо Тиагонсе ежегодно проводит более 1000 операций в своей одноименной клинике в Мадриде. Он специализируется на хирургии лица, тела и реконструктивной хирургии груди. Д-р Тиагонсе практиковал в США и Мексике. Он является почетным профессором хирургии в Автономном университете Мадрида.
Клиника Гранадо Тиагонсе (Clinica Granado Tiagonce) — известный центр пластической хирургии в Мадриде, Испания. Специалисты клиники проводят коррекцию груди, абдоминальную липосакцию и подтяжку лица.
\n\nСовременные технологии 3D-визуализации позволяют пациентам увидеть предполагаемый результат ещё до операции, что помогает принять взвешенное решение. Клиника принимает пациентов из разных стран, включая Великобританию, США и Казахстан.
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"},"897":{"operation":{"name":"Подтяжка груди с увеличением круглыми имплантами","alias":"podtazka-grudi-s-uveliceniem-kruglymi-implantami","use_for_listing":true},"country_price":{"US":{"amount":9500,"max_amount":16500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3200,"max_amount":5000,"currency":"USD","clinic_count":43,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":3200,"max_amount":5000,"currency":"USD","clinic_count":9,"price_kind":"from_range","price_source":"tariff","scope":"country"},"PL":{"amount":4000,"max_amount":7200,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":5000,"max_amount":8600,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"PL":true,"ES":true},"description":"Процедура подтягивает обвисшие груди, улучшая форму и размер с помощью круглых имплантатов.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":8,"rehabilitation_days":30,"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 work usually possible in 7-14 days; physically demanding work needs about 4-6 weeks."},"complication_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation or readmission within about 90 days after pedicled reduction; higher with smoking, high BMI, large resections."},"contraindications":["Pregnancy or current breastfeeding (usually deferred)","Uncontrolled medical conditions (e.g., cardiovascular disease, diabetes)","Smoking or nicotine use (relative; raises necrosis risk)","Active breast infection or untreated breast malignancy","Significant bleeding or clotting disorders","Plans for future pregnancy/breastfeeding (relative precaution)","Unstable weight or very high BMI (relative precaution)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Day case under general anesthesia; same-day discharge with an adult escort and help at home overnight."},"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 earlier; strenuous exercise and upper-body training after surgeon clearance."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Swelling resolves and breasts settle gradually; scars continue to mature longer."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Short flights only after a postoperative check confirms stable healing; arrange any pending suture or drain removal beforehand."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check; dressing change and drain removal if used."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":14,"unit":"days","qualifier":"Only if non-absorbable sutures were used; done before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":60,"unit":"days","qualifier":"Review of healing, shape and activity clearance."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Later review of final shape and scars."}}],"indications":["Symptomatic macromastia with neck, shoulder or back pain","Skin irritation or rashes under the breasts","Bra-strap grooving","Limitation of physical activity due to breast size","Breast asymmetry with a larger breast"],"main_risks":["Bleeding or hematoma","Infection or delayed wound healing","Visible or hypertrophic scarring","Nipple-areola sensation changes or loss","Nipple-areola or skin necrosis","Asymmetry or contour irregularities","Fat necrosis or seroma","Reduced or lost ability to breastfeed","Anesthesia-related risks and venous thromboembolism","Need for revision surgery"],"pain":"Moderate soreness, tightness and pulling for the first several days, usually controlled with oral analgesics; improves markedly by 1–2 weeks.","preparation":["Preoperative consultation with medical history review and examination","Mammography or ultrasound as indicated by age and risk","Routine blood tests and anesthetic assessment","Stop smoking/nicotine in advance","Review medications and supplements with surgeon","Stable weight before surgery","Fasting before general anesthesia","Arrange transport home and help during first days","Obtain a supportive surgical bra"],"recovery_timeline":[{"phase":"Day of surgery (day case)","description":"Surgery takes about 2.5-4 hours under general anesthesia. Same-day discharge after assessment in a surgical bra with dressings; drains only if used.","restrictions":["Adult escort and help overnight","No driving","Rest with head elevated"]},{"phase":"Days 1-7","description":"Soreness, tightness, swelling and bruising are expected. Short indoor walks several times daily reduce clot risk.","restrictions":["No lifting or pushing","Avoid overhead reaching","Keep dressings dry as instructed"]},{"phase":"Days 7-14","description":"Light daily activities resume around days 7-10. Desk work usually resumes around days 7-14 once pain is controlled. Short flights possible if cleared.","restrictions":["No heavy lifting","No driving until comfortable and off strong analgesics","Continue supportive bra"]},{"phase":"Weeks 3-6","description":"Swelling and bruising subside; activity increases gradually. Strenuous exercise and demanding work resume at about 4-6 weeks with surgeon clearance.","restrictions":["No strenuous exercise before about 4 weeks and clearance","Continue supportive bra"]},{"phase":"Months 2-12","description":"Breasts settle into final shape over about 3-12 months and scars mature.","restrictions":["Protect scars from sun"]},{"phase":"At any time","description":"Seek urgent care for rapid one-sided swelling, heavy bleeding, fever, spreading redness, pus, wound opening, dusky nipple, chest pain, breathlessness or calf pain.","restrictions":["Do not wait for a scheduled review"]}],"rehabilitation_days":{"min":5,"max":10,"unit":"days","qualifier":"Light self-care within 5-10 days; soreness eases over 1-2 weeks; no strenuous exercise or heavy lifting for 4-6 weeks."},"result_longevity":"Long-lasting, but breasts can change with aging, pregnancy, hormonal changes and weight fluctuation; regrowth is possible.","revision_rate_pct":{"min":3,"max":8,"unit":"percent","qualifier":"Unplanned corrective surgery within about 1-5 years after primary pedicled reduction; higher with smoking, high BMI or very large resections."},"scars":"Permanent scars around the areola, vertically down to the breast crease and often along the inframammary fold (anchor pattern); they fade over 6–18 months but remain visible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Reduction mammaplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Typically one surgery; routine follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patients reporting satisfaction with the overall breast-reduction result (binary yes/no response)","value":85,"unit":"percent of patients","horizon":"About 12 months after surgery","population":"Adults after primary bilateral inverted-T inferior-pedicle reduction for symptomatic macromastia, including those with complications.","evidence_status":"limited"},"techniques":[{"name":"Inverted-T (Wise pattern) inferior pedicle reduction, bilateral","suits_whom":"Most adults with moderate to large reductions.","recovery":"Desk work about 7-14 days, ordinary function 5-10 days, strenuous exercise about 4-6 weeks."},{"name":"Vertical short-scar reduction (superior or medial pedicle)","suits_whom":"Mild to moderate reductions with good skin elasticity.","recovery":"Often similar recovery; usually no horizontal inframammary scar."},{"name":"Liposuction-assisted reduction","suits_whom":"Small reductions in fattier, less glandular breasts.","recovery":"Often quicker with minimal scarring."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2.5,"max":4,"unit":"hours","qualifier":"Both breasts, standard pedicled reduction under general anesthesia."},"initial_assessment_documents":["Front, side and oblique breast photos","Recent mammogram or breast ultrasound report","Recent blood test results","Medication list including blood thinners","Medical records of chronic conditions and prior surgeries"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days for postoperative check and drain or suture issues. Later reviews remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgeon was trained specifically in plastic surgery","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/questions","host":"plasticsurgery.org","quote":"Were you trained specifically in the field of plastic surgery?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check whether the surgeon has hospital privileges to perform this procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/questions","host":"plasticsurgery.org","quote":"Do you have hospital privileges to perform this procedure?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check where and how the breast reduction surgery will be performed","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/questions","host":"plasticsurgery.org","quote":"Where and how will you perform my procedure?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check for before-and-after photos of this procedure to judge which results are realistic for you","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/questions","host":"plasticsurgery.org","quote":"Do you have before-and-after photos I can look at for this procedure and what results are reasonable for me?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that a named doctor is available to deal with complications, not only a helpline","scope":"treatment_abroad","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Make sure you have the contact details of a named doctor who can deal with any complications rather than a helpline.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C6","text":"Check whether follow-up care is scheduled 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":"2026-11-11","http_status":403}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe pain after breast reduction","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/breast-reduction/","host":"nhs.uk","quote":"Contact the clinic where you had the operation as soon as possible if you have severe pain or any unexpected symptoms, such as a burning feeling, unusual swelling on or around your breast or changes in the colour of your 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site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/11025-breast-reduction","host":"my.clevelandclinic.org","quote":"Unusual discharge from the incision site, including pus.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","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 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