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хирурга","alias":"konsultacia-celustno-licevogo-hirurga"},{"name":"Консультация с составлением плана лечения","alias":"konsultacia-s-sostavleniem-plana-lecenia"}],"illnesses":[{"name":"Гинекомастия","alias":"ginekomastiya"}],"illnessKinds":[{"name":"Пластическая хирургия","alias":"plasticheskaya-hirurgiya"}],"illness_kinds":[{"name":"Пластическая хирургия","alias":"plasticheskaya-hirurgiya"}]},"popularSearches":[{"name":"Ринопластика (пластика носа)","alias":"rinoplastika-plastika-nosa","type":"operation","id":22},{"name":"Увеличение полового члена","alias":"uvelicenie-polovogo-clena","type":"operation","id":850},{"name":"Подтяжка лица (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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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":3,"max":7,"unit":"days","qualifier":"Desk work after about 3–7 days; physical jobs need 2–4 weeks."},"complication_rate_pct":{"min":2,"max":5,"unit":"percent","qualifier":"Early events such as hematoma, infection or seroma within about 45 days after implant augmentation."},"contraindications":["Pregnancy or breastfeeding","Active breast infection or untreated suspected breast cancer","Uncontrolled systemic disease making anesthesia unsafe","Active smoking or nicotine use (relative contraindication)","Bleeding or clotting disorders","Untreated body dysmorphic disorder"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Under general anesthesia; most go home the same day, some stay one night."},"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":"Strenuous and upper-body exercise after surgeon clearance, usually at 4–6 weeks."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves and breast shape settles over 3–6 months; scars keep maturing for 12 months or more."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After the wound review and suture check at 7–10 days."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":1,"max":3,"unit":"days","qualifier":"Dressing change and wound check."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":7,"max":10,"unit":"days","qualifier":"Only when non-dissolving sutures are used; wound check at same visit."},"requirement":"conditional"},{"purpose":"assessment","after":{"min":28,"max":42,"unit":"days","qualifier":"Surgeon clearance for exercise and bra change; often done remotely for international patients."},"requirement":"routine"},{"purpose":"result_review","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of settled shape and scars, usually by photos or remote consultation."},"requirement":"routine"}],"indications":["Hypomastia: small breast volume","Breast asymmetry or congenital shape abnormalities","Volume loss after pregnancy or breastfeeding","Volume loss after weight loss"],"main_risks":["Bleeding or hematoma","Infection","Delayed wound healing or visible scarring","Changes in nipple or breast sensation","Asymmetry or unsatisfactory shape or size","Capsular contracture","Implant rupture, malposition or rippling","Possible difficulty with breastfeeding","Anesthesia-related risks and venous thromboembolism","Seroma"],"pain":"Moderate discomfort, tightness and soreness for the first several days, usually controlled with oral analgesics. It is often greater after submuscular implant placement.","preparation":["Surgical consultation with medical history and breast examination","Preoperative photographs and measurements","Mammography or breast imaging when age or risk indicates","Routine preoperative blood tests and anesthesia assessment","Stop smoking and nicotine before and after surgery","Review medications and supplements, especially those affecting bleeding, with clinicians","Fasting before general anesthesia as instructed","Arrange an adult escort and help at home after surgery"],"recovery_timeline":[{"phase":"First days","description":"Swelling, bruising and tightness; surgical bra or dressings in place.","restrictions":["Avoid lifting arms overhead or heavy objects","No driving while taking strong analgesics"]},{"phase":"Weeks 1-2","description":"Pain and swelling settle; return to light daily activity; sutures removed or dissolve.","restrictions":["Wear supportive bra as directed","Avoid strenuous activity and sleeping on the stomach"]},{"phase":"Weeks 3-6","description":"Gradual return to normal activity as tissues heal and implants settle.","restrictions":["Avoid heavy lifting and vigorous upper-body exercise until cleared"]},{"phase":"Months 3-12","description":"Swelling resolves, implants settle and scars mature.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Light daily activities resume after about 1–2 weeks; heavy lifting stays restricted."},"result_longevity":"Breast implants are not lifetime devices; many patients need replacement or revision after about 10–20 years. Shape changes with ageing, weight change and pregnancy.","revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Revision surgery within about 10 years of implant augmentation, mainly capsular contracture, malposition or size change."},"scars":"Short scar in the inframammary fold, around the areola or in the armpit. It starts red, usually fades over 12 months or longer; hypertrophic scarring is possible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation under general anesthesia; follow-up checks are not counted as sessions."},"stages":[{"code":"surgery","label":"Mammoplasty operation under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}},{"code":"early_check","label":"Early wound and dressing check","after":{"min":1,"max":3,"unit":"days","qualifier":"Includes drain removal when used."}},{"code":"suture_check","label":"Suture and wound review before travel","after":{"min":7,"max":10,"unit":"days","qualifier":"Timing depends on suture type and healing."}},{"code":"final_review","label":"Final result review","after":{"min":90,"max":180,"unit":"days","qualifier":"Once swelling resolves and breast shape settles."}}],"qualifier":"Single-stage surgery; revision, if needed, is a separate later operation."},"success":{"metric":"BREAST-Q satisfaction with breasts score (0–100), mean postoperative score","value":78,"unit":"points (0–100 scale)","horizon":"1–2 years after surgery","population":"Women after cosmetic breast augmentation with implants","evidence_status":"limited"},"techniques":[{"name":"Silicone implant, dual-plane or submuscular placement","suits_whom":"Patients with thin tissue cover wanting natural upper-pole slope","recovery":"Desk work after 5–7 days; more discomfort early; exercise at 4–6 weeks."},{"name":"Silicone implant, subglandular placement","suits_whom":"Patients with adequate tissue cover and no need for muscle coverage","recovery":"Often less pain; desk work after 3–5 days; exercise at 4–6 weeks."},{"name":"Saline implant augmentation","suits_whom":"Patients preferring a fillable implant and smaller incision","recovery":"Similar to silicone implants; desk work after about 5–7 days."},{"name":"Fat transfer augmentation","suits_whom":"Patients wanting modest volume increase using own fat","recovery":"Liposuction site bruising for 1–2 weeks; compression garment; desk work after 5–7 days."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time under general anesthesia for implant augmentation; fat transfer takes longer."},"initial_assessment_documents":["Front, side and oblique photos of the breasts","Recent mammogram or breast ultrasound report","List of current medications including blood thinners","Previous breast surgery or implant records (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days until wound and suture checks."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon has years of breast augmentation experience, not just general plastic surgery 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