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","userName":"Alanna ","user_name":"Alanna ","preview":"https://i.vimeocdn.com/video/2030334305-fb9cdc36fdb08b22e209a8fcea818a4d024b941748768a9c19fdb4181f07b57d-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T14:39:40.556+00:00","clinicName":"Adem and Havva Medical Center ","clinic":{"name":"Adem and Havva Medical Center ","alias":"adameve-medical-center"},"clinicUrl":"/clinic/adameve-medical-center/","relations":{"operations":[{"name":"Aumento Mamário com Implantes em Forma de Gota","alias":"breast-augmentation-with-tear-drop-implants"},{"name":"Aumento Mamário com Implantes de Goma","alias":"breast-augmentation-with-gummy-bear-implants"}]}}],"hasVideoReviewsByContext":true,"externalReviews":[{"id":"69baa224e83f4343ee09b664","source":"google","clinic_id":7309},{"id":"69baa22ae6400792da016b33","source":"google","clinic_id":7309},{"id":"69baa22d8cecd5a24905931c","source":"google","clinic_id":7309},{"id":"69baa22fe83f4343ee09b665","source":"google","clinic_id":7309},{"id":"69baa23d8cecd5a24905931d","source":"google","clinic_id":7309}],"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Ergin Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"O Dr. Ergin Er é um cirurgião plástico, reconstrutivo e estético que já realizou mais de 10.000 procedimentos estéticos. Ele recebeu diversos prêmios nos Congressos Nacionais de Cirurgia Plástica da Turquia e concluiu treinamento avançado no Baylor College of Medicine em Houston, Texas.","advisoryText":"O Dr. Ergin Er é um cirurgião plástico, reconstrutivo e estético que já realizou mais de 10.000 procedimentos estéticos. Ele recebeu diversos prêmios nos Congressos Nacionais de Cirurgia Plástica da Turquia e concluiu treinamento avançado no Baylor College of Medicine em Houston, Texas.","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}]},"updatedAt":"2026-11-13T20:20:59.000Z","activeCountries":["DE","TR","US","MX","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":10,"rehabilitation_days":60,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":2},"illness_kind_details":{"requests_processed":110449}},"direction":{"id":38,"name":"Cirurgia Plástica","alias":"plastic-surgery","name_forms":{"base_form":"Cirurgia Plástica","form_4":"cirurgião plástico","form_6":"cirurgiões plásticos","form_11":"cirurgiões plásticos","form_12":"cirurgiões plásticos"}},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":5,"max":14,"unit":"days","qualifier":"Desk or light office work; physically demanding work usually needs longer, often several weeks."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any local complication (e.g. capsular contracture, deflation, hematoma, infection) within first 3 years; serious ones less common."},"contraindications":["Pregnancy or breastfeeding","Active breast or systemic infection","Untreated or suspected breast cancer or premalignant breast disease","Uncontrolled medical conditions making general anesthesia unsafe","Untreated body dysmorphic disorder","Active smoking or nicotine use (relative; raises wound-healing risk)","Bleeding disorders or anticoagulation that cannot be safely managed (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; an overnight stay is occasional."},"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 and chest exercise only after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves and implants settle into final position."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After first wound check and surgeon clearance; longer if swelling, wound problems or other complications arise."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check, dressing and wound review"}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":45,"unit":"days","qualifier":"Review of implant position and healing"}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Assessment of settled result"}}],"indications":["Breast asymmetry or volume discrepancy","Loss of breast volume after pregnancy or weight loss","Hypoplasia or underdevelopment of the breasts"],"main_risks":["Implant deflation or rupture with leak of saline","Capsular contracture","Hematoma or seroma","Infection","Changes in nipple or breast sensation","Rippling or visible implant edges","Implant malposition or asymmetry","Scarring or wound-healing problems","Need for revision surgery","Anesthesia-related risks","Rare breast implant–associated lymphoma (ALCL), mainly with textured implants"],"pain":"Moderate soreness, tightness and pressure in the chest for the first several days, especially with implants under the muscle; usually controlled with oral analgesics and improving over 1-2 weeks.","preparation":["Preoperative consultation with sizing, implant placement and incision planning","Medical history, breast exam, age-appropriate imaging","Stop smoking and nicotine before and after surgery","Review medications and supplements with the surgeon","Fasting before general anesthesia as instructed","Arrange transport home and help during the first days"],"recovery_timeline":[{"phase":"First 48 hours","description":"Rest, swelling and soreness; supportive bra or dressings in place.","restrictions":["No driving while on strong analgesics","Avoid lifting arms overhead or heavy objects"]},{"phase":"Week 1-2","description":"Pain decreases, return to light daily activity and desk work.","restrictions":["No lifting over a few kilograms","Wear a supportive bra as advised"]},{"phase":"Weeks 3-6","description":"Swelling declines and implants begin to settle; gradual return to normal activity.","restrictions":["Avoid strenuous upper-body exercise until cleared"]},{"phase":"Months 3-6","description":"Implants settle and the final shape becomes apparent.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal physiotherapy is typically required."},"result_longevity":"Implants are not lifetime devices; saline implants may deflate over time and many patients need replacement or revision eventually, with timing varying individually.","revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Reoperation for any reason within about 3-5 years; rises over time with deflation and contracture."},"scars":"Short scar at the inframammary fold, around the areola or in the armpit; usually fades over 6-12 months to a thin line, with variable scarring depending on skin type.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary augmentation."},"stages":[{"code":"surgery","label":"Implant placement surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of procedure"}}],"qualifier":"Standard primary bilateral augmentation in one operation; follow-up checks are not counted."},"success":{"metric":"Patient satisfaction with breast augmentation result","value":90,"unit":"percent of patients satisfied","horizon":"1-2 years after surgery","population":"Adult women undergoing primary cosmetic saline breast augmentation","evidence_status":"limited"},"techniques":[{"name":"Inframammary incision with submuscular (dual-plane) placement","suits_whom":"Most patients, particularly those with limited breast tissue coverage.","recovery":"More discomfort initially; typically 4-6 weeks before strenuous exercise."},{"name":"Subglandular (over-the-muscle) placement","suits_whom":"Patients with adequate soft-tissue coverage.","recovery":"Often somewhat less early pain."},{"name":"Periareolar or transaxillary incision","suits_whom":"Selected patients preferring alternative scar locations.","recovery":"Similar overall recovery; incision choice affects scar location."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for standard primary bilateral augmentation."},"initial_assessment_documents":["Front, side and oblique photos of the chest","List of blood thinners","Previous breast surgery or biopsy reports (if available)","Recent mammogram or breast ultrasound report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-operation surgery; stay about 7-10 days until the first wound check and suture review. Later reviews can be done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","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":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"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 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":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer fat from your own body over implants","name":"Fat transfer breast augmentation","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation","host":"plasticsurgery.org","quote":"When fat from another part of the patient's body is used to create the improved breast volume, the procedure is referred to as fat transfer breast augmentation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer silicone gel rather than saline filling","name":"Silicone Gel Implants","source":{"url":"https://www.plasticsurgery.org/news/blog/important-things-to-know-about-breast-augmentation","host":"plasticsurgery.org","quote":"Breast implants are composed of a silicone shell that is either filled with a cohesive silicone gel or saline (salt water).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"inframammary-incision","name":"Inframammary incision with submuscular (dual-plane) placement","how_it_works":{"text":"The implant is placed partly or fully under the chest muscle","source":{"url":"https://www.plasticsurgery.org/news/blog/things-to-consider-before-having-a-breast-augmentation-procedure","host":"plasticsurgery.org","quote":"Subpectoral or submuscular implants are placed either partially or completely under the chest muscle (also known as the \"dual plane\" technique, which was developed where I trained)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"subglandular-placement","name":"Subglandular (over-the-muscle) placement","how_it_works":{"text":"The implant is placed between the chest muscle and the mammary gland","source":{"url":"https://www.plasticsurgery.org/news/blog/things-to-consider-before-having-a-breast-augmentation-procedure","host":"plasticsurgery.org","quote":"Subglandular implants are placed between the chest muscle and mammary gland","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"periareolar","name":"Periareolar or transaxillary 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