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Compression garment worn on flight."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":3,"unit":"days","qualifier":"From surgery; drain or dressing check and compression garment review."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":10,"unit":"days","qualifier":"From surgery; only if non-dissolvable sutures used, before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"From surgery; healing and garment-use review."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery; contour review."}}],"indications":["Persistent gynecomastia causing physical or psychological discomfort in adult men","Gynecomastia unresponsive to or unsuitable for observation or cause treatment","Excess glandular tissue, fat or both after medical evaluation"],"main_risks":["Hematoma or seroma","Infection","Contour irregularities or residual asymmetry","Residual or recurrent breast tissue","Nipple-areola complex changes, including altered sensation or necrosis","Skin laxity or excess","Scarring","Anesthesia-related risks","Numbness or altered skin sensation","Thromboembolic events (deep vein thrombosis, pulmonary embolism)","Need for revision surgery"],"pain":"Mild to moderate soreness, tightness and bruising for the first several days, usually managed with oral analgesics.","preparation":["Medical evaluation to identify and address underlying causes of gynecomastia","Preoperative assessment and routine tests as indicated","Breast imaging or further work-up if clinically indicated","Review of medications and supplements with the surgeon or anesthetist","Stop smoking and nicotine before surgery as advised","Fasting before general anesthesia per clinic instructions","Arrange transport home and help for the first days"],"recovery_timeline":[{"phase":"First 48 hours","description":"Rest with compression garment; swelling, bruising and soreness are expected.","restrictions":["No driving while on strong analgesics","Avoid lifting and strenuous activity"]},{"phase":"Days 3-10","description":"Pain subsides; return to light or desk work; dressings or sutures managed.","restrictions":["Wear compression garment as instructed","Avoid heavy lifting and upper-body exertion"]},{"phase":"Weeks 2-6","description":"Swelling and bruising gradually resolve; activity increases.","restrictions":["Avoid chest and upper-body strenuous exercise until cleared"]},{"phase":"Months 3-6","description":"Swelling settles and final chest contour becomes apparent.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery to normal daily activities; no formal physiotherapy typically required."},"result_longevity":"Removed glandular tissue and fat generally do not return, but recurrence can occur if hormonal causes, medications, substance use or weight gain persist.","revision_rate_pct":{"min":1,"max":10,"unit":"percent","qualifier":"Repeat surgery for residual tissue, contour irregularity or asymmetry within 1–2 years; higher in severe cases."},"scars":"Small incisions, typically periareolar or in the lateral chest fold for liposuction cannulas; usually fade to inconspicuous scars. 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excision) with or without liposuction","suits_whom":"Glandular or mixed gynecomastia.","recovery":"Light activity within about 1-2 weeks; full activity after about 4-6 weeks."},{"name":"Skin excision techniques","suits_whom":"Large-volume or severe gynecomastia with marked excess skin.","recovery":"Longer recovery, with longer scars and more extended restrictions."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Both sides, typical uncomplicated case with liposuction and/or gland excision."},"initial_assessment_documents":["Front, side and oblique chest photos","Hormone panel results","Breast or chest ultrasound report","List of medications and supplements taken"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days until the first postoperative check and clearance to fly."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether the surgeon was trained specifically in plastic surgery","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/gynecomastia-surgery/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":"Ask whether the surgeon has hospital privileges to perform this procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/gynecomastia-surgery/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":"Ask where and how the gynecomastia procedure will be performed","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/gynecomastia-surgery/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":"Ask for before-and-after photos of this procedure and what results are reasonable","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/gynecomastia-surgery/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":"Ask what options exist if you are dissatisfied with the outcome of your surgery","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/gynecomastia-surgery/questions","host":"plasticsurgery.org","quote":"What are my options if I am dissatisfied with the outcome of my surgery?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hospital markets cosmetic surgery as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Beware of any hospital which markets cosmetic surgery as part of a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Advice comes from a travel agent or sales representative rather than clinicians","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","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}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding or pus from the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24022-gynecomastia-surgery","host":"my.clevelandclinic.org","quote":"Bleeding or pus from the incision, or if the incision opens.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Fever, redness and swelling near the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24022-gynecomastia-surgery","host":"my.clevelandclinic.org","quote":"Fever, redness and swelling near the incision (these are signs of infection).","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Shortness of breath, chest pain or palpitations","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24022-gynecomastia-surgery","host":"my.clevelandclinic.org","quote":"Get immediate medical help if you have shortness of breath (dyspnea), chest pain or heart palpitations.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W4","text":"Incision that opens up","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24022-gynecomastia-surgery","host":"my.clevelandclinic.org","quote":"Bleeding or pus from the incision, or if the incision opens.","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":"Lists medicines, doses, blood tests and follow-up dates for the home doctor","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":"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}},{"id":"T2","text":"Lets the home doctor review imaging taken during treatment","document":"scans and x-rays","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":"T3","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":"T4","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}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"A medication or other substance is causing gynecomastia","name":"Medication change","source":{"url":"https://my.clevelandclinic.org/health/symptoms/16227-enlarged-male-breast-tissue-gynecomastia","host":"my.clevelandclinic.org","quote":"If a medication or other substance is causing gynecomastia, your provider may recommend that you switch to a different one or stop using it.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":null},{"id":"A2","text":"An underlying condition is causing gynecomastia","name":"Underlying-condition treatment","source":{"url":"https://my.clevelandclinic.org/health/symptoms/16227-enlarged-male-breast-tissue-gynecomastia","host":"my.clevelandclinic.org","quote":"If an underlying condition is the cause, like a tumor or hypogonadism, treatment for the condition may also treat gynecomastia.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":null},{"id":"A3","text":"You need to prevent or reduce breast tissue growth and tenderness","name":"Low-dose radiation therapy","source":{"url":"https://my.clevelandclinic.org/health/symptoms/16227-enlarged-male-breast-tissue-gynecomastia","host":"my.clevelandclinic.org","quote":"This treatment uses a small, targeted dose of radiation to prevent or reduce breast tissue growth and tenderness, by slowing the glandular changes that lead to gynecomastia and easing associated pain.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":null}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"technique_details":{"status":"ok","items":[{"id":"liposuction-only","name":"Liposuction only","how_it_works":{"text":"A suction hose removes fat through several small incisions","source":{"url":"https://my.clevelandclinic.org/health/treatments/24022-gynecomastia-surgery","host":"my.clevelandclinic.org","quote":"They insert a suction hose through several small incisions (cuts) to remove fat.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"subcutaneous-mastectomy","name":"Subcutaneous mastectomy (gland excision) with or without liposuction","how_it_works":{"text":"Breast tissue is removed through larger incisions","source":{"url":"https://my.clevelandclinic.org/health/treatments/24022-gynecomastia-surgery","host":"my.clevelandclinic.org","quote":"This technique uses larger incisions to remove breast tissue.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"skin-excision-techniques","name":"Skin excision techniques","how_it_works":{"text":"Excess skin, fat and tissue may be removed by excision","source":{"url":"https://my.clevelandclinic.org/health/treatments/24022-gynecomastia-surgery","host":"my.clevelandclinic.org","quote":"If you have excess skin, fat and tissue, your provider may recommend excision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=maceio/procedure=operacia-pri-ginekomastii/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":4},"manualSeo":[],"updatedAt":"2026-11-14T23:56:19.000Z","activeCountries":["BR","TR","PL","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}