Amato Plastic Surgery dispose d'un hôpital de jour dédié pour une récupération le jour même après une chirurgie des paupières inférieures. Le Dr Fernando Amato utilise la technique transconjonctivale pour retirer la graisse sans laisser de cicatrices externes. Les patients peuvent choisir l'assistance laser CO2 pour minimiser les saignements et accélérer la cicatrisation. La clinique détient l'accréditation TEMOS pour les normes de sécurité internationales. La récupération permet généralement un retour au travail dans les 14 jours. Le Dr Amato est membre de l'ISAPS et est titulaire d'un Master of Science en régénération tissulaire.
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Il a reçu de nombreuses distinctions lors des congrès nationaux turcs de chirurgie plastique et a suivi une formation spécialisée au Baylor College of Medicine de Houston, au Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}]},"direction":{"id":38,"name":"Chirurgie plastique","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk work is usually possible after about 1 week; visible bruising and swelling may extend this to 2 weeks."},"complication_rate_pct":{"min":0.5,"max":3,"unit":"percent","qualifier":"Serious events only: lid retraction, ectropion, infection, retrobulbar hematoma (about 0.05%), rare vision loss. Minor bruising and swelling excluded."},"contraindications":["Active eye infection or inflammation","Uncontrolled hypertension or other uncontrolled systemic disease","Bleeding disorders or inability to manage anticoagulation safely","Unmanaged severe dry eye","Pregnancy (elective surgery usually deferred)","Active smoking (relative; impairs healing)","Untreated thyroid eye disease or unstable ocular disease (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Usually discharged the same day after observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity earlier; strenuous exercise once surgeon permits."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves gradually and scars mature; may take longer."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Flying is usually fine after the day 5-7 check and suture removal; marked swelling may mean waiting 2 weeks."},"follow_up_visits":[{"purpose":"wound_check","requirement":"conditional","after":{"min":1,"max":3,"unit":"days","qualifier":"Early check of swelling and wound healing."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":5,"max":7,"unit":"days","qualifier":"Only if non-absorbable skin sutures were used (transcutaneous approach)."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Assessment of healing and eyelid position."}}],"indications":["Lower eyelid bags from herniated fat","Excess lower eyelid skin","Mild lower eyelid laxity (selected cases)"],"main_risks":["Bruising, swelling and temporary dryness or irritation","Infection","Hematoma, including rare retrobulbar bleeding with risk to vision","Asymmetry or contour irregularity","Eyelid retraction or ectropion","Dry eye","Visible scarring","Temporary blurred or double vision","Need for revision"],"pain":"Mild to moderate discomfort, tightness and swelling, usually controlled with simple analgesics.","preparation":["Surgeon consultation and eye and eyelid assessment","Medical history and medication review with surgeon guidance","Stop smoking in advance as advised","Arrange transport home and help for first days","Fasting per anesthesia instructions if sedation is used"],"recovery_timeline":[{"phase":"First 48 hours","description":"Swelling, bruising and tightness; cold compresses and head elevation.","restrictions":["No heavy activity","Avoid bending and straining"]},{"phase":"Days 3-14","description":"Bruising and swelling gradually decrease; sutures removed if used.","restrictions":["Avoid contact lenses and eye makeup initially","No strenuous exercise"]},{"phase":"Weeks 2-6","description":"Return to most activities; residual swelling fades.","restrictions":["Avoid intense exercise until cleared"]},{"phase":"Months 3-6","description":"Final contour and scar maturation.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Daily activities resume once sutures are out and swelling settles. Strenuous exercise is restricted longer."},"result_longevity":"Results typically last 7-10 years or longer; natural aging continues afterward.","revision_rate_pct":{"min":2,"max":5,"unit":"percent","qualifier":"Patients needing corrective surgery within 1-2 years, for example for lid malposition, residual fat or skin, or irregular contour."},"scars":"Transconjunctival approach leaves no visible skin scar; transcutaneous approach leaves a fine scar just below the lash line that usually fades well.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical session; follow-up checks not counted."},"stages":[{"code":"surgery","label":"Lower eyelid blepharoplasty surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"One operation for both lower eyelids."},"success":{"metric":"Patient satisfaction with under-eye appearance","value":90,"unit":"percent","horizon":"6 months after surgery","population":"Adults with lower eyelid fat bags or excess skin undergoing primary blepharoplasty","evidence_status":"limited"},"techniques":[{"name":"Transconjunctival fat removal or repositioning","suits_whom":"Patients with fat bags and little excess skin, often younger.","recovery":"No external scar; swelling and bruising settle in about 1-2 weeks."},{"name":"Transcutaneous (subciliary) skin-muscle flap","suits_whom":"Patients with excess skin and fat bags.","recovery":"Similar recovery; sutures often removed after about a week."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Both lower eyelids, standalone procedure."},"initial_assessment_documents":["Front photos of face, eyes open","Close-up photos of lower eyelids","Side and three-quarter face photos","Photo looking up showing lower eyelid position","List of blood thinners","Eye disease or dry eye history (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until the first check and suture removal, if used, before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether the surgeon was specifically trained in plastic surgery","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/eyelid-surgery/questions","host":"plasticsurgery.org","quote":"Were you specifically trained in the field of plastic surgery?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask whether the surgeon has hospital privileges to perform this procedure, and at which hospitals","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/eyelid-surgery/questions","host":"plasticsurgery.org","quote":"Do you have hospital privileges to perform this procedure? If so, at which hospitals?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask 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":"2026-11-12","http_status":403}},{"id":"C4","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":"C5","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Online offers that sell cosmetic surgery bundled with a holiday","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Consultations offered only with sales staff, with no meeting with the surgeon","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":"Being asked to pay for a visit before you have met the surgeon","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"do not pay to see a surgeon you have not met.","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":"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":"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":"T3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer a less invasive option over surgery","name":"Laser skin tightening under eyes","source":{"url":"https://www.plasticsurgery.org/news/articles/how-to-get-rid-of-undereye-bags","host":"plasticsurgery.org","quote":"Energy-based laser treatments can tighten the skin to help reduce the appearance of the bags.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer a nonsurgical option over surgery for under-eye bags","name":"Dermal fillers under the eyes","source":{"url":"https://www.plasticsurgery.org/news/articles/how-to-get-rid-of-undereye-bags","host":"plasticsurgery.org","quote":"Fillers, like Juvederm, can be injected to fill the hollows in an attempt to decrease the appearance of the bags.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"transconjunctival-fat","name":"Transconjunctival fat removal or repositioning","how_it_works":{"text":"The surgeon works through a cut inside the lower eyelid","source":{"url":"https://my.clevelandclinic.org/health/treatments/8409-eyelid-surgery-blepharoplasty","host":"my.clevelandclinic.org","quote":"Lower blepharoplasty may use cuts inside your eyelid (transconjunctival incisions).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":10,"max":10,"unit":"days","label":"10 days","source":{"url":"https://www.theaestheticsociety.org/procedures/head-face/eyelid-surgery/aftercare-recovery","host":"theaestheticsociety.org","quote":"You should feel well enough to resume normal activities around the tenth day of recovery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"transcutaneous-skin-muscle","name":"Transcutaneous (subciliary) skin-muscle flap","how_it_works":{"text":"The surgeon works through a cut just below the lashes","source":{"url":"https://my.clevelandclinic.org/health/treatments/8409-eyelid-surgery-blepharoplasty","host":"my.clevelandclinic.org","quote":"For your lower lids, the cut will be just below your eyelash line.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":10,"max":10,"unit":"days","label":"10 days","source":{"url":"https://www.theaestheticsociety.org/procedures/head-face/eyelid-surgery/aftercare-recovery","host":"theaestheticsociety.org","quote":"You should feel well enough to resume normal activities around the tenth day of recovery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=san-paulu/procedure=plastika-niznego-veka/"}],"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":2},"manualSeo":[],"updatedAt":"2026-11-13T04:17:38.000Z","activeCountries":["BR","TR","PL","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}