Le Dr Fernando Campos Moraes Amato utilise une technique de capitonnage fondée sur la recherche pour fixer la peau au muscle. Cette méthode réduit l'accumulation de liquide et permet souvent aux patients de se passer de drains inconfortables. L'intervention chirurgicale a lieu au sein de l'Amato Day Hospital, qui bénéficie de l'accréditation internationale TEMOS. Le Dr Amato a suivi une formation en leadership chirurgical à la Harvard Medical School et est membre de l'ISAPS. La plupart des patients reprennent leur travail de bureau dans un délai de 7 jours. La clinique propose des incisions péri-aréolaires pour minimiser les cicatrices et offre un soutien dédié aux patients internationaux.
","text_type":"mt_wow_description","best_texts":{"techniques":"Liposuccion thoracique, résection glandulaire périaréolaire, technique de suture en capitonnage","good_fit_for":"Cas glandulaires sévères ou induits par des stéroïdes","why_its_ranked":"Technique de capitonnage développée par un chirurgien, réduisant les séromes et éliminant le recours aux drains. Plans de traitement personnalisés pour les grades I-IV de Simon, y compris les cas avancés induits par les stéroïdes. Accréditation TEMOS."},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":4500,"price_to":15000,"currency":"USD","id":58347},"operation":{"id":860,"name":"Chirurgie de la gynécomastie","alias":"gynecomastia-surgery"}}],"reviews":[],"clinic":{"id":8467,"alias":"amato-plastic-surgery","name":"Amato Plastic Surgery","short_description":"Amato Plastic Surgery est un cabinet spécialisé situé à São Paulo, au Brésil. Il se concentre sur la chirurgie reconstructrice du sein et le remodelage corporel. Le Dr Fernando Amato a fondé le centre en 2026. Il a effectué son internat à l'Université fédérale de São Paulo. L'équipe travaille dans ses propres locaux, l'Amato Day Hospital, qui dispose d'une unité dédiée à la récupération après anesthésie. Le Dr Amato utilise une technique de suture capitonnée brevetée pour la gynécomastie.
La clinique détient des accréditations de la SBCP, de l'ISAPS, de l'ASPS et de TEMOS. Les outils de pointe incluent Morpheus8, BodyTite et la liposuccion VASER. Les spécialistes utilisent la simulation 3D pour planifier la chirurgie mammaire. Les reconstructions mammaires impliquent des séjours hospitaliers allant d'un à quatre jours. Les patients bénéficient de canaux de communication directs avec le chirurgien. Le personnel infirmier est formé à la récupération post-opératoire. Le cabinet propose une planification structurée pour les patients internationaux. Des interprètes sont disponibles pour les anglophones et les hispanophones.
","images":[{"base_url":"clinic/6a9382814623b","title":"Façade extérieure de la clinique de chirurgie plastique Amato au design rouge et blanc moderne"},{"base_url":"clinic/6a938283636b8","title":"Chambre de récupération avec lits d’hôpital à la clinique Amato Plastic Surgery"},{"base_url":"clinic/6a938285429ce","title":"Bloc opératoire chez Amato Plastic Surgery avec équipement chirurgical avancé"},{"base_url":"clinic/6a9382872865a","title":"Bloc opératoire moderne avec équipement avancé à la clinique Amato Plastic Surgery"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_parsed_from_docs","value":true},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brésil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"São Paulo","id":2519,"alias":"sao-paulo"},"address":"Avenida Brazil 2283, Jardim América, São Paulo, SP, 01431-001, Brazil"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"Certificat de la Société Internationale de Chirurgie Plastique Esthétique (ISAPS) délivré au médecin","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"Société Américaine de Chirurgie Plastique","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Roger Domingos Medical Services est un cabinet privé de chirurgie plastique situé à Rio de Janeiro, au Brésil. La clinique se concentre sur la médecine esthétique et le remodelage de la silhouette chez les adultes. Les interventions spécialisées comprennent les formules Mommy Makeover, la lipo-abdominoplastie et la liposuccion haute définition. L’équipe réalise également des interventions avancées du visage, comme la blépharoplastie transconjonctivale.
Le Dr Roger Domingos est spécialiste auprès de la Société brésilienne de chirurgie plastique. Il a effectué ses résidences à l’Hospital Federal de Ipanema et à l’Hospital Federal do Andaraí. Le cabinet utilise la liposuccion assistée par ultrasons et par vibration. Chaque plan est adapté à l’anatomie et aux objectifs du patient. Les patients internationaux peuvent prendre rendez-vous pour des consultations vidéo et des suivis à distance.
","text_type":"short_description","procedure_prices":[{"prices":{"price_from":6750,"price_to":6750,"currency":"USD","id":62233},"operation":{"id":860,"name":"Chirurgie de la gynécomastie","alias":"gynecomastia-surgery"}}],"reviews":[],"clinic":{"id":8724,"alias":"roger-domingos-medical-services-ltda","name":"Roger Domingos Medical Services Ltda.","short_description":"Roger Domingos Medical Services est un cabinet privé de chirurgie plastique situé à Rio de Janeiro, au Brésil. La clinique se concentre sur la médecine esthétique et le remodelage de la silhouette chez les adultes. Les interventions spécialisées comprennent les formules Mommy Makeover, la lipo-abdominoplastie et la liposuccion haute définition. L’équipe réalise également des interventions avancées du visage, comme la blépharoplastie transconjonctivale.
Le Dr Roger Domingos est spécialiste auprès de la Société brésilienne de chirurgie plastique. Il a effectué ses résidences à l’Hospital Federal de Ipanema et à l’Hospital Federal do Andaraí. Le cabinet utilise la liposuccion assistée par ultrasons et par vibration. Chaque plan est adapté à l’anatomie et aux objectifs du patient. Les patients internationaux peuvent prendre rendez-vous pour des consultations vidéo et des suivis à distance.
","images":[{"base_url":"clinic/6ad3a2d596cbd","title":"Vue extérieure du bâtiment de la clinique Roger Domingos Medical Services Ltda. au Brésil"},{"base_url":"clinic/6ad3a2d744d27","title":"Façade en verre moderne de la clinique Roger Domingos Medical Services Ltda. au Brésil"},{"base_url":"clinic/6ad3a2d8d85ef","title":"Façade moderne en verre de l'Hospital São Lucas Copacabana à Rio de Janeiro, Brésil"},{"base_url":"clinic/6ad3a2dac11f3","title":"Espace d'attente chez Roger Domingos Medical Services Ltda. avec canapé en cuir et décor moderne"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true},{"name":"is_parsed_from_docs","value":true}],"geo":{"country":{"name":"Brésil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Rio de Janeiro","id":2518,"alias":"rio-de-janeiro"},"address":"Rua Aníbal de Mendonça, 132 — 2º andar, Ipanema, Rio de Janeiro — RJ, CEP 22410-050, Brazil"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"Certificat de la Société Internationale de Chirurgie Plastique Esthétique (ISAPS) délivré au médecin","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"}]}},{"text":"CPA - Plastic Surgery Avançada est un cabinet spécialisé en chirurgie plastique à Rio de Janeiro, au Brésil. Le centre se concentre sur le remodelage de la silhouette, les interventions mammaires et la sculpture corporelle après une chirurgie bariatrique. Le Dr Alexandre Charão l’a fondé en 2004. Depuis son ouverture, son équipe a réalisé plus de 6 000 opérations. Les données de référence indiquent un taux de réhospitalisation non programmée de seulement 0,34 %.
Les interventions chirurgicales ont lieu à l’Hospital Glória D'Or, accrédité par la JCI. Le Dr Charão est membre associé de la Société brésilienne de chirurgie plastique. La clinique utilise la technologie ultrasonique VASER et le système de sélection d’implants High Five. Les patients suivent un protocole de préparation métabolique visant à améliorer les résultats chirurgicaux. Le personnel accompagne les visiteurs internationaux en portugais, en anglais et en espagnol.
","text_type":"short_description","reviews":[],"clinic":{"id":8845,"alias":"cpa-plastic-surgery-avancada","name":"CPA – plastic surgery Avançada","short_description":"CPA - Plastic Surgery Avançada est un cabinet spécialisé en chirurgie plastique à Rio de Janeiro, au Brésil. Le centre se concentre sur le remodelage de la silhouette, les interventions mammaires et la sculpture corporelle après une chirurgie bariatrique. Le Dr Alexandre Charão l’a fondé en 2004. Depuis son ouverture, son équipe a réalisé plus de 6 000 opérations. Les données de référence indiquent un taux de réhospitalisation non programmée de seulement 0,34 %.
Les interventions chirurgicales ont lieu à l’Hospital Glória D'Or, accrédité par la JCI. Le Dr Charão est membre associé de la Société brésilienne de chirurgie plastique. La clinique utilise la technologie ultrasonique VASER et le système de sélection d’implants High Five. Les patients suivent un protocole de préparation métabolique visant à améliorer les résultats chirurgicaux. Le personnel accompagne les visiteurs internationaux en portugais, en anglais et en espagnol.
","images":[{"base_url":"clinic/6ad7f0074dd63","title":"Accueil de la clinique de chirurgie plastique Alexandre Charão avec personnel et décor moderne"},{"base_url":"clinic/6ad7f008d8363","title":"Bureau de consultation chez CPA – plastic surgery Avançada avec décor moderne et ordinateur"},{"base_url":"clinic/6ad7f00a76a70","title":"Espace d'attente de la clinique CPA – chirurgie plastique Avançada avec rafraîchissements sur la table"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brésil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Rio de Janeiro","id":2518,"alias":"rio-de-janeiro"},"address":"Rua Sorocaba, 464 – Sala 404, Botafogo, Rio de Janeiro, RJ, Brazil"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1,"year_foundation":2004},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"Société Américaine de Chirurgie Plastique","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"Certificat de la Société Internationale de Chirurgie Plastique Esthétique (ISAPS) délivré au médecin","country_code":"US"}]}},{"text":"La clinique du Dr Gustavo Walter est un cabinet de chirurgie plastique situé à Florianópolis et à Itajaí, au Brésil. Elle se consacre au remodelage corporel et à la chirurgie mammaire. Le Dr Gustavo Walter a fondé le cabinet et en est le chirurgien principal. Il possède plus de 10 ans d’expérience en chirurgie plastique. Son équipe propose un accompagnement personnalisé, de la première consultation au suivi postopératoire.
La liposuccion haute définition utilisant la technologie VASER est l’un des principaux services proposés. La clinique utilise également Argoplasma et Renuvion pour favoriser la rétraction cutanée après une liposuccion. Parmi les autres interventions figurent l’abdominoplastie et la mastopexie, avec ou sans implants. Le Dr Walter est titulaire des références professionnelles CRM/SC 20241 et RQE 14560. Les patients internationaux peuvent commencer leur prise en charge par une consultation en ligne via Google Meet.
","text_type":"short_description","reviews":[],"clinic":{"id":9236,"alias":"clinic-do-dr-gustavo-walter","name":"clinic do Dr. Gustavo Walter","short_description":"La clinique du Dr Gustavo Walter est un cabinet de chirurgie plastique situé à Florianópolis et à Itajaí, au Brésil. Elle se consacre au remodelage corporel et à la chirurgie mammaire. Le Dr Gustavo Walter a fondé le cabinet et en est le chirurgien principal. Il possède plus de 10 ans d’expérience en chirurgie plastique. Son équipe propose un accompagnement personnalisé, de la première consultation au suivi postopératoire.
La liposuccion haute définition utilisant la technologie VASER est l’un des principaux services proposés. La clinique utilise également Argoplasma et Renuvion pour favoriser la rétraction cutanée après une liposuccion. Parmi les autres interventions figurent l’abdominoplastie et la mastopexie, avec ou sans implants. Le Dr Walter est titulaire des références professionnelles CRM/SC 20241 et RQE 14560. Les patients internationaux peuvent commencer leur prise en charge par une consultation en ligne via Google Meet.
","images":[{"base_url":"clinic/6ae17af58d09c","title":"Échantillons d’implants mammaires à la clinique Dr Gustavo Walter Show, équipement de chirurgie esthétique"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brésil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Florianópolis","id":2855,"alias":"florianopolis"},"address":"Rua Santos Dumont, 182 – Sala 205, Ed. Life Medical Tower – Centro, Florianópolis/SC, Brazil; Av. Osvaldo Reis, 3281 – Sala 803, clinic Soul Brava – Ed. Riviera, Praia Brava, Itajaí/SC, Brazil"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}},{"text":"La clinique de chirurgie plastique du Dr Delane Cavalcante est située à Rio de Janeiro, au Brésil. Elle est spécialisée dans le remodelage de la silhouette, la chirurgie mammaire et les interventions reconstructrices. Lors d’une abdominoplastie, une méthode emblématique cible le diastasis et vise à obtenir un aspect naturel du nombril. L’équipe pratique également la liposuccion haute définition et l’augmentation mammaire.
Le Dr Cavalcante a réalisé plus de 3 000 interventions chirurgicales et possède environ 24 ans d’expérience. Sa clinique est accréditée par la SBCP et TEMOS. La convalescence comprend une thérapie au laser de faible puissance dans le cadre des soins postopératoires. Ce parcours de soins lymphatiques commence le quatrième jour après l’intervention.
","text_type":"short_description","reviews":[],"clinic":{"id":9996,"alias":"dr-delane-cavalcante","name":"Dr. Delane Cavalcante","short_description":"La clinique de chirurgie plastique du Dr Delane Cavalcante est située à Rio de Janeiro, au Brésil. Elle est spécialisée dans le remodelage de la silhouette, la chirurgie mammaire et les interventions reconstructrices. Lors d’une abdominoplastie, une méthode emblématique cible le diastasis et vise à obtenir un aspect naturel du nombril. L’équipe pratique également la liposuccion haute définition et l’augmentation mammaire.
Le Dr Cavalcante a réalisé plus de 3 000 interventions chirurgicales et possède environ 24 ans d’expérience. Sa clinique est accréditée par la SBCP et TEMOS. La convalescence comprend une thérapie au laser de faible puissance dans le cadre des soins postopératoires. Ce parcours de soins lymphatiques commence le quatrième jour après l’intervention.
","images":[{"base_url":"clinic/6af2fa7841fed","title":"Membre du personnel médical à la clinique Dr. Delane Cavalcante, environnement professionnel"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brésil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Rio de Janeiro","id":2518,"alias":"rio-de-janeiro"},"address":"R. Visc. de Pirajá, 550 - Sl 1410 - Ipanema, Rio de Janeiro - RJ, 22410-002, Brazil"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"Accréditation Internationale en Soins de Santé TEMOS","country_code":"DE"}]}}],"meta":{"total_count":96,"total_pages":10}},"clinicsMeta":{"total_count":96,"total_pages":10},"clinicsCount":96,"clinicsCountByEntity":{"clinic_count":590},"doctors":{"doctors":[{"doctor":{"id":17357,"alias":"fernando-campos-moraes-amato","name":"Fernando Campos Moraes Amato","clinic_id":8467,"photo":"doctor/6a9382e944b1b","first_year_working":2015,"created_at":"2026-08-30T01:09:59.364+00:00","short_description":"Fernando Campos Moraes Amato est un spécialiste au sein de la clinique, se concentrant sur la chirurgie plastique avec une spécialisation marquée en reconstruction mammaire et en chirurgie reconstructrice. Son « Projeto Minha Mama » a soutenu des femmes en attente de prise en charge par le SUS, avec plus de 150 reconstructions mammaires réalisées. Au sein de la clinique, il traite également la gynécomastie en utilisant une technique de capitonnage (suture d'adhésion) et prend en charge le lipœdème grâce à une approche spécifique de liposuccion.","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38},{"id":"pls.003","name":"Reconstructive surgeon","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":8467,"alias":"amato-plastic-surgery","name":"Amato Plastic Surgery","short_description":"Amato Plastic Surgery est un cabinet spécialisé situé à São Paulo, au Brésil. Il se concentre sur la chirurgie reconstructrice du sein et le remodelage corporel. Le Dr Fernando Amato a fondé le centre en 2026. Il a effectué son internat à l'Université fédérale de São Paulo. L'équipe travaille dans ses propres locaux, l'Amato Day Hospital, qui dispose d'une unité dédiée à la récupération après anesthésie. Le Dr Amato utilise une technique de suture capitonnée brevetée pour la gynécomastie.
La clinique détient des accréditations de la SBCP, de l'ISAPS, de l'ASPS et de TEMOS. Les outils de pointe incluent Morpheus8, BodyTite et la liposuccion VASER. Les spécialistes utilisent la simulation 3D pour planifier la chirurgie mammaire. Les reconstructions mammaires impliquent des séjours hospitaliers allant d'un à quatre jours. Les patients bénéficient de canaux de communication directs avec le chirurgien. Le personnel infirmier est formé à la récupération post-opératoire. Le cabinet propose une planification structurée pour les patients internationaux. Des interprètes sont disponibles pour les anglophones et les hispanophones.
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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. Larger excess skin may require longer scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operative session in a typical uncomplicated case."},"stages":[{"code":"surgery","label":"Gynecomastia surgery (liposuction and/or gland excision)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the initial procedure."}}],"qualifier":"Single-stage operation; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient satisfaction with chest contour","value":90,"unit":"percent satisfied","horizon":"6-12 months after surgery","population":"Adult men with persistent gynecomastia after uncomplicated primary surgery","evidence_status":"limited"},"techniques":[{"name":"Liposuction only","suits_whom":"Mainly fatty gynecomastia (pseudogynecomastia) with little glandular tissue.","recovery":"Usually the quickest recovery, with compression garment use for several weeks."},{"name":"Subcutaneous mastectomy (gland 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/procedure=operacia-pri-ginekomastii/page=10/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"country_filter":[{"id":17,"name":"Pologne","alias":"poland","iso_code":"PL"},{"id":46,"name":"Turquie","alias":"turkey","iso_code":"TR"},{"id":45,"name":"Thaïlande","alias":"thailand","iso_code":"TH"}],"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}