Le Dr Mesut Pekmez apporte 23 ans d'expertise chirurgicale avec plus de 900 procédures de reconstruction mammaire réalisées. Le forfait tout compris coûte environ 6 000 EUR – couvrant généralement la mastectomie, la reconstruction avec Alloderm, 2 nuits d'hospitalisation, 3 nuits d'hébergement à l'hôtel, les transferts et les services d'un interprète. En tant que chirurgien transplanteur à l'hôpital universitaire Lokman Hekim, le Dr Pekmez se spécialise dans les techniques oncologiques et laparoscopiques. L'établissement accrédité par la JCI propose la mastectomie avec conservation de l'étui cutané et pose de prothèse pour des résultats esthétiques optimaux.
L'hôpital universitaire Lokman Hekim d'Ankara est un centre médical privé multispécialisé situé à Ankara, en Turquie. L'équipe est dédiée à la neurochirurgie, à l'orthopédie, à la gastroentérologie et à la transplantation.
Parmi les réalisations de la clinique figurent les taux de réussite : 99,9 % pour la discectomie, 99,9 % pour l'ablation de tumeurs cérébrales, 99,9 % pour la chirurgie de stimulation cérébrale profonde (DBS), 99,9 % pour la chirurgie de stimulation cérébrale profonde (DBS), 99,9 % pour l'ablation de tumeurs cérébrales.
Situé à Sincan, Ankara, le centre universitaire de recherche et d'application en santé Lokman Hekim fournit des soins de santé exemplaires depuis 2008. S'étendant sur 17 500 mètres carrés sur huit étages, il est devenu un hôpital universitaire en 2020, améliorant ses soins médicaux, son enseignement et sa recherche. Il offre des services complets, équipé de six blocs opératoires, d'un héliport, de 82 lits de soins intensifs et de 134 lits d'hospitalisation. L'hôpital universitaire Lokman Hekim d'Ankara dessert aussi bien les adultes que les enfants. Les patients des Balkans, d'Afrique et des États de la Ligue arabe visitent le plus souvent la clinique.
\n","images":[{"base_url":"clinic/62d540e31cdda","title":"Bâtiment moderne de la clinique Lokman Hekim University Ankara Hospital en Turquie"},{"base_url":"clinic/62d54119a756f","title":"Chambre de patient à l'hôpital universitaire Lokman Hekim Ankara avec médecin et équipements modernes"},{"base_url":"clinic/62d542208939d","title":"Laboratoire médical à l'hôpital universitaire Lokman Hekim Ankara avec analyseurs avancés"},{"base_url":"clinic/62d5414ff0db8","title":"Façade de l'hôpital universitaire Lokman Hekim Ankara avec héliport sur le toit"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turquie","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Ankara","id":386,"alias":"ankara"},"address":"Andicen Dist. Polatlı 2 Ave. Idil St. No:44 Sincan Ankara/Turkey"},"rating":{"rating":4.8,"google":4.1,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":10,"doctors_number":50,"year_foundation":2008},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/62e2ea948b5d5.jpeg","name":"Certificat d'Autorisation pour le Tourisme de Santé International","country_code":"TR"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"Organisation internationale de normalisation","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"La chirurgie de reconstruction mammaire à l'hôpital Lokman Hekim Etlik peut coûter environ 17 500 €, incluant généralement 10 nuits d'hospitalisation, 5 nuits d'hôtel, les transferts et les révisions, y compris la reconstruction du mamelon. Ce forfait tout compris comprend une technologie de salle d'opération avancée, un service d'infirmière privée et l'assistance d'un interprète. L'hôpital fait partie du groupe de santé Lokman Hekim et dispose d'une logistique complète pour les patients internationaux.
","text_type":"mt_wow_description","best_texts":{"techniques":"Reconstruction mammaire à l’aide de tissu abdominal","why_its_ranked":"Utilise votre propre tissu abdominal pour des résultats naturels. Le forfait couvre les retouches, comme la reconstruction du mamelon. 91 % des patients recommandent cette clinique."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":14000,"price_to":19000,"currency":"USD","id":46351},"operation":{"id":108,"name":"Chirurgie de reconstruction mammaire","alias":"reconstructive-breast-surgery"}}],"reviews":[],"clinic":{"id":2744,"alias":"lokman-hekim-etlik","name":"Lokman Hekim Etlik Hospital","short_description":"Lokman Hekim Etlik Hospital est un centre médical privé situé à Ankara, en Turquie. Ses principales spécialités comprennent l’orthopédie, la chirurgie générale et la médecine interne.
Hermes Clinics est un réseau de santé qui fournit des services médicaux à Istanbul, en Turquie. Hermes Clinics propose des traitements et des forfaits incluant le plan de thérapie, un transfert VIP depuis et vers l'aéroport, un guide parlant votre langue, un hébergement dans des hôtels prestigieux 5 étoiles à Istanbul, et une option de consultation en ligne à vie.
\n\n\n","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":6000,"price_to":9000,"currency":"USD","id":31285},"operation":{"id":108,"name":"Chirurgie de reconstruction mammaire","alias":"reconstructive-breast-surgery"}}],"reviews":[],"clinic":{"id":1169,"alias":"hermes-clinics","name":"Hermes Clinics (Hermes Clinics A.Ş.)","short_description":"
Hermes Clinics est un réseau de santé qui fournit des services médicaux à Istanbul, en Turquie. Hermes Clinics propose des traitements et des forfaits incluant le plan de thérapie, un transfert VIP depuis et vers l'aéroport, un guide parlant votre langue, un hébergement dans des hôtels prestigieux 5 étoiles à Istanbul, et une option de consultation en ligne à vie.
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L'hôpital privé Koru Ankara est un centre médical privé multispécialisé situé à Ankara, en Turquie. L'équipe est dédiée à l'urologie, à l'obstétrique et à la gynécologie, à la chirurgie plastique et à la chirurgie de perte de poids. L'hôpital privé Koru Ankara dessert aussi bien les adultes que les enfants. 350 000 patients choisissent l'hôpital privé Koru Ankara pour recevoir des soins médicaux chaque année. Les patients des pays russophones, d'Europe, du Commonwealth et des États de la Ligue arabe visitent le plus souvent la clinique.
\n","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":3887,"alias":"private-koru-ankara-hospital","name":"Private Koru Ankara Hospital","short_description":"L'hôpital privé Koru Ankara est un centre médical privé multispécialisé situé à Ankara, en Turquie. L'équipe est dédiée à l'urologie, à l'obstétrique et à la gynécologie, à la chirurgie plastique et à la chirurgie de perte de poids. L'hôpital privé Koru Ankara dessert aussi bien les adultes que les enfants. 350 000 patients choisissent l'hôpital privé Koru Ankara pour recevoir des soins médicaux chaque année. Les patients des pays russophones, d'Europe, du Commonwealth et des États de la Ligue arabe visitent le plus souvent la clinique.
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Le Dr Furkan Erol Karabekmez est un chirurgien plasticien exerçant dans sa clinique privée à Ankara. Il a effectué un stage de recherche à la prestigieuse Mayo Clinic aux États-Unis. Il est certifié par l'EBOPRAS, répondant aux normes européennes pour les procédures esthétiques et reconstructrices. Le Dr Karabekmez est spécialisé dans les cas complexes tels que la rhinoplastie de révision et la réparation des déformations congénitales.
La clinique de chirurgie plastique du Prof. Dr. Furkan Karabekmez est un centre privé dirigé par un chirurgien plasticien certifié EBOPRAS et formé à la Mayo Clinic. Elle est spécialisée dans la chirurgie plastique, esthétique et maxillo-faciale.
Le Dr Umit Naci Karacal est chirurgien plasticien et reconstructeur à l'hôpital Memorial Ankara. Il a occupé un poste de professeur à l'Université technique de la mer Noire pendant plus de deux décennies. Le Dr Karacal est spécialisé dans la chirurgie esthétique et les procédures reconstructrices complexes. Il a obtenu son diplôme de médecine à la prestigieuse université Hacettepe, puis a terminé sa formation spécialisée à l'hôpital Ankara Numune.
L'hôpital Memorial Ankara est un hôpital privé accrédité par la JCI et fait partie du plus grand réseau hospitalier privé de Turquie. Il est spécialisé en cardiologie, chirurgie cardiovasculaire, oncologie médicale et orthopédie.
Hermes Clinics est un réseau de santé qui fournit des services médicaux à Istanbul, en Turquie. Hermes Clinics propose des traitements et des forfaits incluant le plan de thérapie, un transfert VIP depuis et vers l'aéroport, un guide parlant votre langue, un hébergement dans des hôtels prestigieux 5 étoiles à Istanbul, et une option de consultation en ligne à vie.
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Le Dr Yakup Cil est spécialiste en chirurgie plastique, reconstructrice et esthétique. Il est connu pour ses travaux de recherche expérimentale. Il a contribué en tant qu'assistant de recherche à des projets sur les fibroblastes autologues et l'acide hyaluronique comme produits de comblement des tissus mous. Il a également travaillé au développement de nouveaux modèles de distracteurs pour la distraction mandibulaire chez le rat.
\n\nLe Dr Cil est membre de l'Association turque de chirurgie plastique, reconstructrice et esthétique. Il a réussi l'examen de compétence de l'Association en 2011 et a reçu un certificat de compétence. Son travail est guidé par l'innovation et la précision scientifique en chirurgie reconstructrice.
","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38},{"id":"pls.002","name":"Facial plastic surgeon","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1169,"alias":"hermes-clinics","name":"Hermes Clinics (Hermes Clinics A.Ş.)","short_description":"Hermes Clinics est un réseau de santé qui fournit des services médicaux à Istanbul, en Turquie. Hermes Clinics propose des traitements et des forfaits incluant le plan de thérapie, un transfert VIP depuis et vers l'aéroport, un guide parlant votre langue, un hébergement dans des hôtels prestigieux 5 étoiles à Istanbul, et une option de consultation en ligne à vie.
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Le Dr Mesut Pekmez est chirurgien spécialisé en transplantation à l'hôpital universitaire Lokman Hekim d'Ankara. Il est spécialisé dans les greffes de rein et de foie ainsi que dans les chirurgies complexes du tractus gastro-intestinal. Le Dr Pekmez a été formé à l'université de Baskent, un centre reconnu pour son rôle de pionnier dans la transplantation en Turquie.
L'hôpital universitaire Lokman Hekim d'Ankara est un centre médical privé multispécialisé situé à Ankara, en Turquie. L'équipe est dédiée à la neurochirurgie, à l'orthopédie, à la gastroentérologie et à la transplantation.
Parmi les réalisations de la clinique figurent les taux de réussite : 99,9 % pour la discectomie, 99,9 % pour l'ablation de tumeurs cérébrales, 99,9 % pour la chirurgie de stimulation cérébrale profonde (DBS), 99,9 % pour la chirurgie de stimulation cérébrale profonde (DBS), 99,9 % pour l'ablation de tumeurs cérébrales.
Situé à Sincan, Ankara, le centre universitaire de recherche et d'application en santé Lokman Hekim fournit des soins de santé exemplaires depuis 2008. S'étendant sur 17 500 mètres carrés sur huit étages, il est devenu un hôpital universitaire en 2020, améliorant ses soins médicaux, son enseignement et sa recherche. Il offre des services complets, équipé de six blocs opératoires, d'un héliport, de 82 lits de soins intensifs et de 134 lits d'hospitalisation. L'hôpital universitaire Lokman Hekim d'Ankara dessert aussi bien les adultes que les enfants. Les patients des Balkans, d'Afrique et des États de la Ligue arabe visitent le plus souvent la clinique.
\n","images":[{"base_url":"clinic/62d540e31cdda","title":"Bâtiment moderne de la clinique Lokman Hekim University Ankara Hospital en Turquie"},{"base_url":"clinic/62d54119a756f","title":"Chambre de patient à l'hôpital universitaire Lokman Hekim Ankara avec médecin et équipements modernes"},{"base_url":"clinic/62d542208939d","title":"Laboratoire médical à l'hôpital universitaire Lokman Hekim Ankara avec analyseurs avancés"},{"base_url":"clinic/62d5414ff0db8","title":"Façade de l'hôpital universitaire Lokman Hekim Ankara avec héliport sur le toit"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turquie","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Ankara","id":386,"alias":"ankara"},"address":"Andicen Dist. 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Le personnel était tellement accommodant, mon médecin était bien informé et m'a expliqué la procédure en détail. Honnêtement, je suis impressionnée par cette expérience. Et même si je venais avec une légère crainte et une petite crise de panique, il n'y avait vraiment pas lieu de s'inquiéter, tout est au plus haut niveau ! Merci à tous !","en":"The hospital was fantastic, room was private, with all required amenities, cafe - lovely, everything was beautiful and clean. Staff were just so accommodating, my Doctor was knowledgeable, explained the procedure in detail. Honestly, I'm in awe from this experience. And even though I was coming in with a slight fear and a tiny panic attack, there was really no need to worry, everything is on a highest level! Thanks to all!"},"order":{"operation":{"id":108,"name":{"fr":"Chirurgie de reconstruction mammaire","en":"Breast reconstruction surgery"}},"illness":{"id":3,"name":{"fr":"Cancer du sein","en":"Breast cancer"}}},"clinic_info":{"id":96,"name":"Memorial Şişli Hospital","alias":"memorial-healthcare-group","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-10-17T13:23:45.443+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"images":[{"full_url":"review/67112da75fb03_b.jpeg","preview_url":"review/67112da75fb03_s.jpeg"},{"full_url":"review/67112da7de60d_b.jpeg","preview_url":"review/67112da7de60d_s.jpeg"},{"full_url":"review/67112da82b63e_b.jpeg","preview_url":"review/67112da82b63e_s.jpeg"}],"client_response":{"preview_to_review_text":{"fr":"L'hôpital était fantastique, la chambre était privée, avec tous les équipements nécessaires, le café était charmant, tout était beau et propre. Le personnel était tellement accommodant, mon médecin était bien informé et m'a expliqué la procédure en détail. Honnêtement, je suis impressionnée par cette expérience. Et même si je venais avec une légère crainte et une petite crise de panique, il n'y avait vraiment pas lieu de s'inquiéter, tout est au plus haut niveau ! Merci à tous !","en":"The hospital was fantastic, room was private, with all required amenities, cafe - lovely, everything was beautiful and clean. Staff were just so accommodating, my Doctor was knowledgeable, explained the procedure in detail. Honestly, I'm in awe from this experience. And even though I was coming in with a slight fear and a tiny panic attack, there was really no need to worry, everything is on a highest level! Thanks to all!"},"what_like_text":{"fr":"Les traducteurs étaient excellents ! Tout était extraordinaire, je ne peux pas choisir une seule chose.","en":"Translators were top notch! Everything was amazing, I can't select just one thing."},"what_not_like_text":{"fr":"J'ai eu un problème avec le paiement, qui était constamment rejeté, ce qui m'a empêché d'être admis tout de suite. Mais une fois le paiement effectué, tous les services ont suivi sans problème.","en":"Had issue with payment, it kept getting rejected and due to this I wasn't admitted right away. But once payment went through, all services followed smoothly."}},"comment_about_bookimed":{"fr":"J'aime la rapidité et les réponses à tout moment de la journée.","en":"Love the speed and replies at any time of day"},"summary":{"positive":{"fr":"Honnêtement, je suis impressionné par cette expérience","en":"Honestly, I'm in awe from this experience"}}},{"id":10045,"user":{"id":414450,"name":"Екатерина ","country_code":"MD"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"fr":"Je souhaite exprimer ma gratitude au docteur Cenk Sen, l'opération s'est déroulée rapidement, la réhabilitation également, après 10 jours la douleur à la poitrine a presque disparu) et maintenant j'en suis ravie (cela fait 3 mois). Un merci particulier aux infirmières qui ont pris soin de moi la nuit après l'opération, me vérifiant toutes les demi-heures, elles se sont occupées de moi toute la nuit) elles m'ont apporté un repas à minuit.","en":"I want to express my gratitude to the doctor Cenk Sen, the operation was quick, the rehabilitation was relatively the same, after 10 days the chest pain almost disappeared) and now I admire her (3 months have passed) Special thanks to the nurses who took care of me on the night after the operation, checked me every half hour , take all night) brought me food at 12 at night"},"order":{"operation":{"id":108,"name":{"fr":"Chirurgie de reconstruction mammaire","en":"Breast reconstruction surgery"}}},"doctor_info":{"id":1628,"name":"Cenk Şen","alias":"cenk-sen"},"clinic_info":{"id":390,"name":"Estetik International Istanbul","alias":"estetik-international","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2022-11-29T08:21:31.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"fr":"Je l'admire (3 mois se sont écoulés).","en":"I admire her (3 months have passed)."}}},{"id":24543,"user":{"id":659161,"name":"Bookimed Test","country_code":"AU"},"ratings":[{"name":"main","value":5},{"name":"consultation_arrangement","value":5},{"name":"consultation_duration","value":5},{"name":"consultation_value","value":5},{"name":"consultation_connection","value":5},{"name":"relative_price","value":2},{"name":"nps","value":10},{"name":"manager","value":5},{"name":"comfort","value":0},{"name":"doctor","value":0},{"name":"personal","value":0},{"name":"translation","value":0}],"text":{"fr":"C'était formidable, le personnel était très professionnel","en":"It was great, very professional staff"},"order":{"operation":{"id":108,"name":{"fr":"Chirurgie de reconstruction mammaire","en":"Breast reconstruction surgery"}}},"clinic_info":{"id":435,"name":"Bookimed ","alias":"clinic-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-04-03T08:50:22.577+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false}],"client_response":{"what_like_text":{"fr":"J'ai été impressionné par le personnel et la clinique. 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Jour 2 - Pré-opération
Jour 3 - Chirurgie
Jour 4 - Post-opération
Jours 5 à 7
Semaine 1 à 3 Rééducation
Semaine 4 à 6 Rééducation
À partir de la semaine 7
Remarque : Le processus exact et le temps de récupération peuvent varier d’un patient à l’autre.
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Complications or return to theater lengthen the stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Strenuous exercise, core loading and heavy lifting after surgeon clearance and stable healing; walking starts within days."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling settles and the breast softens; scars mature longer. Optional refinements extend this."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"Once discharged, mobile, drains removed or managed, no flap concerns and team clears travel; take VTE precautions."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"After Hospital discharge: First outpatient wound and flap check; drains reviewed if still in place."}},{"purpose":"other","requirement":"conditional","after":{"min":10,"max":21,"unit":"days","qualifier":"After DIEP flap surgery: Drain removal review once output criteria are met."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":84,"unit":"days","qualifier":"After DIEP flap surgery: Healing and activity clearance review."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"After DIEP flap surgery: Result review and discussion of optional refinement."}}],"indications":["Breast absence after mastectomy for breast cancer, immediate or delayed","Breast deformity after lumpectomy or radiotherapy","Risk-reducing mastectomy in high-risk patients (e.g., BRCA mutation)","Prior or planned radiotherapy, where implants are less suitable","Inadequate skin envelope for implants, with adequate abdominal tissue"],"main_risks":["Flap thrombosis or vascular compromise; flap loss uncommon (about 1–3%)","Fat necrosis or partial flap necrosis","Hematoma, seroma, infection, or delayed healing","Abdominal wall weakness, bulge, hernia, or numbness","Mastectomy skin necrosis and altered breast sensation","Asymmetry or contour irregularity needing revision","Venous thromboembolism and anesthesia complications","Long surgery, blood loss, and transfusion"],"pain":"Moderate to significant pain in the first days, mainly at the abdominal donor site, controlled with multimodal analgesia. Discomfort and tightness usually ease over several weeks. Numbness or altered sensation may persist.","preparation":["Oncologic and plastic surgery planning, including timing","Medical assessment, blood tests, and anesthesia review","CT or MR angiography to map abdominal perforators","Stop smoking and nicotine for weeks before and after","Review medications and supplements, including blood thinners","Fasting before general anesthesia","Pre-operative marking and photographs","Arrange home help and nearby lodging after discharge"],"recovery_timeline":[{"phase":"Hospital stay (about 3-6 nights)","description":"Flap monitoring, drain care, pain control, VTE prevention, and early mobilization with sitting and short walks.","restrictions":["No driving","Avoid pressure or tension on flap and abdomen","Nicotine avoidance continues"]},{"phase":"Weeks 1-6","description":"Home recovery with drains managed until removal, gradual walking, and a flexed-hip posture easing as the abdomen heals.","restrictions":["No heavy lifting","No strenuous or core exercise","Wear supportive garments"]},{"phase":"Weeks 6-12","description":"Ordinary function and desk work fully resume; physical work and exercise return stepwise after clearance.","restrictions":["Heavy lifting and high-impact sport only after surgeon clearance"]},{"phase":"Months 6-12","description":"Swelling resolves, the breast softens, and scars mature; optional refinement can be planned.","restrictions":[]},{"phase":"At any time","description":"Seek urgent care for flap color change or coolness, sudden swelling, fever, wound discharge, chest pain, breathlessness, calf swelling, or severe abdominal pain.","restrictions":[]}],"rehabilitation_days":{"min":28,"max":84,"unit":"days","qualifier":"Ordinary daily function returns after uncomplicated unilateral DIEP; slower with complications or adjuvant therapy."},"result_longevity":"The reconstructed breast is made of the patient's own tissue and is generally long-lasting, changing with weight and aging. Fat necrosis or contour changes may occasionally need revision.","revision_rate_pct":{"min":20,"max":50,"unit":"percent","qualifier":"Later contour, fat grafting, or nipple-related revisions within 1-2 years after unilateral DIEP; many are elective."},"scars":"Breast scar (mastectomy scar or new incision if delayed), a long low horizontal abdominal scar, and a scar around the navel. Small drain marks; scars mature over 12 months or longer.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One primary DIEP free-flap operation with a single hospital admission."},"stages":[{"code":"planning_imaging","label":"Surgical planning and perforator imaging","after":{"min":0,"max":30,"unit":"days","qualifier":"After First consultation: Planning and imaging are scheduled before surgery, counted from the first consultation; timing depends on cancer treatment."}},{"code":"inpatient_monitoring","label":"Inpatient flap monitoring, drain care, and mobilization","after":{"min":0,"max":6,"unit":"days","qualifier":"After DIEP flap surgery: Uncomplicated stay; flap checks continue until discharge."}},{"code":"optional_refinement","label":"Optional contour or nipple-areola refinement","after":{"min":90,"max":180,"unit":"days","qualifier":"After DIEP flap surgery: Conditional, not mandatory; timing depends on healing, swelling, and any adjuvant therapy."}}],"qualifier":"Primary numbers cover only the single DIEP operation. Later refinements are optional, and implant-based reconstruction is outside this profile."},"success":{"metric":"Early flap survival without total flap loss","value":97,"unit":"percent","horizon":"During the initial hospital stay and first weeks","population":"Adults after unilateral DIEP free-flap breast reconstruction in specialist microsurgical centers","evidence_status":"limited"},"techniques":[{"name":"Unilateral DIEP free-flap breast reconstruction (primary profile)","suits_whom":"Patients with enough lower abdominal tissue and suitable perforator vessels who want autologous reconstruction after mastectomy.","recovery":"Several inpatient nights with flap monitoring; ordinary functional recovery takes several weeks."},{"name":"Alternative: implant or tissue expander-based reconstruction (outside primary numbers)","suits_whom":"Patients with adequate skin envelope who prefer a shorter operation or no donor site.","recovery":"Shorter initial stay; may need expansion visits and later implant exchange."},{"name":"Alternative: other flaps (e.g., muscle-sparing TRAM, latissimus dorsi, thigh flaps) (outside primary numbers)","suits_whom":"Patients unsuitable for DIEP because of insufficient abdominal tissue or vessel anatomy.","recovery":"Varies by flap and donor site."},{"name":"Optional nipple-areola reconstruction and contour refinement (outside primary numbers)","suits_whom":"Patients who have healed after breast mound reconstruction and want nipple restoration or symmetry adjustment.","recovery":"Usually short procedures, often day-case; recovery is shorter than for the primary operation."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Operating time for uncomplicated unilateral DIEP with microvascular anastomosis; longer if combined with mastectomy or complicated by vessel problems."},"initial_assessment_documents":["Front, side and back photos of torso","Mastectomy operative and pathology reports","Oncology treatment summary with radiotherapy dates","Abdominal CT or MR angiography (if available)","Previous abdominal surgery history and scars"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single DIEP operation; about 2-3 weeks total for stay, drains and travel clearance. Follow-ups can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how many reconstructive breast surgeries the surgeon has performed","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/breast/breast-reconstruction/selecting-surgeon","host":"theaestheticsociety.org","quote":"How many reconstructive breast surgeries have you performed?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask whether the surgeon has before and after photos of breast reconstruction procedures you can see","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/breast/breast-reconstruction/selecting-surgeon","host":"theaestheticsociety.org","quote":"Do you have before and after photos of breast reconstruction procedures that I can see?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you have two consultations with the treating 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