Turan Turan Health Group est un centre de chirurgie robotique et d'orthopédie situé à Bursa, en Turquie, avec plus de 25 ans d'expérience. Il est spécialisé dans le remplacement articulaire robotisé et la chirurgie de la colonne vertébrale mini-invasive. La clinique traite environ 18 000 patients chaque année.
Turan Turan Health Group est un centre de chirurgie robotique et d'orthopédie situé à Bursa, en Turquie, avec plus de 25 ans d'expérience. Il est spécialisé dans le remplacement articulaire robotisé et la chirurgie de la colonne vertébrale mini-invasive. La clinique traite environ 18 000 patients chaque année.
La chirurgie de reconstruction mammaire à l'hôpital Medicana Bursa peut coûter environ 16 000 $, couvrant généralement les diagnostics préopératoires, l'intervention, un séjour de 3 nuits, les médicaments et les soins postopératoires. Le forfait tout compris inclut également les transferts, les services de traduction et l'assistance hôtelière. Faisant partie du Medicana Health Group, cet établissement de 300 lits dispose de 8 salles d'opération et de 58 lits de soins intensifs. L'hôpital est situé au centre de Bursa, avec un accès facile aux stations de métro et aux zones commerciales.
","text_type":"mt_wow_description","best_texts":{"techniques":"Chirurgie de reconstruction mammaire","good_fit_for":"Patientes atteintes d'un cancer nécessitant une reconstruction","why_its_ranked":"Cet établissement propose une prise en charge oncologique multidisciplinaire s'appuyant sur des techniques chirurgicales de pointe. Il offre un traitement complet incluant la chirurgie du cancer du sein et la reconstruction."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":1313,"alias":"medicana-bursa-hospital","name":"Medicana Bursa Hospital","short_description":"L'hôpital Medicana Bursa est le 13e hôpital du réseau Medicana Health Group. Il est spécialisé en oncologie, chirurgie générale et oncologie gynécologique. Ouvert en 2017, il sert d'hôpital de référence régional pour Bursa et les provinces voisines.
Le Dr Hasan Ofluoglu apporte _doctor_6805_years_ d'expertise en chirurgie mammaire au Private Medicabil Hospital, se spécialisant dans les procédures complètes de reconstruction mammaire. Son parcours comprend une formation avancée en chirurgie générale avec un accent sur les chirurgies mammaires et les troubles métaboliques.
L'hôpital privé Medicabil est un centre médical privé multispécialisé situé à Bursa, en Turquie. L'équipe se consacre à la neurochirurgie, à l'orthopédie, à la chirurgie de perte de poids et aux examens médicaux. Parmi les réalisations de la clinique figurent les taux de réussite :
L'hôpital privé Medicabil accueille aussi bien les adultes que les enfants. Chaque année, 215 508 patients choisissent l'hôpital privé Medicabil pour se faire soigner. Les patients des Balkans, des États de la Ligue arabe et des pays russophones visitent le plus souvent la clinique.
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\nSes travaux scientifiques comprennent une présentation orale au Congrès national de la Société turque de chirurgie plastique, reconstructrice et esthétique en 2022 intitulée \"Analyse rétrospective des lambeaux régionaux, libres et locaux dans la reconstruction de la tête et du cou\". Il a également rédigé une thèse sur l'effet de l'utilisation du lambeau septocolumellaire sur la projection de la pointe nasale en rhinoplastie.
\nIl a suivi des formations en ISAPS Live Surgery Rhinoplasty, au Congrès mondial ISAPS 2022 à Istanbul, en Bosphorus Breast Live Surgery, au 9e cours de rhinoplastie et d'esthétique faciale sur cadavres frais, au BTS International Aesthetic en Suède et lors des réunions FABCAST. Ses domaines de prédilection sont l'esthétique faciale, la chirurgie mammaire, le remodelage corporel et la reconstruction.
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Le Dr Hasan Ofluoglu est chirurgien généraliste à l'hôpital privé Medicabil de Bursa. Il se concentre sur la chirurgie de l'obésité et métabolique, la chirurgie de la thyroïde et les interventions mammaires. Il effectue des traitements spécialisés tels que le Botox gastrique et la pose de ballons gastriques. Le Dr Ofluoglu a publié de nombreux articles dans des revues scientifiques nationales et internationales.
L'hôpital privé Medicabil est un centre médical privé multispécialisé situé à Bursa, en Turquie. L'équipe se consacre à la neurochirurgie, à l'orthopédie, à la chirurgie de perte de poids et aux examens médicaux. Parmi les réalisations de la clinique figurent les taux de réussite :
L'hôpital privé Medicabil accueille aussi bien les adultes que les enfants. Chaque année, 215 508 patients choisissent l'hôpital privé Medicabil pour se faire soigner. Les patients des Balkans, des États de la Ligue arabe et des pays russophones visitent le plus souvent la clinique.
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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! 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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!"},"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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L'hôpital Memorial Şişli a été le premier établissement accrédité par la JCI en Turquie dès 2002, avec un complexe pluridisciplinaire de 53 000 m². Le forfait de vaginoplastie colique comprend les transferts aéroport, les examens préopératoires, l'intervention chirurgicale avec les médicaments standard et le suivi initial. L'hôpital accueille des patients internationaux avec une documentation multilingue et des services d'interprétariat, soignant des patients provenant de 167 pays.
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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 surgeon before any surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated before you agree to treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Cut-price campaigns or cheap offers for surgery are a warning sign","scope":"treatment_type","source":{"url":"https://bapras.org.uk/media-government/news-and-views/view/cut-it-out-surgery-societies-and-britain's-largest-surgical-royal-college-slam-summer-discounts","host":"bapras.org.uk","quote":"Surgery should never be subject to cut price campaigns or cheap offers, it is too important.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"A consultation only with sales staff, not the surgeon, is a warning sign","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":"A surgeon who cannot show before and after pictures of their work is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","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":"Gives your home doctor information about your treatment and future care needs","document":"discharge letter for gp","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital","host":"nhs.uk","quote":"You'll also be given a letter for your GP, providing information about your treatment and future care needs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","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":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Lets a doctor at home identify the breast implants you received","document":"implant registration card","source":{"url":"https://www.canada.ca/en/health-canada/services/drugs-medical-devices/breast-implants/what-to-know.html","host":"canada.ca","quote":"You should also receive a product registration card from your surgeon with information about the implant or implants.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You would rather not have reconstruction surgery after mastectomy","name":"Breast prosthesis","source":{"url":"https://my.clevelandclinic.org/health/articles/breast-reconstruction","host":"my.clevelandclinic.org","quote":"Instead, they wear a breast form (prosthesis) inside a special 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