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і зменшити дискомфорт.</p>"},"938":{"operation":{"name":"Капсулотомія молочної залози","alias":"breast-capsulectomy","use_for_listing":true},"country_price":{"UA":{"amount":1800,"max_amount":3300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":6500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3000,"max_amount":4500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":4800,"max_amount":8000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1500,"max_amount":5600,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"US":false,"TR":true,"DE":false,"TH":true},"description":"<p>Процедура передбачає хірургічне видалення рубцевої тканини навколо грудного імплантату, покращуючи комфорт і зовнішній вигляд.</p>"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":5,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Ergin Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"Відзначений нагородами з пластичної хірургії обличчя та тіла; 1-е місце у конкурсі Турецького товариства пластичних хірургів.","linkedin":"","specialities":[{"id":"pls.001","name":"Пластичний хірург","illness_kind_id":38}]},"direction":{"id":38,"name":"Пластична хірургія","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":5,"max":14,"unit":"days","qualifier":"Desk work after typical implant exchange, with or without capsulectomy; longer for physical jobs or extensive revision."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any early or late complication after implant exchange, e.g. hematoma, infection, seroma, recurrent contracture, malposition; serious ones few."},"contraindications":["Pregnancy or breastfeeding","Active breast or systemic infection","Untreated or suspected breast cancer","Uncontrolled medical conditions making general anesthesia unsafe","Active smoking or nicotine use (relative)","Untreated body dysmorphic disorder","Bleeding disorders or anticoagulation not manageable perioperatively (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typical implant exchange with or without capsulectomy; usually same-day discharge, occasionally one night."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Gradual return to strenuous upper-body exercise as cleared by the surgeon; light walking earlier."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolution and implant settling after typical implant exchange; capsulectomy cases may take longer."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Usually after the first check at about 1 week, if pain is controlled and no wound concerns. Walk during flight."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check, drain/dressing review if used."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"Check of healing and implant position."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of the settled result."}}],"indications":["Capsular contracture","Implant rupture or deflation","Implant malposition, displacement or bottoming out","Visible rippling or breast asymmetry","Persistent pain or complications related to implant","Implant age or recall-related replacement"],"main_risks":["Bleeding or hematoma","Infection","Seroma","Recurrent capsular contracture","Implant malposition or asymmetry","Changes in nipple or breast sensation","Scarring","Wound-healing problems or tissue thinning","Need for further surgery","Anesthesia-related risks"],"pain":"Moderate discomfort and tightness for the first several days, controlled with oral analgesics; usually less than primary submuscular augmentation unless the implant is moved to a new pocket.","preparation":["Consultation reviewing previous implant details and goals","Ultrasound or MRI to check implant integrity if indicated","Routine preoperative health assessment and labs as needed","Stop smoking and nicotine before surgery","Fasting before general anesthesia","Arrange adult companion and help at home","Review medications and supplements with surgeon"],"recovery_timeline":[{"phase":"Days 0-3","description":"Rest, dressings or support bra, swelling and soreness; drain possible if capsulectomy performed.","restrictions":["No driving until off opioid analgesics","Avoid lifting arms overhead and heavy objects"]},{"phase":"Days 4-14","description":"Pain subsides, return to light daily activities and desk work.","restrictions":["No heavy lifting","Wear support bra as instructed"]},{"phase":"Weeks 2-6","description":"Swelling decreases; gradual increase in activity, return to exercise toward the end.","restrictions":["Avoid strenuous upper-body exercise until cleared","Avoid pressure on the chest"]},{"phase":"Months 3-6","description":"Implants settle and final shape becomes evident.","restrictions":[]}],"rehabilitation_days":{"min":5,"max":10,"unit":"days","qualifier":"Time to ordinary light activities after implant exchange. Strenuous activity and heavy lifting take longer."},"result_longevity":"Implants are not lifetime devices; durability varies with implant type, capsule status and tissue changes, and further revision may eventually be needed.","revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Further reoperation within about 3 years, mostly for recurrent capsular contracture, malposition or size dissatisfaction."},"scars":"Usually through the existing scar (inframammary, periareolar or other prior incision), so typically no major new scar; existing scars may be revised or widen.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for typical implant exchange; staged surgery is exceptional."},"stages":[{"code":"revision_surgery","label":"Implant removal/exchange with pocket management as needed","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Typical uncomplicated standalone revision with implant exchange."},"success":{"metric":"Freedom from recurrent capsular contracture or reoperation","value":85,"unit":"percent of patients","horizon":"2-3 years","population":"Adults undergoing implant exchange with or without capsulectomy for contracture, rupture or size change","evidence_status":"limited"},"techniques":[{"name":"Implant exchange through existing incision","suits_whom":"Patients wanting a size/type change or with a ruptured implant and a satisfactory pocket.","recovery":"Usually 1-2 weeks to return to light activity."},{"name":"Capsulectomy or capsulotomy with implant replacement","suits_whom":"Patients with capsular contracture.","recovery":"Slightly longer swelling; drains may be used."},{"name":"Pocket modification (capsulorrhaphy, neopectoral or plane change)","suits_whom":"Patients with malposition or bottoming out.","recovery":"Often 2-4 weeks of more restricted activity."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Both breasts, typical implant exchange with or without capsulectomy; longer for complex pocket reconstruction."},"initial_assessment_documents":["Front, side and oblique photos of the breasts","Original breast augmentation operative report","Implant type, size and manufacturer card","Breast ultrasound or MRI report","Mammogram report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until the first postoperative check, later reviews done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the surgeon what specific training they have in breast implant revision techniques","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal/questions","host":"plasticsurgery.org","quote":"What specific training do you have in breast implant revision techniques?","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","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal/questions","host":"plasticsurgery.org","quote":"Do you have hospital privileges to perform this procedure?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check whether follow-up care is scheduled at the same facility where the procedure is performed","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":"Check that the surgeon you consult with will be the same person who carries out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check the qualifications of the medical team that will treat you","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":"Have you checked the qualifications of the medical team treating you?","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":"Official-sounding boards or certifications in marketing can be misleading","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/surgeon","host":"plasticsurgery.org","quote":"Do not be confused by other official-sounding boards and certifications.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Pressure to decide quickly, or cheap time-limited offers, is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-12","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":"2026-11-12","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 the home doctor treatment details and future care needs","document":"discharge letter for gp","source":{"url":"https://www.nhs.uk/using-the-nhs/nhs-services/hospitals/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 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 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":"T4","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 want the implants removed rather than replaced","name":"Breast implant removal","source":{"url":"https://www.isaps.org/discover/patients-home/procedures/breast-procedures/breast-implant-removal/","host":"isaps.org","quote":"Breast implant removal, also known as explantation, is a surgical procedure to remove previously placed breast implants.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":913}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"implant-exchange-through","name":"Implant exchange through existing incision","how_it_works":{"text":"Old implants are swapped for new ones","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision","host":"plasticsurgery.org","quote":"The goal of breast implant revision surgery is to replace old breast implants with new implants.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"capsulectomy","name":"Capsulectomy or capsulotomy with implant replacement","how_it_works":{"text":"The scar capsule around the implant is partly removed or released","source":{"url":"https://www.healthline.com/health/capsulectomy","host":"healthline.com","quote":"During capsulotomy surgery, the capsule is partially removed or released.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"pocket-modification","name":"Pocket modification (capsulorrhaphy, neopectoral or plane change)","how_it_works":{"text":"The implant is repositioned to a new location in the breast","source":{"url":"https://my.clevelandclinic.org/health/treatments/21724-breast-implants","host":"my.clevelandclinic.org","quote":"Additional surgeries may include implant removal/replacement, removing scar tissue or repositioning an implant.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"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=germany/city=gamburg/procedure=operacia-po-zamene-grudnyh-implantov/"}],"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":104},"manualSeo":[],"updatedAt":"2026-11-15T03:25:09.000Z","activeCountries":["DE","TR","UA","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}