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хірургія","alias":"post-bariatric-plastic-surgery","use_for_listing":true},"country_price":{"UA":{"amount":3200,"max_amount":6500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":9500,"max_amount":22000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3500,"max_amount":6500,"currency":"USD","clinic_count":13,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":4700,"max_amount":9500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"PL":{"amount":3800,"max_amount":8500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":true,"PL":true,"KR":false,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"CH":true,"CP":true,"EG":true},"description":"<p>Операція допомагає змінити форму тіла після значного схуднення, позбавитися від зайвої шкіри, покращити форму та впевненість у собі.</p>"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":21,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":2},"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":14,"max":42,"unit":"days","qualifier":"Desk work after about 2-3 weeks for a single abdominal procedure; physical jobs take 6 weeks or more."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any complication within 90 days, mostly minor wound problems and seroma; serious ones under 10%."},"contraindications":["Unstable weight or ongoing active weight loss","Significant uncorrected nutritional deficiencies (protein, iron, vitamins)","Active smoking or nicotine use; must usually stop beforehand","Uncontrolled conditions, e.g., poorly controlled diabetes, heart or lung disease","Active infection or open skin wounds in operative area","Unrealistic expectations or untreated significant psychiatric conditions","Pregnancy or planned pregnancy in the near term (relative)","High thromboembolic risk without adequate assessment and prophylaxis (relative)"],"days_in_clinic":{"min":2,"max":4,"unit":"nights","qualifier":"Inpatient stay for abdominoplasty or panniculectomy with drains; longer if combined with other areas."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":8,"unit":"weeks","qualifier":"Light walking early; strenuous or core exercise after surgeon clearance once wound healing is complete."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling resolves and scars mature gradually; scar maturation can continue up to 18 months."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After drain removal and wound check; depends on thrombosis risk and surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":3,"max":7,"unit":"days","qualifier":"First dressing change and drain review before leaving the destination."},"requirement":"routine"},{"purpose":"other","after":{"min":7,"max":14,"unit":"days","qualifier":"Drain removal once output is low, often within the first two weeks."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":10,"max":21,"unit":"days","qualifier":"Removal of non-dissolving sutures or skin closures, if used."},"requirement":"conditional"},{"purpose":"result_review","after":{"min":90,"max":180,"unit":"days","qualifier":"Remote or in-person review of healing, scars and contour."},"requirement":"routine"}],"indications":["Hanging skin after massive weight loss causing functional problems","Recurrent skin irritation, rashes or infections within skin folds (intertrigo)","Hygiene, clothing or mobility difficulty from skin excess (e.g., pannus)","Contour deformities of abdomen, breasts, arms, thighs, back or buttocks"],"main_risks":["Wound healing problems, dehiscence and skin necrosis","Seroma and hematoma","Infection","Visible or widened scars","Venous thromboembolism and pulmonary embolism","Contour irregularities, asymmetry, residual laxity","Changes in skin sensation","Need for revision surgery","Anesthesia-related risks"],"pain":"Moderate to significant postoperative pain and tightness is usual in the first days, generally controlled with prescribed analgesia, and then gradually decreases; intensity depends on which areas are treated.","preparation":["Confirm stable weight for several months; review nutrition","Preoperative medical assessment and laboratory tests","Stop smoking/nicotine well in advance","Optimise chronic conditions such as diabetes","Review medications and supplements with the surgeon","Fasting before general anesthesia","Arrange post-operative help at home and compression garments"],"recovery_timeline":[{"phase":"Hospital stay (days 0-4)","description":"Monitoring, pain control, drains in place, early walking in a bent-forward posture.","restrictions":["No lifting","Walk with assistance","Wear 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Scars are permanent.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Secondary scar or contour revision surgery after abdominal procedure within 1-2 years."},"scars":"Permanent scars are expected, often long (e.g., hip-to-hip abdominal, circumferential trunk, arm or thigh scars); their position is planned to be concealable by clothing, but they may widen or become hypertrophic.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation for a single body area; other areas need separate staged surgeries."},"stages":[{"code":"abdominal_surgery","label":"Abdominoplasty or panniculectomy","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of admission."}}],"qualifier":"Post-bariatric contouring is usually staged by body area; this protocol covers one area."},"success":{"metric":"Patient satisfaction with contour and skin excess removal","value":85,"unit":"percent satisfied","horizon":"12 months","population":"Stable-weight adults after massive weight loss undergoing abdominoplasty or panniculectomy","evidence_status":"limited"},"techniques":[{"name":"Abdominoplasty / panniculectomy (including fleur-de-lis)","suits_whom":"Patients with abdominal skin apron or pannus after massive weight loss.","recovery":"Typically the more demanding trunk procedure; recovery over several weeks with drains and compression garment."},{"name":"Circumferential lower body lift","suits_whom":"Patients with excess skin around the trunk, hips, buttocks and lower back.","recovery":"Extended recovery; often involves inpatient stay and several weeks of restricted activity."},{"name":"Brachioplasty (arm lift)","suits_whom":"Patients with hanging skin of the upper arms.","recovery":"Usually a few weeks of limited arm activity; scar along the inner arm."},{"name":"Medial thigh lift","suits_whom":"Patients with excess skin of the inner thighs.","recovery":"Several weeks of restricted activity; wound healing issues are relatively common."},{"name":"Mastopexy / breast reshaping after weight loss","suits_whom":"Patients with breast ptosis and volume loss after weight loss, with or without implant or autologous augmentation.","recovery":"Usually a few weeks of restricted activity."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operative time for abdominoplasty or panniculectomy; longer with fleur-de-lis pattern or combined procedures."},"initial_assessment_documents":["Front, side and back full-body photos","Close-up photos of target areas","Bariatric surgery report with date","Recent blood tests including hemoglobin and albumin","Reports of chronic conditions and current medication list"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Staged by body area; one trip fits one or two procedures, 10-14 days. Further areas need another trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the clinician's qualifications and the facility's credentials before booking","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the facility is accredited; accreditation requires meeting published standards","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Accrediting groups, including Joint Commission International, DNV GL International Accreditation for Hospitals, and the International Society for Quality in Healthcare, have lists of standards that healthcare facilities need to meet to be accredited.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry 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":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Staff cannot communicate with you in a language you speak well","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Receiving care at a facility where you do not speak the language fluently could lead to misunderstandings about your care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","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}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","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":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding or drainage at the incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21525-body-countouring","host":"my.clevelandclinic.org","quote":"Bleeding, drainage, redness or swelling at the incision site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Persistent swelling in the legs","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/surgery-after-significant-weight-loss","host":"my.clevelandclinic.org","quote":"Persistent swelling in the legs","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Fever higher than 100.5 degrees Fahrenheit","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21525-body-countouring","host":"my.clevelandclinic.org","quote":"Fever higher than 100.5 degrees Fahrenheit.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"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 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activities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"brachioplasty","name":"Brachioplasty (arm lift)","how_it_works":{"text":"Removes hanging skin and fat from the upper arms","source":{"url":"https://www.plasticsurgery.org/news/blog/how-to-prepare-for-post-weight-loss-body-contouring-surgery","host":"plasticsurgery.org","quote":"Removes hanging skin and fat from the upper arms.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"medial-thigh-lift","name":"Medial thigh lift","how_it_works":{"text":"Removes excess skin and fat from the upper, inner thighs","source":{"url":"https://www.plasticsurgery.org/news/blog/how-to-prepare-for-post-weight-loss-body-contouring-surgery","host":"plasticsurgery.org","quote":"Thigh lift Removes excess skin and fat from the upper, inner thighs.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"mastopexy","name":"Mastopexy / breast reshaping after weight loss","how_it_works":{"text":"Removes excess skin while reshaping and lifting the breasts","source":{"url":"https://www.plasticsurgery.org/news/blog/how-to-prepare-for-post-weight-loss-body-contouring-surgery","host":"plasticsurgery.org","quote":"Removes excess skin and reshapes and lifts the breasts for an improved 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