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Ich habe mich bei einem wunderbaren DOKTOR Pasichnik Andrey Valerievich angemeldet. Ich war erstaunt über das hohe Maß an Professionalität und Intelligenz des Arztes, davor war ich bei vielen plastischen Chirurgen und von den ersten Minuten an war klar, dass dies ein Geschäft ist und nichts weiter ) Ich sah zuerst einen plastischen Chirurgen, der mich sogar in gewisser Weise von der Operation abriet und mich sofort vor all den Minuspunkten und Nuancen warnte, auf die ich vorbereitet sein müsste. Trotz der Tatsache, dass Andrei Valeryevich viele Stunden vor meiner Konsultation eine komplexe Operation hatte, führte er die Operation so effizient und effektiv wie möglich durch.","en":"The theater begins with a hanger, I was greeted very, very friendly, tea, coffee, rafalo) From the first minutes you get into an atmosphere where you are loved and expected, there is no this strange feeling that you already owe something. 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gradually improves over 1-2 weeks.","preparation":["Consultation with breast examination, measurements and implant sizing","Preoperative blood tests and medical evaluation","Mammography or breast ultrasound where age or risk warrants","Stop smoking/nicotine in advance as advised by the surgeon","Fasting before general anesthesia","Review of current medications and supplements with the surgeon","Arrange transport and help at home for the first days","Purchase a supportive surgical bra"],"recovery_timeline":[{"phase":"Days 0-3","description":"Rest, swelling and tightness; dressings and supportive bra in place, drains rarely used.","restrictions":["No heavy lifting","Avoid raising arms above shoulder height","Sleep on the back with head elevated"]},{"phase":"Days 4-14","description":"Pain and swelling decrease; return to light daily activity and desk work; first review.","restrictions":["No lifting over a few kilograms","No driving while on strong painkillers","Wear the supportive bra continuously"]},{"phase":"Weeks 2-6","description":"Gradual return to normal activity; 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routine follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient satisfaction with breast augmentation result","value":90,"unit":"percent satisfied","horizon":"1-2 years after surgery","population":"Adult women undergoing primary cosmetic augmentation with anatomical implants","evidence_status":"limited"},"techniques":[{"name":"Inframammary fold incision with submuscular (dual-plane) placement","suits_whom":"Most patients, especially those with thin tissue coverage; common for anatomical implants.","recovery":"Somewhat more discomfort initially, with lower capsular contracture risk; implant settles over several months."},{"name":"Inframammary incision with subglandular placement","suits_whom":"Patients with adequate breast tissue coverage and no need for extra muscle support.","recovery":"Often less early pain, but implant edges may be more visible."},{"name":"Periareolar incision","suits_whom":"Selected patients with suitable areola size who prefer a less visible scar.","recovery":"Similar overall recovery; slightly higher sensation change and scar considerations."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Operating time for bilateral primary augmentation with anatomical implants, excluding anesthesia preparation and recovery."},"initial_assessment_documents":["Front, side and oblique chest photos","Recent mammogram or breast ultrasound (if available)","Recent preoperative blood test results","List of blood thinners and supplements"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay 5-10 days until first wound check and dressing review. Later reviews usually done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether a breast lift is also needed, because augmentation does not correct severely drooping breasts","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation","host":"plasticsurgery.org","quote":"Breast augmentation does not correct severely drooping breasts.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the surgical facility meets recognized accreditation standards","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation//surgeon","host":"plasticsurgery.org","quote":"Perform surgery in accredited, state-licensed or Medicare-certified surgical facilities","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":"Clinic promises augmentation alone will fix severely drooping breasts","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation","host":"plasticsurgery.org","quote":"Breast augmentation does not correct severely drooping breasts.","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":"Pus or abnormal discharge from the incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/breast-augmentation","host":"my.clevelandclinic.org","quote":"Abnormal discharge, such as pus, from your incision site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Breast enlargement or firmness with pain and pressure","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/breast-augmentation","host":"my.clevelandclinic.org","quote":"Increasing enlargement, or firmness, of one or both of your breasts that’s associated with pain and pressure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Rupture of the stitches","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/breast-augmentation","host":"my.clevelandclinic.org","quote":"Rupture of your stitches.","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 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":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want volume from fat taken from another body part","name":"Fat transfer breast augmentation","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation","host":"plasticsurgery.org","quote":"When fat from another part of the patient's body is used to create the improved breast volume, the procedure is referred to as fat transfer breast augmentation .","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"inframammary-fold-incision","name":"Inframammary fold incision with submuscular (dual-plane) placement","how_it_works":{"text":"The implant is placed under the chest muscle, lowering capsular contracture risk","source":{"url":"https://www.uclahealth.org/medical-services/surgery/plastic-surgery/cosmetic-services/breast-augmentation","host":"uclahealth.org","quote":"The principle advantage of subpectoral placement is that it statistically lowers the risk of capsular contracture.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"inframammary-incision","name":"Inframammary incision with subglandular placement","how_it_works":{"text":"The implant sits behind breast tissue and over the pectoral muscle","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation/procedure","host":"plasticsurgery.org","quote":"Directly behind the breast tissue, over the pectoral muscle (a submammary/subglandular placement)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"periareolar-incision","name":"Periareolar incision","how_it_works":{"text":"The incision follows the edge of the areola","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation/procedure","host":"plasticsurgery.org","quote":"along the areolar edge (peri-areolar incision), the fold under the breast (inframammary fold) and in the armpit (axillary incision).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=ukraine/city=odessa/procedure=uvelicenie-grudi-kaplevidnymi-implantami/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}