————Информированное согласие на уменьшение груди
Информированное согласие на уменьшение груди
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СОГЛАСИЕ ПАЦИЕНТА НА ОПЕРАЦИЮ УМЕНЬШЕНИЯ МОЛОЧНЫХ ЖЕЛЕЗ
Цель данного документа - предоставить пациенту до подтверждения им согласия на операцию полную информацию об особенностях послеоперационного периода и осложнениях, которые могут возникать при данном виде лечения.
Ф. И. О. Пациента
1. Я уполномочиваю доктора (далее - Врача) и его ассистентов выполнить мне операцию уменьшения молочных желез.
2. Содержание и результаты операции, возможные опасности и осложнения, а также возможности альтернативных методов лечения мне полностью объяснены Врачом, и я их полностью поняла. Особенно важными и полностью ясными для меня являются следующие положения об особенностях послеоперационного периода:
а) после операции на коже останутся постоянные рубцы, качество которых нельзя предсказать абсолютно точно, так как процессы формирования рубцов носят индивидуальный характер.
б) идеальная симметрия сосков, ареол и молочных желез не может быть достигнута, хотя это и является одной из задач операции;
в) чувствительность сосков, ареол и молочных желез, как правило, снижается с последующим медленным улучшением; в некоторых случаях она утрачивается полностью;
г) медицинской наукой установлено, что данная операция не оказывает влияния на частоту возникновения рака молочной железы;
д) отек и кровоизлияния могут сохраняться в области операции в течение нескольких недель; пройдут несколько месяцев до того момента, когда после операции грудь примет окончательную форму.
3. После операции возможно развитие любых общехирургических осложнений (нагноение раны, кровотечение, тромбофлебит, тромбоэмболия, образование келоидных рубцов и др.), а также следующих осложнений, характерных для данной операции:
а) в очень редких случаях после операции кровоснабжение одного или двух сосков и ареол может стать недостаточным, что приводит к их частичному или полному некрозу (омертвению); это осложнение может потребовать проведения более поздней реконструкции.
б) операция снижает возможность грудного кормления;
в) хотя будет сделано все возможное для восстановления желаемой формы и внешнего вида каждой молочной железы, идеальная форма, как правило, не достигается;
4. Я понимаю, что практическая хирургия - это не точная наука и что даже авторитетный специалист не может дать стопроцентную гарантию успеха лечения. Поэтому Врач, так же как и любой другой хирург, не может мне гарантировать достижение отличного результата.
5. Я понимаю, что две половины человеческого тела всегда имеют различия в форме и размерах и эти различия остаются после операции.
6. Мне неизвестно о моей повышенной чувствительности к медикаментам, кроме
Я удостоверяю, что Я ознакомилась с приведенной выше информацией, что полученные мной объяснения меня полностью удовлетворяют и что Я полностью понимаю назначение данного документа, и подтверждаю свое согласие на операцию.
Пациент:__________ Дата: _____________
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[3] => Array
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[TEXT] => Показания к подтяжке груди
[LINK] => /plastika-grudi/podtyazhka-grudi/pokazaniya-k-podtyazhke-grudi/
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[4] => Array
(
[TEXT] => Противопоказания к подтяжке груди
[LINK] => /plastika-grudi/podtyazhka-grudi/protivopokazaniya-k-podtyazhke-grudi/
[SELECTED] =>
[PERMISSION] => R
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[3] => Array
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[TEXT] => Уменьшение груди
[LINK] => /plastika-grudi/umenshenie-grudi/
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[PERMISSION] => R
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(
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[ITEM_INDEX] => 26
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[IS_PARENT] => 1
[CHILD] => Array
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[0] => Array
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[TEXT] => Договор на уменьшение груди
[LINK] => /plastika-grudi/umenshenie-grudi/dogovor-na-umenshenie-grudi/
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[PERMISSION] => R
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[1] => Array
(
[TEXT] => Информированное согласие на уменьшение груди
[LINK] => /plastika-grudi/umenshenie-grudi/informirovannoe-soglasie-na-umenshenie-grudi/
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[1] => Array
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[TEXT] => Пластика лица
[LINK] => /plastika-lica/
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[ADDITIONAL_LINKS] => Array
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)
[ITEM_TYPE] => D
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[CHILD] => Array
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[0] => Array
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[TEXT] => Блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/
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[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
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[0] => Array
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[TEXT] => Договор на блефаропластику
[LINK] => /plastika-lica/blefaroplastikaplastika/dogovor-na-blefaroplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[1] => Array
(
[TEXT] => Информированное согласие на блефаропластику
[LINK] => /plastika-lica/blefaroplastikaplastika/informirovannoe-soglasie-na-blefaroplastiku/
[SELECTED] =>
[PERMISSION] => R
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[TEXT] => Золотые нити (нитевой лифтинг)
[LINK] => /plastika-lica/zolotie-niti/
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[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[ITEM_TYPE] => D
[ITEM_INDEX] => 33
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[CHILD] => Array
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[0] => Array
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[TEXT] => Договор на нитевой лифтинг
[LINK] => /plastika-lica/zolotie-niti/dogovor-na-nitevoy-lifting/
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[PERMISSION] => R
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[1] => Array
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[TEXT] => Информированное согласие на нитевой лифтинг
[LINK] => /plastika-lica/zolotie-niti/informirovannoe-soglasie-na-nitevoy-lifting/
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[PERMISSION] => R
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[2] => Array
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[TEXT] => Ментопластика
[LINK] => /plastika-lica/mentoplastika/
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[PERMISSION] => R
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(
)
[ITEM_TYPE] => D
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[CHILD] => Array
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[0] => Array
(
[TEXT] => Договор на отопластику ментопластику
[LINK] => /plastika-lica/mentoplastika/dogovor-na-otoplastiku-mentoplastiku/
[SELECTED] =>
[PERMISSION] => R
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[3] => Array
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[TEXT] => Отопластика
[LINK] => /plastika-lica/otoplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 38
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[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
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[TEXT] => Договор на отопластику
[LINK] => /plastika-lica/otoplastika/dogovor-na-otoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[IS_PARENT] => 0
[PICTURE] => 4916
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[DEPTH_LEVEL] => 3
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[1] => Array
(
[TEXT] => Информированное согласие на отопластику
[LINK] => /plastika-lica/otoplastika/informirovannoe-soglasie-na-otoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[ITEM_TYPE] => D
[ITEM_INDEX] => 40
[PARAMS] => Array
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[UF_TOP_SEO] =>
[ICON] =>
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[IS_PARENT] => 0
[PICTURE] => 4917
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[DEPTH_LEVEL] => 3
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)
)
[4] => Array
(
[TEXT] => Пластика лба
[LINK] => /plastika-lica/plastika-lba/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 41
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[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
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[TEXT] => Договор на пластику лба
[LINK] => /plastika-lica/plastika-lba/dogovor-na-plastiku-lba/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[ITEM_TYPE] => D
[ITEM_INDEX] => 42
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[IS_PARENT] => 0
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[1] => Array
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[TEXT] => Информированное согласие на пластику лба
[LINK] => /plastika-lica/plastika-lba/informirovannoe-soglasie-na-plastiku-lba/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
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[ITEM_TYPE] => D
[ITEM_INDEX] => 43
[PARAMS] => Array
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[IS_PARENT] => 0
[PICTURE] => 4920
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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)
)
[5] => Array
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[TEXT] => Ринопластика
[LINK] => /plastika-lica/rinoplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 44
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[CHILD] => Array
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[0] => Array
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[TEXT] => Договор на ринопластику
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[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[1] => Array
(
[TEXT] => Информированное согласие на ринопластику
[LINK] => /plastika-lica/rinoplastika/informirovannoe-soglasie-na-rinoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
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[ITEM_INDEX] => 46
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[PICTURE] => 4923
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)
)
[6] => Array
(
[TEXT] => Фейслифтинг
[LINK] => /plastika-lica/feslifting/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 47
[PARAMS] => Array
(
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[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
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[TEXT] => Договор на фейслифтинг
[LINK] => /plastika-lica/feslifting/dogovor-na-feyslifting/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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)
[ITEM_TYPE] => D
[ITEM_INDEX] => 48
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[PICTURE] => 4925
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[1] => Array
(
[TEXT] => Информированное согласие на фейслифтинг
[LINK] => /plastika-lica/feslifting/informirovannoe-soglasie-na-feyslifting/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 49
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(
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[PICTURE] => 4926
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[DEPTH_LEVEL] => 3
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)
)
)
[2] => Array
(
[TEXT] => Пластика тела
[LINK] => /plastika-tela/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 50
[PARAMS] => Array
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[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
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[PICTURE] => 4927
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[DEPTH_LEVEL] => 1
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Абдоминопластика
[LINK] => /plastika-tela/abdominoplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 51
[PARAMS] => Array
(
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[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Договор на абдоминопластику
[LINK] => /plastika-tela/abdominoplastika/dogovor-na-abdominoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
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[ITEM_TYPE] => D
[ITEM_INDEX] => 52
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[PICTURE] => 4929
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[1] => Array
(
[TEXT] => Информированное согласие на абдоминопластику
[LINK] => /plastika-tela/abdominoplastika/informirovannoe-soglasie-na-abdominoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
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[ITEM_INDEX] => 53
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[IS_PARENT] => 0
[PICTURE] => 4930
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[DEPTH_LEVEL] => 3
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)
)
)
[1] => Array
(
[TEXT] => Глютеопластика
[LINK] => /plastika-tela/gluteoplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 54
[PARAMS] => Array
(
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[UF_TOP_SEO] =>
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[PICTURE] => 5200
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[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Договор на глютеопластику
[LINK] => /plastika-tela/gluteoplastika/dogovor-na-glyuteoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 55
[PARAMS] => Array
(
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[UF_TOP_SEO] =>
[ICON] =>
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[IS_PARENT] => 0
[PICTURE] => 4932
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[1] => Array
(
[TEXT] => Информированное согласие на глютеопластику
[LINK] => /plastika-tela/gluteoplastika/informirovannoe-soglasie-na-glyuteoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
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[ITEM_INDEX] => 56
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[DEPTH_LEVEL] => 3
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)
)
[2] => Array
(
[TEXT] => Круропластика
[LINK] => /plastika-tela/kruroplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 57
[PARAMS] => Array
(
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[UF_TOP_SEO] =>
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[TRANSPARENT_PICTURE] =>
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[PICTURE] => 5201
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Возможные осложнения после круропластики
[LINK] => /plastika-tela/kruroplastika/vozmozhnye-oslozhneniya-posle-kruroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
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О докторе
За 20 лет в пластической хирургии я выполнил сотни различных операций и выработал собственный подход и техники их исполнения.
