—————Серома после увеличения груди
Серома после увеличения груди
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Одним из осложнений которое может возникнуть после операции это серома - скопление жидкости в области имплантационного кармана.
Частота возникновения серомы в раннем послеоперационном периоде 1-2%. С такой же примерно частотой серома по разным причинам может возникнуть и спустя много месяцев и даже лет со дня операции.
Каждая пластическая операция сопровождается значительным повреждением тканей и излитием крови и лимфы на раневую поверхность, а это создает благоприятную среду для микробов. Повреждение тканей или альтерация – первая стадия развития воспалительного процесса с последующим его развитием. Развитие воспалительного процесса является неизбежной стадией после хирургического вмешательства, с которым нужно бороться, чтобы избежать гнойного воспаления.
Серома представляет собой серозную жидкость, скапливающуюся вокруг имплантата. По сути серома представляет собой водную составляющую крови, которая состоит из плазмы с форменными элементами крови. Как правило, скапливание жидкости происходит в «зоне мертвого пространства», т.е. в том месте, которое остается после ушивания раны.
Пациенты, у которых повышена реактивность тканей, т.е. пациенты, страдающие заболеванием соединительной ткани и сахарным диабетом, относятся к группе риска образования сером.
Причины образования серомы после увеличения груди
Причины возникновения серомы могут зависеть как от пластического хирурга, так и от пациента.
- грубое выполнение операции с травматизацией мягких тканей;
- слишком большая полость для имплантата при отсутствии дренирования;
- несоблюдение пациенткой послеоперационного режима;
- преждевременное увеличение физических нагрузок;
- отказ от ношения компрессионного белья.
В некоторых случаях причины серомы установить нельзя, скопление жидкости начинается без видимой причины.
Серома может образоваться не только сразу после операции, но и через несколько месяцев или даже лет после операции. В таком случае причинами чаще бывают:
- Травма. Любой удар или хроническая травматизация при выполнении физических упражнений.
- Резкое переохлаждение при купании или проведении банных процедур.
Формирование серомы происходит вследствие реакции на травму или инородное тело. Мягкие ткани окружающие имплантат продуцируют жидкость, которая скапливается вокруг имплантата. В норме небольшое количество жидкости может быть, но ее никогда не бывает больше нескольких мл.
Симптомы серомы
Проявляется серома в виде асептического воспаления, выражающегося бурной реакцией тканей, окружающих имплантат. В состав серомы входят лейкоциты, эритроциты, макрофаги, тучные клетки, сыворотка крови из поврежденных венозных и лимфатических капилляров.
Клинические признаки серомы обычно проявляются на 2-3 сутки после операции в виде образования опухолевидной припухлости, флюктуации и повышения температуры. У пациентов могут появиться незначительные неприятные или болевые ощущения. Для подтверждения диагноза скопления жидкости необходимо сделать УЗИ.
Необходимо знать, что реакция на травму или инородное тело, выражающаяся в скоплении небольшого количества жидкости, является совершенно нормальным явлением и не считается осложнением. Осложнением оно становится лишь в том случае, когда реакция сильно выражена.
В большинстве случаев серозная жидкость спонтанно реабсорбируется. Но бывают редкие случаи, когда серома носит затяжной характер. В этих случаях необходимо периодическое проведение пункций, направленных на удаление избытков скопившейся жидкости.
На что обратить внимание пациенту!
Необходимо помнить, что имплантат это инородное тело, а значит всегда есть возможность гиперреакции окружающих тканей на него в независимости от прошедшего срока после операции.
Если Вы заметили:
- увеличение груди в объеме;
- одна грудь или даже обе стали вдруг более плотными;
- появление болезненности или неприятных ощущений;
- повышение температуры тела до 37,0-37,5 градусов Цельсия.
В этом случае надо срочно позвонить своему хирургу и не стоит рассчитывать, что все как-нибудь пройдет само. Помните, что чем раньше начать лечение, тем более вероятен успех.
Лечение осложнения серома
Серома легко устраняется с помощью откачивания жидкости шприцом через небольшой прокол.
В том случае, когда при пальпации хирург определяет наличие скопления жидкости в области раны, то необходимо проведение его удаления: для этого хирург снимает 1 или 2 кожных шва над инфильтратом, и, разведя края раны в стороны, выкачивается раневое содержимое.
Для профилактики дальнейшего скопления жидкости хирург устанавливает дренаж с активной аспирацией на несколько дней. В течение этих дней проводится усиленной лечение с назначением противовоспалительных и антибактериальных препаратов.
Лечение серомы должно проводиться как можно быстрее и не стоит рассчитывать на самоизлечение. Наиболее эффективно лечение в течение 2-3 дней с момента возникновения первых клинических признаков.
При эффективном лечении симптомы постепенно стихают и сходят на нет. Неприятные ощущения пропадают. Чаще всего, на этом все и заканчивается. Если лечение было начато поздно или не дало эффекта, то серома в итоге может нагноиться или, если серома возникла через много времени после операции, может сформироваться капсулярная контрактура. В этом случае, речь может идти о повторной операции.
Профилактика образования серомы
- бережно проводить операцию, избегать чрезмерной травматизации тканей;
- использование активной аспирации раневого отделяемого по Редону;
- ношение компрессионного трикотажа;
- проводить мероприятия направленные на повышение устойчивости организма к инфекции;
- соблюдение асептики во время и после операции;
- применение антибиотиков и противовоспалительных препаратов с целью профилактики серомы до и после операции.
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[LINK] => /plastika-grudi/podtyazhka-grudi/vozmozhnye-oslozhneniya-posle-podtyazhki-grudi/
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 1
[CHILD] => Array
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[0] => Array
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[TEXT] => Гематома после подтяжки груди
[LINK] => /plastika-grudi/podtyazhka-grudi/vozmozhnye-oslozhneniya-posle-podtyazhki-grudi/gematoma-posle-podtyazhki-grudi/
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[DEPTH_LEVEL] => 4
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[1] => Array
(
[TEXT] => Грубые рубцы после подтяжки груди
[LINK] => /plastika-grudi/podtyazhka-grudi/vozmozhnye-oslozhneniya-posle-podtyazhki-grudi/grubye-rubcy-posle-podtyazhki-grudi/
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[DEPTH_LEVEL] => 4
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[2] => Array
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[TEXT] => Нагноение после подтяжки груди
[LINK] => /plastika-grudi/podtyazhka-grudi/vozmozhnye-oslozhneniya-posle-podtyazhki-grudi/nagnoenie-posle-podtyazhki-grudi/
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[DEPTH_LEVEL] => 4
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)
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[1] => Array
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[TEXT] => Договор на подтяжку груди
[LINK] => /plastika-grudi/podtyazhka-grudi/dogovor-na-podtyazhku-grudi/
[SELECTED] =>
[PERMISSION] => R
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[IS_PARENT] => 0
[PICTURE] => 4900
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[2] => Array
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[TEXT] => Информированное согласие на подтяжку груди
[LINK] => /plastika-grudi/podtyazhka-grudi/informirovannoe-soglasie-na-podtyazhku-grudi/
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[DEPTH_LEVEL] => 3
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[3] => Array
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[TEXT] => Показания к подтяжке груди
[LINK] => /plastika-grudi/podtyazhka-grudi/pokazaniya-k-podtyazhke-grudi/
[SELECTED] =>
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[IS_PARENT] => 0
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[4] => Array
(
[TEXT] => Противопоказания к подтяжке груди
[LINK] => /plastika-grudi/podtyazhka-grudi/protivopokazaniya-k-podtyazhke-grudi/
[SELECTED] =>
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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)
)
[3] => Array
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[TEXT] => Уменьшение груди
[LINK] => /plastika-grudi/umenshenie-grudi/
[SELECTED] =>
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(
)
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[PICTURE] => 5196
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[DEPTH_LEVEL] => 2
[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/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[IS_PARENT] => 0
[PICTURE] => 4905
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[1] => Array
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[TEXT] => Информированное согласие на уменьшение груди
[LINK] => /plastika-grudi/umenshenie-grudi/informirovannoe-soglasie-na-umenshenie-grudi/
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[PICTURE] => 4906
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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)
)
[1] => Array
(
[TEXT] => Пластика лица
[LINK] => /plastika-lica/
[SELECTED] =>
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)
[ITEM_TYPE] => D
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[IS_PARENT] => 1
[CHILD] => Array
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[0] => Array
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[TEXT] => Блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/
[SELECTED] =>
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[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Безоперационная блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/bezoperatsionnaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
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[ITEM_TYPE] => D
[ITEM_INDEX] => 31
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[ICON] =>
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[IS_PARENT] => 0
[PICTURE] => 5092
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[1] => Array
(
[TEXT] => Бесшовная блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/besshovnaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
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[ITEM_INDEX] => 32
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[ICON] =>
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[IS_PARENT] => 0
[PICTURE] => 5097
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[2] => Array
(
[TEXT] => Блефаропластика азиатских глаз (сингапури)
[LINK] => /plastika-lica/blefaroplastikaplastika/blefaroplastika-aziatskikh-glaz-singapuri/
[SELECTED] =>
[PERMISSION] => R
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[ITEM_TYPE] => D
[ITEM_INDEX] => 33
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[UF_TOP_SEO] =>
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[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5099
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[3] => Array
(
[TEXT] => Блефаропластика верхних век
[LINK] => /plastika-lica/blefaroplastikaplastika/blefaroplastika-verkhnikh-vek/
[SELECTED] =>
[PERMISSION] => R
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[IS_PARENT] => 0
[PICTURE] => 5089
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[IS_PARENT] => 0
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[4] => Array
(
[TEXT] => Блефаропластика нижних век
[LINK] => /plastika-lica/blefaroplastikaplastika/blefaroplastika-nizhnikh-vek/
[SELECTED] =>
[PERMISSION] => R
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[IS_PARENT] => 0
[PICTURE] => 5096
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[5] => Array
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[TEXT] => Блефаропластика носослезной борозды
[LINK] => /plastika-lica/blefaroplastikaplastika/blefaroplastika-nososleznoy-borozdy/
[SELECTED] =>
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[IS_PARENT] => 0
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[6] => Array
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[TEXT] => Договор на блефаропластику
[LINK] => /plastika-lica/blefaroplastikaplastika/dogovor-na-blefaroplastiku/
[SELECTED] =>
[PERMISSION] => R
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[IS_PARENT] => 0
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[7] => Array
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[TEXT] => Жиросберегающая блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/zhirosberegayushchaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
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[IS_PARENT] => 0
[PICTURE] => 5090
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[8] => Array
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[TEXT] => Информированное согласие на блефаропластику
[LINK] => /plastika-lica/blefaroplastikaplastika/informirovannoe-soglasie-na-blefaroplastiku/
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[9] => Array
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[TEXT] => Контурная пластика век
[LINK] => /plastika-lica/blefaroplastikaplastika/konturnaya-plastika-vek/
[SELECTED] =>
[PERMISSION] => R
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[IS_PARENT] => 0
[PICTURE] => 5091
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[10] => Array
(
[TEXT] => Коррекция нависшего века
[LINK] => /plastika-lica/blefaroplastikaplastika/korrektsiya-navisshego-veka/
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[PERMISSION] => R
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[UF_TOP_SEO] =>
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[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5095
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[11] => Array
(
[TEXT] => Круговая блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/krugovaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[ITEM_INDEX] => 42
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[UF_TOP_SEO] =>
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[IS_PARENT] => 0
[PICTURE] => 5102
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[12] => Array
(
[TEXT] => Лазерная блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/lazernaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[ITEM_INDEX] => 43
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[SORT] => 500
[UF_TOP_SEO] =>
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[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5103
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[13] => Array
(
[TEXT] => Нитевая блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/nitevaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[ITEM_INDEX] => 44
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[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5093
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[14] => Array
(
[TEXT] => Ориентальная пластика век
[LINK] => /plastika-lica/blefaroplastikaplastika/orientalnaya-plastika-vek/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[ITEM_TYPE] => D
[ITEM_INDEX] => 45
[PARAMS] => Array
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[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5101
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[15] => Array
(
[TEXT] => Осложнения после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[ITEM_TYPE] => D
[ITEM_INDEX] => 46
[PARAMS] => Array
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[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 1
[PICTURE] => 5077
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Выворот нижнего века после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/vyvorot-nizhnego-veka-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
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[ITEM_TYPE] => D
[ITEM_INDEX] => 47
[PARAMS] => Array
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[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5106
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[1] => Array
(
[TEXT] => Круглый глаз после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/kruglyy-glaz-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
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[ITEM_TYPE] => D
[ITEM_INDEX] => 48
[PARAMS] => Array
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[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5080
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[2] => Array
(
[TEXT] => Не закрывается глаз после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/ne-zakryvaetsya-glaz-posle-blefaroplastiki/
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[ITEM_INDEX] => 49
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[UF_TOP_SEO] =>
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[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5082
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[3] => Array
(
[TEXT] => Опускаются брови после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/opuskayutsya-brovi-posle-blefaroplastiki/
[SELECTED] =>
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[ITEM_INDEX] => 50
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[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5088
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[4] => Array
(
[TEXT] => Отек после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/otek-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[ITEM_TYPE] => D
[ITEM_INDEX] => 51
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5079
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[5] => Array
(
[TEXT] => Разные глаза после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/raznye-glaza-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 52
[PARAMS] => Array
(
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[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5081
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[6] => Array
(
[TEXT] => Синяки после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/sinyaki-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 53
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5078
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[7] => Array
(
[TEXT] => Слезятся глаза после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/slezyatsya-glaza-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 54
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5083
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[8] => Array
(
[TEXT] => Сухость глаза после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/sukhost-glaza-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 55
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5087
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[9] => Array
(
[TEXT] => Уплотнение после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/uplotnenie-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 56
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5085
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[10] => Array
(
[TEXT] => Эпикантус после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/epikantus-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 57
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5084
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
)
)
[16] => Array
(
[TEXT] => Пинч-блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/pinch-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 58
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5098
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[17] => Array
(
[TEXT] => Плазменная блефаропластика век
[LINK] => /plastika-lica/blefaroplastikaplastika/plazmennaya-blefaroplastika-vek/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 59
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5105
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[18] => Array
(
[TEXT] => Реабилитация после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/reabilitatsiya-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 60
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 1
[PICTURE] => 5071
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Капли в глаза после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/reabilitatsiya-posle-blefaroplastiki/kapli-v-glaza-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 61
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5076
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[1] => Array
(
[TEXT] => Когда виден окончательный результат после блефаропластики?
[LINK] => /plastika-lica/blefaroplastikaplastika/reabilitatsiya-posle-blefaroplastiki/kogda-viden-okonchatelnyy-rezultat-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 62
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5074
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[2] => Array
(
[TEXT] => Мазь после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/reabilitatsiya-posle-blefaroplastiki/maz-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 63
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5075
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[3] => Array
(
[TEXT] => Микротоки после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/reabilitatsiya-posle-blefaroplastiki/mikrotoki-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 64
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5070
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[4] => Array
(
[TEXT] => Рубцы после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/reabilitatsiya-posle-blefaroplastiki/rubtsy-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 65
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5073
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[5] => Array
(
[TEXT] => Швы после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/reabilitatsiya-posle-blefaroplastiki/shvy-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 66
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5072
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
)
)
[19] => Array
(
[TEXT] => Трансконъюктивальная блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/transkonyuktivalnaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 67
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5104
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[20] => Array
(
[TEXT] => Эндоскопическая блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/endoskopicheskaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 68
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5094
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
)
)
[1] => Array
(
[TEXT] => Золотые нити (нитевой лифтинг)
[LINK] => /plastika-lica/zolotie-niti/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 69
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 2
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 1
[PICTURE] => 5190
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Договор на нитевой лифтинг
[LINK] => /plastika-lica/zolotie-niti/dogovor-na-nitevoy-lifting/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 70
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4910
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[1] => Array
(
[TEXT] => Информированное согласие на нитевой лифтинг
[LINK] => /plastika-lica/zolotie-niti/informirovannoe-soglasie-na-nitevoy-lifting/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 71
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4911
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
)
)
[2] => Array
(
[TEXT] => Ментопластика
[LINK] => /plastika-lica/mentoplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 72
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 2
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 1
[PICTURE] => 4913
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Договор на отопластику ментопластику
[LINK] => /plastika-lica/mentoplastika/dogovor-na-otoplastiku-mentoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 73
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4914
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
)
)
[3] => Array
(
[TEXT] => Отопластика
[LINK] => /plastika-lica/otoplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 74
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 2
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 1
[PICTURE] => 5189
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Договор на отопластику
[LINK] => /plastika-lica/otoplastika/dogovor-na-otoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 75
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4916
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[1] => Array
(
[TEXT] => Информированное согласие на отопластику
[LINK] => /plastika-lica/otoplastika/informirovannoe-soglasie-na-otoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 76
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4917
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
)
)
[4] => Array
(
[TEXT] => Пластика лба
[LINK] => /plastika-lica/plastika-lba/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 77
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 2
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 1
[PICTURE] => 5192
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Договор на пластику лба
[LINK] => /plastika-lica/plastika-lba/dogovor-na-plastiku-lba/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 78
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4919
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[1] => Array
(
[TEXT] => Информированное согласие на пластику лба
[LINK] => /plastika-lica/plastika-lba/informirovannoe-soglasie-na-plastiku-lba/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 79
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4920
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
)
)
[5] => Array
(
[TEXT] => Ринопластика
[LINK] => /plastika-lica/rinoplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 80
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 2
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 1
[PICTURE] => 4921
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Договор на ринопластику
[LINK] => /plastika-lica/rinoplastika/dogovor-na-rinoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 81
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4922
)
[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
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 82
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4923
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
)
)
[6] => Array
(
[TEXT] => Фейслифтинг
[LINK] => /plastika-lica/feslifting/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 83
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 2
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 1
[PICTURE] => 4924
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Договор на фейслифтинг
[LINK] => /plastika-lica/feslifting/dogovor-na-feyslifting/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 84
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4925
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[1] => Array
(
[TEXT] => Информированное согласие на фейслифтинг
[LINK] => /plastika-lica/feslifting/informirovannoe-soglasie-na-feyslifting/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[DEPTH_LEVEL] => 3
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[4] => Array
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[5] => Array
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[TEXT] => Инъекционная липосакция
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[6] => Array
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[7] => Array
(
[TEXT] => Лазерная липосакция подбородка
[LINK] => /plastika-tela/liposakciya/lazernaya-liposaktsiya-podborodka/
[SELECTED] =>
[PERMISSION] => R
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[DEPTH_LEVEL] => 3
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[8] => Array
(
[TEXT] => Липосакция VASER
[LINK] => /plastika-tela/liposakciya/liposaktsiya-vaser/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[9] => Array
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[TEXT] => Липосакция холодной плазмой
[LINK] => /plastika-tela/liposakciya/liposaktsiya-kholodnoy-plazmoy/
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[PERMISSION] => R
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[10] => Array
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[TEXT] => Неинвазивная липосакция
[LINK] => /plastika-tela/liposakciya/neinvazivnaya-liposaktsiya/
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[11] => Array
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[TEXT] => Ультразвуковая липосакция
[LINK] => /plastika-tela/liposakciya/ultrazvukovaya-liposaktsiya/
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[12] => Array
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[TEXT] => Шприцевая липосакция
[LINK] => /plastika-tela/liposakciya/shpritsevaya-liposaktsiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[4] => Array
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[TEXT] => Липофилинг
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[1] => Array
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[TEXT] => Липофилинг лица
[LINK] => /plastika-tela/lipofiling/lipofiling-litsa/
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[2] => Array
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[TEXT] => Липофилинг под глазами
[LINK] => /plastika-tela/lipofiling/lipofiling-pod-glazami/
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[3] => Array
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[TEXT] => Липофилинг ягодиц
[LINK] => /plastika-tela/lipofiling/lipofiling-yagodits/
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[5] => Array
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[TEXT] => Подтяжка бедер
[LINK] => /plastika-tela/podtyazhka-beder/
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[TEXT] => Договор на подтяжку бедер
[LINK] => /plastika-tela/podtyazhka-beder/dogovor-na-podtyazhku-beder/
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[PERMISSION] => R
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[1] => Array
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[LINK] => /plastika-tela/podtyazhka-beder/informirovannoe-soglasie-na-podtyazhku-beder/
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[6] => Array
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[LINK] => /plastika-tela/udalenie-rubcov/
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[1] => Array
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[LINK] => /plastika-tela/udalenie-rubcov/informirovannoe-soglasie-na-udalenie-rubcov/
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Полезные статьи
Опубликовано: 09.05.2024
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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.
