{"id":1690,"date":"2018-02-28T16:21:32","date_gmt":"2018-02-28T20:21:32","guid":{"rendered":"http:\/\/www.drfranklinpena.com\/mywp\/?page_id=1690"},"modified":"2021-04-05T18:15:19","modified_gmt":"2021-04-05T22:15:19","slug":"mammoplasty-breast-reduction","status":"publish","type":"page","link":"https:\/\/www.drfranklinpena.com\/mywp\/en\/procedures\/breasts\/mammoplasty-breast-reduction\/","title":{"rendered":"Mammoplasty (Breast Reduction)"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row css=\u00bb.vc_custom_1519054678978{margin-bottom: 0px !important;padding-top: 30px !important;padding-bottom: 30px !important;}\u00bb][vc_column css=\u00bb.vc_custom_1519054634540{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_row_inner css=\u00bb.vc_custom_1547477350296{padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_inner css=\u00bb.vc_custom_1519054625769{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_text]<\/p>\n<h3><strong>Breast reduction surgery (breast reduction)<\/strong><\/h3>\n<p>[\/vc_column_text][vc_column_text css=\u00bb.vc_custom_1569008366620{margin-bottom: 0px !important;}\u00bb]<\/p>\n<h4>Description<\/h4>\n<p>Reductive mammoplasty is an intervention that is performed with the purpose of correcting breast hypertrophy (reducing breast volume and weight) through surgical performance, it is possible to remove excess tissue and sagging breasts.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_row_inner css=\u00bb.vc_custom_1547477382145{padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_inner css=\u00bb.vc_custom_1519054625769{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_text css=\u00bb.vc_custom_1569008385928{margin-bottom: 0px !important;}\u00bb]<\/p>\n<h4>Infographic<\/h4>\n<p>Specific details of the procedure:[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner css=\u00bb.vc_custom_1547491983217{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_inner width=\u00bb1\/2&#8243; css=\u00bb.vc_custom_1547567872835{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb offset=\u00bbvc_col-md-4&#8243;]<div class=\"list_item lists_2 clearfix\"><div class=\"list_left list_image\"><img decoding=\"async\" src=\"https:\/\/i0.wp.com\/www.drfranklinpena.com\/mywp\/wp-content\/uploads\/2019\/01\/tiempocirugia-1.png?fit=60%2C60&#038;ssl=1\" class=\"scale-with-grid\" alt=\"Mammoplasty (Breast Reduction)\" width=\"\" height=\"\"\/><\/div><div class=\"list_right\"><h4 class=\"title \">Surgery time<\/h4><div class=\"desc\">2 a 4 hours<br \/>\n.<\/div><\/div><\/div>\n[\/vc_column_inner][vc_column_inner width=\u00bb1\/2&#8243; offset=\u00bbvc_col-md-4&#8243;]<div class=\"list_item lists_2 clearfix\"><div class=\"list_left list_image\"><img decoding=\"async\" src=\"https:\/\/i0.wp.com\/www.drfranklinpena.com\/mywp\/wp-content\/uploads\/2019\/01\/anestesia-1.png?fit=60%2C60&#038;ssl=1\" class=\"scale-with-grid\" alt=\"Mammoplasty (Breast Reduction)\" width=\"\" height=\"\"\/><\/div><div class=\"list_right\"><h4 class=\"title \">Anesthesia<\/h4><div class=\"desc\">Epidural anesthesia, or at the doctor discretion<\/div><\/div><\/div>\n[\/vc_column_inner][vc_column_inner width=\u00bb1\/2&#8243; offset=\u00bbvc_col-md-4&#8243;]<div class=\"list_item lists_2 clearfix\"><div class=\"list_left list_image\"><img decoding=\"async\" src=\"https:\/\/i0.wp.com\/www.drfranklinpena.com\/mywp\/wp-content\/uploads\/2019\/01\/hospitalizacion.png?fit=60%2C60&#038;ssl=1\" class=\"scale-with-grid\" alt=\"Mammoplasty (Breast Reduction)\" width=\"\" height=\"\"\/><\/div><div class=\"list_right\"><h4 class=\"title \">Hospitalization<\/h4><div class=\"desc\">1 night<br \/>\n.<\/div><\/div><\/div>\n[\/vc_column_inner][vc_column_inner width=\u00bb1\/2&#8243; offset=\u00bbvc_col-md-4&#8243;]<div class=\"list_item lists_2 clearfix\"><div class=\"list_left list_image\"><img decoding=\"async\" src=\"https:\/\/i0.wp.com\/www.drfranklinpena.com\/mywp\/wp-content\/uploads\/2019\/01\/recuperacion.png?fit=60%2C60&#038;ssl=1\" class=\"scale-with-grid\" alt=\"Mammoplasty (Breast Reduction)\" width=\"\" height=\"\"\/><\/div><div class=\"list_right\"><h4 class=\"title \">Recovery<\/h4><div class=\"desc\">15 to 21 days<\/div><\/div><\/div>\n[\/vc_column_inner][vc_column_inner width=\u00bb1\/2&#8243; offset=\u00bbvc_col-md-4&#8243;]<div class=\"list_item lists_2 clearfix\"><div class=\"list_left list_image\"><img decoding=\"async\" src=\"https:\/\/i0.wp.com\/www.drfranklinpena.com\/mywp\/wp-content\/uploads\/2019\/01\/efectos.png?fit=60%2C60&#038;ssl=1\" class=\"scale-with-grid\" alt=\"Mammoplasty (Breast Reduction)\" width=\"\" height=\"\"\/><\/div><div class=\"list_right\"><h4 class=\"title \">Visual effect<\/h4><div class=\"desc\">Inmediate<\/div><\/div><\/div>\n[\/vc_column_inner][vc_column_inner width=\u00bb1\/2&#8243; offset=\u00bbvc_col-md-4&#8243;]<div class=\"list_item lists_2 clearfix\"><div class=\"list_left list_image\"><img decoding=\"async\" src=\"https:\/\/i0.wp.com\/www.drfranklinpena.com\/mywp\/wp-content\/uploads\/2019\/01\/resultados.png?fit=60%2C60&#038;ssl=1\" class=\"scale-with-grid\" alt=\"Mammoplasty (Breast Reduction)\" width=\"\" height=\"\"\/><\/div><div class=\"list_right\"><h4 class=\"title \">Results<\/h4><div class=\"desc\">Long lasting<\/div><\/div><\/div>\n[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css=\u00bb.vc_custom_1617654656123{margin-right: 15px !important;margin-bottom: 0px !important;padding-top: 40px !important;padding-bottom: 40px !important;background: #07397e url(https:\/\/www.drfranklinpena.com\/mywp\/wp-content\/uploads\/2021\/04\/banner-bg6.jpg?id=6176) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}\u00bb][vc_column css=\u00bb.vc_custom_1518646975951{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_row_inner equal_height=\u00bbyes\u00bb content_placement=\u00bbmiddle\u00bb css=\u00bb.vc_custom_1519134969446{margin-bottom: 0px !important;padding-top: 0px !important;padding-right: 3% !important;padding-bottom: 0px !important;padding-left: 3% !important;}\u00bb][vc_column_inner css=\u00bb.vc_custom_1550261994491{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb offset=\u00bbvc_col-lg-7 vc_col-md-7 vc_col-xs-12&#8243;][vc_custom_heading text=\u00bbREADY TO PLAN YOUR SURGERY?\u00bb font_container=\u00bbtag:h1|font_size:1.5rem|text_align:center|color:%23ffffff|line_height:1.2em\u00bb use_theme_fonts=\u00bbyes\u00bb css_animation=\u00bbfadeInLeft\u00bb css=\u00bb.vc_custom_1550257770023{margin-top: 10px !important;margin-bottom: 10px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][\/vc_column_inner][vc_column_inner css=\u00bb.vc_custom_1550262009091{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb offset=\u00bbvc_col-lg-3 vc_col-md-3 vc_col-xs-12&#8243;][vc_btn title=\u00bbGET A QUOTE\u00bb style=\u00bbcustom\u00bb custom_background=\u00bb#e80e97&#8243; custom_text=\u00bb#ffffff\u00bb shape=\u00bbsquare\u00bb align=\u00bbcenter\u00bb css_animation=\u00bbfadeInRight\u00bb link=\u00bburl:http%3A%2F%2Fwww.drfranklinpena.com%2Fen%2Fconsult%2F|||\u00bb el_class=\u00bbfrontcta\u00bb css=\u00bb.vc_custom_1617654975427{margin-top: 0px !important;margin-bottom: 0px !important;}\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_row_inner css=\u00bb.vc_custom_1547477402338{padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_inner css=\u00bb.vc_custom_1519054625769{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_text css=\u00bb.vc_custom_1569008434202{margin-bottom: 0px !important;}\u00bb]<\/p>\n<h4>Requirements<\/h4>\n<p>Before breast surgery, certain requirements, such as:<\/p>\n<ul>\n<li>Evaluation of the medical history and health in general.<\/li>\n<li>Be clear about the expectations of breast size and appearance after surgery, and understand the scars that the procedure will leave.<\/li>\n<li>Complete the laboratory tests, and perform an initial mammogram.<\/li>\n<li>It is very important that you quit smoking for a certain time before and after surgery.<\/li>\n<li>You should avoid taking aspirins, anti-inflammatory medications and herbal supplements to control bleeding during surgery.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner css=\u00bb.vc_custom_1547477410031{padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_inner css=\u00bb.vc_custom_1519054625769{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_text css=\u00bb.vc_custom_1569008468717{margin-bottom: 0px !important;}\u00bb]<\/p>\n<h4>Advantages<\/h4>\n<p>Breast reduction surgery can solve the following health problems:<\/p>\n<ul>\n<li>Chronic back, neck and shoulder pain.<\/li>\n<li>Irritation or chronic skin rash under the breasts<\/li>\n<li>Pain in the nerves<\/li>\n<li>Limitation of physical activities<\/li>\n<li>Low self-esteem related to large size<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner css=\u00bb.vc_custom_1547477418659{padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_inner css=\u00bb.vc_custom_1519054625769{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_text css=\u00bb.vc_custom_1569008543322{margin-bottom: 0px !important;}\u00bb]<\/p>\n<h4>Expected results<\/h4>\n<p>Dr. Franklin Pe\u00f1a will try to achieve symmetry between both breasts; however, some variation in their size and shape is likely to occur. It is also possible to reduce the size of the areola.<\/p>\n<p>The scars of the incision may fade over time and take the necessary measures for this, but they will never disappear completely. To see results of this surgery, <a href=\"https:\/\/www.drfranklinpena.com\/en\/procedures\/breasts\/mammoplasty-breast-reduction\/\" target=\"_blank\" rel=\"noopener noreferrer\">visit our gallery<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner css=\u00bb.vc_custom_1547477425900{padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_inner css=\u00bb.vc_custom_1519054625769{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_text css=\u00bb.vc_custom_1569008661344{margin-bottom: 0px !important;}\u00bb]<\/p>\n<h4>Intervention<\/h4>\n<p>The specific technique used for breast reduction may vary depending on the size, so it is available to Dr. Franklin Pe\u00f1a to use the technique that he considers most appropriate in each case.<\/p>\n<p>The procedure may include next:<\/p>\n<ul>\n<li>Surgery through incisions<\/li>\n<li>Liposuction to remove excess fat accumulated in the breasts<\/li>\n<\/ul>\n<p>Usually, the following is done:<\/p>\n<ul>\n<li>An incision is made around the areola and under each breast.<\/li>\n<li>Excess tissue, fat and breast skin are removed to reduce its size.<\/li>\n<li>The breast is remodeled and repositions both the nipple and the areola<\/li>\n<\/ul>\n<p>The nipple and areola:<\/p>\n<ul>\n<li>They usually stay in the breast<\/li>\n<li>If the breasts are very large, it may be necessary to remove the nipple and areola, and relocate them to a higher position like a skin graft<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner css=\u00bb.vc_custom_1547477434223{padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_inner css=\u00bb.vc_custom_1519054625769{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_text css=\u00bb.vc_custom_1569008688253{margin-bottom: 0px !important;}\u00bb]<\/p>\n<h4>Post-operative<\/h4>\n<p>After surgery it is normal for you to feel somewhat tired in the following days, but you can live a normal life after 48 hours. Most discomforts are well controlled with the medication described by Dr. Franklin Pe\u00f1a, although some may be felt for a couple of weeks.<\/p>\n<p>The bandage or dressings will be removed in a few days, being replaced by a special bra, which you should wear as directed by Dr. Franklin Pe\u00f1a, in the follow-up consultation.<\/p>\n<p>It is normal for you to feel burning in the nipples during the first weeks. You may also notice a decrease in sensitivity, this situation is usually temporary, although in some reductions (depending on the size and tissue removal) it may be definitive. The stitches are removed between 7 and 14 days.<\/p>\n<p>You can return to work in 2 or 3 weeks, although in a few days you can return to your daily life. You should limit strong physical activities for a few weeks, until you recover from the operation. It is advisable to avoid sexual intercourse in the first 15 days, to avoid swelling of the incisions; during the first 3 or 4 weeks avoid intense physical contact of the breasts. It is normal for small scabs or some fluid to appear through the incisions. As time goes by, you will be prompted to return to the consultation to evaluate the evolution.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css=\u00bb.vc_custom_1547492342797{margin-bottom: 0px !important;}\u00bb][vc_column][vc_row_inner css=\u00bb.vc_custom_1547672290369{padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_inner css=\u00bb.vc_custom_1519054625769{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_text css=\u00bb.vc_custom_1569008727178{margin-bottom: 0px !important;}\u00bb]<\/p>\n<h4>Related videos<\/h4>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner css=\u00bb.vc_custom_1547494641207{margin-bottom: 0px !important;}\u00bb][vc_column_inner width=\u00bb1\/3&#8243;][vc_video link=\u00bbhttps:\/\/www.youtube.com\/watch?v=5VuiwcNAmYA\u00bb align=\u00bbcenter\u00bb css_animation=\u00bbfadeIn\u00bb][\/vc_column_inner][vc_column_inner width=\u00bb1\/3&#8243;][vc_video link=\u00bbhttps:\/\/www.youtube.com\/watch?v=t4OKpR-DhYM\u00bb align=\u00bbcenter\u00bb css_animation=\u00bbfadeIn\u00bb][\/vc_column_inner][vc_column_inner width=\u00bb1\/3&#8243;][vc_video link=\u00bbhttps:\/\/www.youtube.com\/watch?v=C8yycHH1ICA\u00bb align=\u00bbcenter\u00bb css_animation=\u00bbfadeIn\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_row_inner css=\u00bb.vc_custom_1547477453029{padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_inner css=\u00bb.vc_custom_1519054625769{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_column_text css=\u00bb.vc_custom_1569008746304{margin-bottom: 0px !important;}\u00bb]<\/p>\n<h4>Other procedures that may interest you<\/h4>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00bb1\/3&#8243;]<div class=\"trailer_box \"><a href=\"https:\/\/www.drfranklinpena.com\/procedimientos\/senos\/mamoplastia-de-aumento\/\"  title=\"\"><img class=\"scale-with-grid mfn-lazy\" data-src=\"https:\/\/i0.wp.com\/www.drfranklinpena.com\/mywp\/wp-content\/uploads\/2018\/02\/mastopexia.jpg?fit=1200%2C600&#038;ssl=1\" alt=\"Mammoplasty (Breast Reduction)\" width=\"\" height=\"\"\/><div class=\"desc\"><div class=\"subtitle\">SENOS<\/div><h2 class=\"title \">Mamoplastia de Aumento<\/h2><div class=\"line\"><\/div><\/div><\/a><\/div>\n[\/vc_column_inner][vc_column_inner width=\u00bb1\/3&#8243;]<div class=\"trailer_box \"><a href=\"https:\/\/www.drfranklinpena.com\/procedimientos\/senos\/mastopexia-levantamiento\/\"  title=\"\"><img class=\"scale-with-grid mfn-lazy\" data-src=\"https:\/\/i0.wp.com\/www.drfranklinpena.com\/mywp\/wp-content\/uploads\/2018\/02\/mastopexia-levantamiento.jpg?fit=1200%2C600&#038;ssl=1\" alt=\"Mammoplasty (Breast Reduction)\" width=\"\" height=\"\"\/><div class=\"desc\"><div class=\"subtitle\">SENOS<\/div><h2 class=\"title \">Mastopexia (Levantamiento)<\/h2><div class=\"line\"><\/div><\/div><\/a><\/div>\n[\/vc_column_inner][vc_column_inner width=\u00bb1\/3&#8243;]<div class=\"trailer_box \"><a href=\"https:\/\/www.drfranklinpena.com\/procedimientos\/senos\/mastopexia-de-aumento\/\"  title=\"\"><img class=\"scale-with-grid mfn-lazy\" data-src=\"https:\/\/i0.wp.com\/www.drfranklinpena.com\/mywp\/wp-content\/uploads\/2018\/02\/mamoplastia-3.jpg?fit=1200%2C600&#038;ssl=1\" alt=\"Mammoplasty (Breast Reduction)\" width=\"\" height=\"\"\/><div class=\"desc\"><div class=\"subtitle\">SENOS<\/div><h2 class=\"title \">Mastopexia de aumento<\/h2><div class=\"line\"><\/div><\/div><\/a><\/div>\n[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css=\u00bb.vc_custom_1617654656123{margin-right: 15px !important;margin-bottom: 0px !important;padding-top: 40px !important;padding-bottom: 40px !important;background: #07397e url(https:\/\/www.drfranklinpena.com\/mywp\/wp-content\/uploads\/2021\/04\/banner-bg6.jpg?id=6176) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}\u00bb][vc_column css=\u00bb.vc_custom_1518646975951{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][vc_row_inner equal_height=\u00bbyes\u00bb content_placement=\u00bbmiddle\u00bb css=\u00bb.vc_custom_1519134969446{margin-bottom: 0px !important;padding-top: 0px !important;padding-right: 3% !important;padding-bottom: 0px !important;padding-left: 3% !important;}\u00bb][vc_column_inner css=\u00bb.vc_custom_1550261994491{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb offset=\u00bbvc_col-lg-7 vc_col-md-7 vc_col-xs-12&#8243;][vc_custom_heading text=\u00bbReady to see results in you?\u00bb font_container=\u00bbtag:h1|font_size:1.5rem|text_align:center|color:%23ffffff|line_height:1.2em\u00bb use_theme_fonts=\u00bbyes\u00bb css_animation=\u00bbfadeInLeft\u00bb css=\u00bb.vc_custom_1555958468251{margin-top: 10px !important;margin-bottom: 10px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb][\/vc_column_inner][vc_column_inner css=\u00bb.vc_custom_1550262009091{margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}\u00bb offset=\u00bbvc_col-lg-3 vc_col-md-3 vc_col-xs-12&#8243;][vc_btn title=\u00bbSCHEDULE APPOINTMENT\u00bb style=\u00bbcustom\u00bb custom_background=\u00bb#e80e97&#8243; custom_text=\u00bb#ffffff\u00bb shape=\u00bbsquare\u00bb align=\u00bbcenter\u00bb css_animation=\u00bbfadeInRight\u00bb link=\u00bburl:https%3A%2F%2Fwww.drfranklinpena.com%2Fen%2Fschedule-appointment%2F|title:Agenda%20tu%20consulta||\u00bb el_class=\u00bbfrontcta\u00bb css=\u00bb.vc_custom_1617654920792{margin-top: 0px !important;margin-bottom: 0px !important;}\u00bb][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p><span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":1684,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"content-type":"","footnotes":""},"class_list":["post-1690","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Mammoplasty (Breast Reduction) - Dr. Franklin Pe\u00f1a<\/title>\n<meta name=\"description\" content=\"Reduction mammoplasty is a surgical intervention that aims to correct breast hypertrophy by performing a series of surgical incisions that took excess tissue and flaccidity.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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