La reconstruction mammaire par implant est la technique la plus courante après mastectomie. Elle restaure immédiatement le volume du sein, en un ou deux temps opératoires selon la qualité de la peau.
The appointment can be held by video, before you travel: that is where the opinion is given and where the written quote is issued. Dr Zeitoun, breast surgeon, sees patients at the practice (Paris 8) and at Clinique Hartmann (Neuilly), where he operates. Book an appointment or request a call-back.
Every week, patients write from London, Geneva, Beirut, Riyadh or Montreal with the same sentence: "can you tell me how much this costs?". The honest answer fits on one page, and it begins by explaining why the order of the steps is not the one you would expect.
Only one figure is known in advance: the consultation fee. The rest — the operation — cannot be priced on a web page, because the amount depends on the procedure, and the procedure depends on what your investigations show. That is precisely what the written quote exists to prevent: announcing a number at random and then correcting it.
Two further points surprise almost every international patient. No opinion is given by email — but the consultation can be held by video, which means you can have your surgical opinion and your quote before buying a ticket. And fees are paid in full on arrival at the clinic: that is arranged with your bank, not the day before surgery.
This page goes through, in order: the consultation fee and the three lines of the quote, payment, how the opinion is given, the records to send, the supporting documents for the short-stay medical visa, and what really determines the length of your stay.
An image graded ACR/BI-RADS 3, 4 or 5, a cyst, a biopsy to be reviewed, or surgery already proposed in your country: the consultation can be held by video, before you travel. Book an appointment, or request a call-back from the secretariat.
Everything above — the consultation fee, the three lines of the quote, payment on arrival, the visa, the day-10 check — does not depend on which organ is operated on. It is the same pathway for a patient travelling from abroad, whatever the procedure. What changes is the length of the hospital stay and the delay before flying again.
Breast cancer: lumpectomy with sentinel node biopsy, mastectomy, oncoplasty, reconstruction. Also benign and high-risk lesions, and prophylactic mastectomy. Usually day surgery or one night in the clinic. Breast cancer → · Benign breast lesions →
Hysterectomy, adnexectomy, ovarian cystectomy, conisation, vulval and vaginal surgery. Laparoscopy generally requires a longer hospital stay than breast surgery, and a longer delay before a long-haul flight. Gynaecological surgery →
Cancer of the cervix, ovary, endometrium and vulva, borderline tumours. The stay is longer, the multidisciplinary tumour board precedes or follows surgery, and the rest of the treatment is arranged with your local team. Gynaecological cancers →
What never changes. The opinion is given in consultation, and that consultation can be held by video before you travel. The quote is given to you before any decision. Fees are paid in full on arrival. And the in-person day-10 check clears your return — whatever the procedure.
Let us start with the one figure known in advance. For a patient not covered by French social security, consultation fees range on average from 90 to 200 euros, depending on the type of consultation and the time it takes: a short follow-up appointment and a first consultation going through a complete file are not the same length. The fee is displayed at the practice and it is given to you before you come. There is nothing else to pay for that appointment.
The rest — the operation itself — cannot be priced on a web page. You will find ranges elsewhere for "breast surgery in France": they mean nothing. What you pay is not a package, it is the sum of independent lines, each belonging to a different party.
Set freely — Dr Zeitoun practises in sector 2, non-OPTAM — they depend on the procedure. A lumpectomy with sentinel node biopsy, a mastectomy, an oncoplastic procedure, a breast reconstruction, but also a hysterectomy, an adnexectomy, a conisation or surgery for ovarian cancer are not the same operation.
They are set by Dr Zeitoun and appear on the same quote: you have no second quote to chase elsewhere. The anaesthetist sees you in consultation before the operation.
Theatre, staff, room, materials. Day surgery and an overnight stay do not carry the same cost — this is decided in consultation and appears on the quote.
These three lines, and only these, make up the surgical quote. None of these parties can price their share until the procedure is decided.
What is not in the quote. Consultations, paid separately at the fee above. And, where applicable, imaging and pathology analysis, billed by the units that perform them. If you are not affiliated to the French social security system, none of these amounts is reimbursed in France — the official visa website states this explicitly for medical care provided on French soil. Some international private insurers and some foreign public bodies reimburse afterwards, against invoices: check with them, quote in hand.
The quote is issued at the end of the consultation, once the operation has been decided. It is a written, personalised document: you read it at home, you ask your questions, and nothing is scheduled before you have accepted it.
This is the point you should not discover the day before surgery. If you are not covered by French social security, you must pay the fees in full on arrival at the clinic. There is no deferred billing, no payment after you return home, and no credit extended by the facility. There is nothing unusual about this rule: it applies to anyone not affiliated to the French system, and it also applies to consultations, paid at each appointment. Without that payment in full on arrival, the operation cannot take place — it is the only condition set, which is why it is arranged in advance.
Your card limit — often far below the cost of an operation — and the time an international transfer takes, which is several working days from some countries. Both are settled in one conversation with your bank, weeks before you travel.
Most international insurers and foreign public bodies reimburse afterwards, against invoices, and do not pay the clinic directly. The quote is the document to submit to them to find out — before you come, never after.
This is the order that surprises patients writing from abroad: they ask for a price, and they are offered an appointment. The reason is medical. The amount depends on the procedure, and the procedure depends on what your investigations show — the size and site of the lesion, the biopsy result, the state of the rest of the breast, what has already been done. Two women with the same diagnosis on paper do not necessarily need the same operation. Setting the price before looking means setting the operation before looking.
No opinion is given by email — not on a report, not on an image, not on what another surgeon has proposed. A surgical opinion commits the person who receives it: it is given in consultation, face to face.
But that consultation can be held by video. Records sent in advance serve to prepare it, not to replace it. For a patient living abroad, this changes everything: you can have your consultation, your surgical opinion and your quote before buying a ticket.
What cannot be done remotely: the final decision on certain procedures, which requires a clinical examination, and the surgery itself. You are not flown across the world to discover on arrival that the indication was not what everyone assumed.
Your records do not replace the consultation: they prepare it. The more complete they are, the more precise the opinion, and the more reliable the quote that follows.
Documents in a language other than French or English need translating to be usable: a rough translation of a pathology report is more dangerous than useful. Once your records are together, an appointment is offered — in person or by video. That is where the opinion is given; the quote follows.
Review of your imaging, a surgical opinion, a written quote, and the documents the consulate needs if a visa is required. The consultation can be held by video, wherever you are. Book an appointment, or request a call-back.
If you need a visa to enter the Schengen area, the one that fits this project is a short-stay visa issued for a medical purpose: to see a doctor or a specialist practice, to undergo a procedure, or for a post-treatment assessment. Specific supporting documents are added to those required for any short-stay visa, and they are examined under medical confidentiality.
The consulate has its own list of supporting documents: the practice and the clinic provide the medical part, the rest is yours. The practice itself asks you for no financial evidence — the only condition is payment in full on arrival at the clinic.
A medical letter stating the nature of the planned care, its expected duration and the length of stay required in France. The facility's written admission agreement, with the planned dates. And the corresponding written quote.
What the consulate asks for on top of the usual documents: travel insurance covering medical care and repatriation, evidence of funds and accommodation for the length of your stay, and the medical report issued in your country of origin. Depending on the consulate, a letter of financial guarantee from a body, an employer or an insurer may also be requested.
Two frequent mistakes. Applying for the visa before you have the quote and the admission agreement: the file is incomplete and comes back. And applying for a tourist visa assuming it will do: the stated purpose must match the actual stay. The exact list varies with the consulate you depend on — the official website france-visas.gouv.fr, section "Stay for medical care", gives the authoritative version, ahead of any third-party page, including this one. If you are visa-exempt (European Union, United Kingdom, Switzerland, United States, Canada, and in some cases several Gulf states), check with your consulate: what remains is the quote, the admission agreement and the calendar.
Nobody can give you a firm duration before surgery, because the length depends on what happens afterwards. Four stages set the rhythm of your stay, and each can extend it.
Depending on what your file shows, additional imaging or a sample may be needed before the operation can be scheduled. That is why the review of your records starts remotely.
Some breast operations are day surgery; others justify one or more nights in the clinic. This is decided in consultation, with you, and appears on the quote. Operations take place at Clinique Hartmann, in Neuilly-sur-Seine.
You are seen again about ten days after the operation, and in person: this appointment is not held by video. The wound is examined, any drain is removed, and the surgeon says when you can fly. No return date is confirmed before this check.
Pathology takes several days. It gives the definitive diagnosis and directs the rest of the treatment. These results are not discussed by email: they are explained to you in person, most often at the day-10 check.
For planning the trip. Plan to be still in Paris on the tenth day and book a flexible return ticket: it is that check, not the calendar, that clears your departure. A patient forced to choose between her flight and her post-operative check is a patient who was poorly prepared. Travelling with someone is useful: for a long-haul flight after surgery, it is not a luxury.
Breast surgery is not an isolated act: it belongs to a treatment that continues, usually in your own country.
You leave with the operative report, the pathology result and a letter for the doctor following you. These documents are issued in French, as all medical documents produced in France are: arrange a translation if your local team does not read French.
Decisions on further treatment — radiotherapy, medical treatment, endocrine therapy — are taken at the multidisciplinary tumour board and sent in writing, so your local team can apply them. Clinical and imaging follow-up continues at home, on a written schedule.
And if a question arises later about a scar, a surveillance image or a reconstruction, your file remains on hand and a video consultation is possible without another trip.
A surgical opinion in person or by video, a written quote before any decision, and surgery at Clinique Hartmann in Neuilly-sur-Seine. Book an appointment, or request a call-back from the secretariat.
The questions that come up most often from patients writing from abroad. If yours is not here, ask it at the appointment — or ask Sophie, the site assistant, at the bottom right.
On average 90 to 200 euros for a patient not covered by French social security, depending on the type of consultation and the time it takes. The fee is displayed at the practice and it is given to you before you come. There is nothing else to pay for that appointment.
No, and this is not a commercial position: the amount depends on the procedure, and the procedure depends on your investigations. No quote is issued without a prior consultation — but that consultation can be held by video, without you travelling. Request an appointment →
Three lines, and only three: the surgeon's fees, the anaesthetist's fees and the clinic stay. Consultations are not included and are paid separately, as are imaging and pathology analysis, billed by the units that perform them.
On arrival at the clinic, and in full. There is no deferred billing, no payment after you return home and no credit extended by the facility. Check your card limit and the time an international transfer takes before you leave — several working days from some countries.
The rule remains payment in full on arrival. Most insurers reimburse afterwards, against invoices. If yours offers direct settlement, check it with them and with the clinic before you come — the quote is the document to submit.
The medical letter and the admission agreement carry dates and a planned procedure: they assume an opinion has been given. That is exactly why the consultation can be held by video — the process starts before you travel.
No. You are seen again at the practice about ten days after the operation, and in person: that check is what clears your return, not the calendar. Until the wound has been examined and any drain removed, departure is not authorised. Hence the flexible ticket.
Not for the consultation, which can be held in English. Written documents, however — operative report, pathology result, letter to your doctor — are issued in French, as all medical documents produced in France are. Arrange their translation for the team following you at home.
Yes, and it is one of the most frequent reasons for a first contact. A second opinion is given in consultation, in person or by video, on a complete file: imaging, biopsy and, if you have already had surgery, the operative report and pathology result.
No. No agency takes part in this pathway and no intermediary is paid. Contact is made directly with the practice, through Doctolib or the secretariat.
To go further on the international pathway and on the surgery itself.
The page for international patients: consulate letters, correspondence with embassies, accommodation, interpreters.
Pillar pageDiagnosis, surgical options, oncoplasty, sentinel node biopsy, multidisciplinary tumour board.
After mastectomyAll techniques, immediate or delayed reconstruction, and the choice of flat closure.
UnderstandingHistological type, grade, hormone receptors, HER2, Ki-67, margins, nodes: the document you will take home.
The surgeonTraining at Centre François Baclesse, Institut Curie and Institut Gustave Roussy, and current practice.
LibraryPatient guides on breast surgery, gynaecological surgery and intimate surgery — the full library.
An abnormality found on imaging, a biopsy to be reviewed, a surgical plan to weigh against a second opinion. The consultation can be held by video before you travel, the quote is given to you in writing before any decision, and operations take place at Clinique Hartmann in Neuilly-sur-Seine.
Dr Jérémie Zeitoun — Former resident trained at Centre François Baclesse and Institut Curie · Former assistant at Institut Gustave Roussy