Brazil Beauty Clinic Rating Structural Verification Index — aesthetic medicine & plastic surgery
By procedure: Rhinoplasty Breast surgery Liposuction & body contouring Hair transplant Injectables Medical weight loss

Changelog

Every data change, correction and methodology version is logged here and in each record's own history.

DateSubjectChange
16 October 2026Methodology v1.7.0Owner ruling: the publication threshold of a site is four scored clinics; ten remains the target of the collection gate and fifteen the roster target. A site with four to nine scored clinics is published open to search — ordinary home page, full sitemap — and stays in the re-collection loop until it reaches ten; the holding page with noindex and an empty sitemap is shown only below four. A clinic without a published score is still shown nowhere. Weights, rubrics, the 75% coverage threshold, ceilings and holds are unchanged.
25 September 2026Methodology v1.4.0Owner ruling: the 14-day reply window before publication is removed. A negative finding — one official register record about this unit or this person, from the register that governs the claim, with a status in force — is published as soon as it is assembled, with the register's line verbatim, the link and the date of reading; a negative finding is published exactly as fast as a positive one. The same day the register sends the clinic a letter from this site's corrections address; the clinic's reply, when it comes, is shown next to the fact, and the score moves only on a source. An unsent letter never holds or removes a finding. One official record per finding, the governing register, status in force only, the name-match rule and 'an absence is never published' are unchanged; so are the weights, the 75% coverage threshold, ceilings, holds and the ten-clinic floor.
25 September 2026Methodology v1.5.0Owner ruling: the register never writes to a clinic on its own initiative — no letters about findings and no letters asking for missing data. Right of reply is passive, as in v1.0: a finding is on the profile in the register's own words, with the link and the date it was read; a clinic that disagrees uses this site's corrections form or corrections address; its reply is shown next to the fact, and the score moves only on a source. Everything else in v1.4 is unchanged.
22 September 2026ABplásticos - Dr. João Pedro Bilóaxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026ABplásticos - Dr. João Pedro Bilóaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026ABplásticos - Dr. João Pedro Bilósummary: "Single-physician plastic-surgery practice in Moema, São Paulo. Responsible surge" → "Single-physician plastic-surgery practice in Moema, São Paulo. Responsible surge" (Methodology v1.3 (owner rulings 2026-09-22) — rule 14 — an absence is never published)
22 September 2026Centro Paulista de Medicina Cutâneaaxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026Centro Paulista de Medicina Cutâneaaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Centro Paulista de Medicina Cutâneasummary: "Multi-physician dermatology and plastic-surgery practice in Paraíso, São Paulo, " → "Multi-physician dermatology and plastic-surgery practice in Paraíso, São Paulo, " (Methodology v1.3 (owner rulings 2026-09-22) — rule 14 — an absence is never published)
22 September 2026Clincer - Clínica de Cirurgia Plástica e Reconstrutoraaxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026Clincer - Clínica de Cirurgia Plástica e Reconstrutoraaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Clincer - Clínica de Cirurgia Plástica e Reconstrutorasummary: "Family-run plastic-surgery practice in Jardim Paulista, São Paulo, operating sin" → "Family-run plastic-surgery practice in Jardim Paulista, São Paulo, operating sin" (Methodology v1.3 (owner rulings 2026-09-22) — rule 14 — an absence is never published)
22 September 2026Clínica Clube da Plásticaaxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026Clínica Natalia Cymrot & Dermacenteraxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026Clínica Natalia Cymrot & Dermacenteraxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Clínica Natalia Cymrot & Dermacentersummary: "Single-physician dermatology practice in Perdizes, São Paulo, trading as Natalia" → "Single-physician dermatology practice in Perdizes, São Paulo, trading as Natalia" (Methodology v1.3 (owner rulings 2026-09-22) — rule 14 — an absence is never published)
22 September 2026Clínica Plastiquèaxes.M5: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic pages (audit not_published); the clinic names the entity at https://www.clinicaplastique.com.br/ — matched by name)
22 September 2026Clínica Plastiquèaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Clínica Plastiquèsummary: "Multi-physician plastic-surgery and otolaryngology practice in Tatuapé, São Paul" → "Multi-physician plastic-surgery and otolaryngology practice in Tatuapé, São Paul" (Methodology v1.3 (owner rulings 2026-09-22) — rule 14 — an absence is never published)
22 September 2026Clínica Wulkan - Unidade Jardim Paulistaaxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026Clínica Wulkan - Unidade Jardim Paulistaaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Clínica Wulkan - Unidade Jardim Paulistasummary: "Multi-specialty clinic in Jardim Paulista, São Paulo, offering dermatology, gyna" → "Multi-specialty clinic in Jardim Paulista, São Paulo, offering dermatology, gyna" (Methodology v1.3 (owner rulings 2026-09-22) — rule 14 — an absence is never published)
22 September 2026Dr. Antonio Pitanguy - Clínica Antônio Pitanguyaxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026Dr. Antonio Pitanguy - Clínica Antônio Pitanguyaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Dr. Antonio Pitanguy - Clínica Antônio Pitanguysummary: "Single-physician plastic-surgery practice in Leblon, Rio de Janeiro, with a seco" → "Single-physician plastic-surgery practice in Leblon, Rio de Janeiro, with a seco" (Methodology v1.3 (owner rulings 2026-09-22) — rule 14 — an absence is never published)
22 September 2026Dr. Cristiano Campos Cirurgia Plásticaaxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026Dr. Cristiano Campos Cirurgia Plásticaaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Dr. Cristiano Campos Cirurgia Plásticasummary: "Single-physician plastic-surgery practice in Ipanema, Rio de Janeiro, with a sec" → "Single-physician plastic-surgery practice in Ipanema, Rio de Janeiro, with a sec" (Methodology v1.3 (owner rulings 2026-09-22) — rule 14 — an absence is never published)
22 September 2026Dr. Erlânio Alencar - Clínica Alencaraxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026Dr. Erlânio Alencar - Clínica Alencaraxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Dr. Erlânio Alencar - Clínica Alencarsummary: "Single-physician plastic-surgery practice in Paraíso, São Paulo, with a second l" → "Single-physician plastic-surgery practice in Paraíso, São Paulo, with a second l" (Methodology v1.3 (owner rulings 2026-09-22) — rule 14 — an absence is never published)
22 September 2026Dr. Flávio Rezende - Clínica VRaxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026Dr. Guilherme Minikowski - Cirurgia Plásticaaxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026Dr. Guilherme Minikowski - Cirurgia Plásticasummary: "Single-physician plastic-surgery practice in Vila Nova Conceição, São Paulo. Res" → "Single-physician plastic-surgery practice in Vila Nova Conceição, São Paulo. Res" (Methodology v1.3 (owner rulings 2026-09-22) — rule 14 — an absence is never published)
22 September 2026Dr. Luís Cláudio Barbosa - Cirurgia Plásticaaxes.M5: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic pages (audit not_published); the clinic names the entity at https://www.luisclaudiobarbosa.com.br/ — matched by name)
22 September 2026Dr. Renato Fusaro - Cirurgia Plásticaaxes.M5: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic pages (audit not_published); the clinic names the entity at https://www.renatofusaro.com/ — matched by name)
22 September 2026Dr. Renato Fusaro - Cirurgia Plásticaaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Dr. Renato Fusaro - Cirurgia Plásticasummary: "Single-physician plastic-surgery practice in Pinheiros, São Paulo. Responsible s" → "Single-physician plastic-surgery practice in Pinheiros, São Paulo. Responsible s" (Methodology v1.3 (owner rulings 2026-09-22) — rule 14 — an absence is never published)
22 September 2026Dra. Julia Ocampo - Dermatologiaaxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026Dra. Julia Ocampo - Dermatologiaaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Dra. Julia Ocampo - Dermatologiasummary: "Single-physician dermatology practice in Itaim Bibi, São Paulo, with a second lo" → "Single-physician dermatology practice in Itaim Bibi, São Paulo, with a second lo" (Methodology v1.3 (owner rulings 2026-09-22) — rule 14 — an absence is never published)
22 September 2026Methodology v1.3.0Two new reasons for an empty cell: 'register does not cover this class of facility or this territory' (proved by a quote of the register's own statement of coverage; leaves the coverage denominator like a closed register) and 'nothing to query' (the clinic publishes no surname or no legal entity; stays in the denominator). Registers are read per jurisdiction — province, Land, emirate or region — where that is what licenses; openness, closedness and coverage are properties of the register class in that jurisdiction, and a closed jurisdiction never closes the whole country. The country map names sources, access and jurisdictions only; it never changes an anchor. The anchors of M1, M3, M4 and M5 are restated: 5 on M3 and M5 requires the number the clinic itself publishes; a found record whose specialty the register does not confirm is 3, not 1, unless the clinic claims a protected title the register does not show; adjacency is a closed list; a practice registered under its host facility scores 4 on M4. The advertising lexicon (M7) is closed: 2 needs an unconditional absolute about the patient's future safety or the treatment outcome, rendered in the clinic's own voice; purpose clauses, revision programmes, manufacturer warranties and equipment statements are not patterns; absolutes about the past and satisfaction figures are 3. M9 counts a document class only when it is reachable from a stable address and named by a heading or a labelled control. A record is published only if at least one register axis holds a value. Every cell records how it was read (script, second egress, browser) and is re-verified in the same mode; a page that fails to load never degrades a cell. A negative finding needs one official register record about this unit or this person, from the register that governs the claim, with a status in force; the clinic receives a letter and a 14-day reply window before the finding is published; an absence (“no sanctions”, “not found”) is never rendered. Personal identifiers are never stored. Weights, the 75% coverage threshold, ceilings, holds and the ten-clinic floor are unchanged.
22 September 2026Serviço de Cirurgia Plástica - Policlínica de Botafogoaxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
20 September 2026Centro Paulista de Medicina Cutâneaaxes.M9: null → 1 (Re-run: full presence scan of the clinic’s own pages for the five document classes (v1.1 pass 1).)
20 September 2026Clincer - Clínica de Cirurgia Plástica e Reconstrutoraaxes.M9: null → 3 (Re-run: full presence scan of the clinic’s own pages for the five document classes (v1.1 pass 1).)
20 September 2026Clínica Avahaxes.M7: 2 → 3 (Operator audit: the single M7 reading of 2026-09-20 applied to the quoted wording; any cap flag that rested on it is withdrawn)
20 September 2026Clínica Clube da Plásticaaxes.M3: null → 4 (Re-run against the CNES professional register of the Ministry of Health (v1.1 pass 1); the Rio de Janeiro council route is the captcha-gated CFM API, re-probed today with both user agents.)
20 September 2026Clínica Clube da Plásticaaxes.M7: null → 3 (Re-run: full lexicon scan of the clinic’s own pages (v1.1 pass 1).)
20 September 2026Clínica Clube da Plásticaaxes.M9: null → 3 (Re-run: full presence scan of the clinic’s own pages for the five document classes (v1.1 pass 1).)
20 September 2026Clínica Dr. Fernando Rodriguesaxes.M5: null → 2 (Re-run (v1.1 pass 1): the practice names no legal entity on its own pages, so M5 is the brand-only anchor rather than a register miss.)
20 September 2026Clínica Natalia Cymrot & Dermacenteraxes.M7: null → 3 (Re-run: full lexicon scan of the clinic’s own pages (v1.1 pass 1).)
20 September 2026Clínica Natalia Cymrot & Dermacenteraxes.M9: null → 1 (Re-run: full presence scan of the clinic’s own pages for the five document classes (v1.1 pass 1).)
20 September 2026Clínica Plastiquèaxes.M7: null → 3 (Re-run: full lexicon scan of the clinic’s own pages (v1.1 pass 1).)
20 September 2026Clínica Varelaaxes.M3: null → 4 (Re-run against the CNES professional register of the Ministry of Health (v1.1 pass 1); the Rio de Janeiro council route is the captcha-gated CFM API, re-probed today with both user agents.)
20 September 2026Clínica Varelaaxes.M7: null → 3 (Re-run: full lexicon scan of the clinic’s own pages (v1.1 pass 1).)
20 September 2026Clínica Varelaaxes.M9: null → 2 (Re-run: full presence scan of the clinic’s own pages for the five document classes (v1.1 pass 1).)
20 September 2026Clínica Wulkan - Unidade Jardim Paulistaaxes.M7: null → 3 (Re-run: full lexicon scan of the clinic’s own pages (v1.1 pass 1).)
20 September 2026Clínica Wulkan - Unidade Jardim Paulistaaxes.M9: null → 3 (Re-run: full presence scan of the clinic’s own pages for the five document classes (v1.1 pass 1).)
20 September 2026Dr. Antonio Pitanguy - Clínica Antônio Pitanguyaxes.M9: null → 2 (Re-run: full presence scan of the clinic’s own pages for the five document classes (v1.1 pass 1).)
20 September 2026Dr. Cristiano Campos Cirurgia Plásticaaxes.M9: null → 3 (Re-run: full presence scan of the clinic’s own pages for the five document classes (v1.1 pass 1).)
20 September 2026Dr. Erlânio Alencar - Clínica Alencaraxes.M9: null → 1 (Re-run: full presence scan of the clinic’s own pages for the five document classes (v1.1 pass 1).)
20 September 2026Dr. Flávio Rezende - Clínica VRaxes.M3: null → 4 (Re-run against the CNES professional register of the Ministry of Health (v1.1 pass 1); the Rio de Janeiro council route is the captcha-gated CFM API, re-probed today with both user agents.)
20 September 2026Dr. Flávio Rezende - Clínica VRaxes.M7: null → 3 (Re-run: full lexicon scan of the clinic’s own pages (v1.1 pass 1).)
20 September 2026Dr. Flávio Rezende - Clínica VRaxes.M9: null → 2 (Re-run: full presence scan of the clinic’s own pages for the five document classes (v1.1 pass 1).)
20 September 2026Dr. Guilherme Minikowski - Cirurgia Plásticaaxes.M7: null → 3 (Re-run: full lexicon scan of the clinic’s own pages (v1.1 pass 1).)
20 September 2026Dr. Luís Cláudio Barbosa - Cirurgia Plásticaaxes.M3: null → 4 (Re-run against the CNES professional register of the Ministry of Health (v1.1 pass 1); the Rio de Janeiro council route is the captcha-gated CFM API, re-probed today with both user agents.)
20 September 2026Dr. Luís Cláudio Barbosa - Cirurgia Plásticaaxes.M9: null → 3 (Re-run: full presence scan of the clinic’s own pages for the five document classes (v1.1 pass 1).)
20 September 2026Dr. Renato Fusaro - Cirurgia Plásticaaxes.M7: null → 3 (Re-run: full lexicon scan of the clinic’s own pages (v1.1 pass 1).)
20 September 2026Dr. Renato Fusaro - Cirurgia Plásticaaxes.M9: null → 2 (Re-run: full presence scan of the clinic’s own pages for the five document classes (v1.1 pass 1).)
20 September 2026Dr. Tulio Martins - Élan Clinicaxes.M3: null → 4 (Re-run against the CNES professional register of the Ministry of Health (v1.1 pass 1); the Rio de Janeiro council route is the captcha-gated CFM API, re-probed today with both user agents.)
20 September 2026Dr. Tulio Martins - Élan Clinicaxes.M4: null → null (Re-run against the CNES establishment register (v1.1 pass 1): both documented name routes queried, no record at the published address.)
20 September 2026Dr. Tulio Martins - Élan Clinicaxes.M5: null → 2 (Re-run (v1.1 pass 1): the practice names no legal entity on its own pages, so M5 is the brand-only anchor rather than a register miss.)
20 September 2026Dr. Tulio Martins - Élan Clinicaxes.M7: null → 4 (Re-run: full lexicon scan of the clinic’s own pages (v1.1 pass 1).)
20 September 2026Dr. Tulio Martins - Élan Clinicaxes.M9: null → 1 (Re-run: full presence scan of the clinic’s own pages for the five document classes (v1.1 pass 1).)
20 September 2026Dra. Julia Ocampo - Dermatologiaaxes.M9: null → 3 (Re-run: full presence scan of the clinic’s own pages for the five document classes (v1.1 pass 1).)
20 September 2026Dra. Juliana Metzker Cirurgia Plásticaaxes.M5: null → 2 (Re-run (v1.1 pass 1): the practice names no legal entity on its own pages, so M5 is the brand-only anchor rather than a register miss.)
20 September 2026Serviço de Cirurgia Plástica - Policlínica de Botafogoaxes.M3: null → 4 (Re-run against the CNES professional register of the Ministry of Health (v1.1 pass 1); the Rio de Janeiro council route is the captcha-gated CFM API, re-probed today with both user agents.)
20 September 2026Serviço de Cirurgia Plástica - Policlínica de Botafogoaxes.M7: null → 3 (Re-run: full lexicon scan of the clinic’s own pages (v1.1 pass 1).)
18 September 2026Clínica Dr. Fernando Rodriguesaxes.M4: 3 → null (Methodology v1.2 (owner ruling 2026-09-18): a register miss is never a value — M4 = 3 was written for "register exists, no record found"; re-typed not_found with the logged query)
18 September 2026Clínica Natalia Cymrot & Dermacenteraxes.M7: 3 → null (Citation re-check: quote not found at https://nataliadermatologia.com.br/dermatologia-estetica-e-lasers/ (quote not found); cell degraded to could-not-verify.)
18 September 2026Clínica Plastiquèaxes.M7: 3 → null (Citation re-check: quote not found at https://www.clinicaplastique.com.br/ (quote not found); cell degraded to could-not-verify.)
18 September 2026Clínica Wulkan - Unidade Jardim Paulistaaxes.M7: 3 → null (Citation re-check: quote not found at https://clinicawulkan.com.br/home/ (quote not found); cell degraded to could-not-verify.)
18 September 2026Dr. Antonio Pitanguy - Clínica Antônio Pitanguyaxes.M4: 3 → null (Methodology v1.2 (owner ruling 2026-09-18): a register miss is never a value — M4 = 3 was written for "register exists, no record found"; re-typed not_found with the logged query)
18 September 2026Dr. Renato Fusaro - Cirurgia Plásticaaxes.M7: 4 → null (Citation re-check: quote not found at https://www.renatofusaro.com/ (quote not found); cell degraded to could-not-verify.)
18 September 2026Dr. Tulio Martins - Élan Clinicaxes.M7: 4 → null (Citation re-check: quote not found at https://tuliocirurgiaplastica.com.br/en-home/ (fetch failed (node + curl): Command failed: curl -sL -A Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 Chrome/128 Safari/537.36 beauty-grid-verifier/1.0 --max-time 20 -w ); cell degraded to could-not-verify.)
18 September 2026Dra. Juliana Metzker Cirurgia Plásticaaxes.M4: 3 → null (Methodology v1.2 (owner ruling 2026-09-18): a register miss is never a value — M4 = 3 was written for "register exists, no record found"; re-typed not_found with the logged query)
18 September 2026Methodology v1.2.0Coverage is measured against what the country lets us check: a register class that does not exist here or is closed to machine queries (with the refusal on record) leaves the coverage denominator; a completed query with no match, an attempt that did not complete and a single language front stay in it. A register miss is never a value: the three anchors that used to encode a miss (M1 = 1, M4 = 3, M5 = 1) now mean a found record that contradicts the claim, or, for M4 = 3, a register that is not machine-accessible while the clinic publishes its facility number. Where the specialist register is closed, M1 is not scored on that site at all; what a society, ISAPS or a hospital page says is shown on the profile as a secondary fact outside the score. Commercial mirrors of an official register can support M3–M5 up to 4 with secondary provenance. M8 may be empty only for a single language front or while the clinic site fails to load. The citation verifier applies exactly three normalisations (HTML entities, Unicode NFC, whitespace). Weights, rubrics otherwise, the 75% coverage threshold, ceilings, holds and the ten-clinic floor are unchanged.
17 September 2026Dra. Júlia Melo Cirurgia Plásticaaxes.M8: null → 5 (Mechanical cross-locale comparison (methodology v1.1, item 9).)
17 September 2026Methodology v1.1.0Completeness of collection became a build gate. Every cell we could not verify now carries a typed reason (register absent in this country, register not machine-accessible, queried and not found, attempt not completed, single language front) and, where a query was run, the attempt log; a closed register is tried through secondary routes before a cell is left empty; cross-locale consistency (M8) is computed mechanically. Only clinics with a published score are shown; a site publishes only with at least ten scored clinics (target fifteen) and otherwise shows a holding page while collection continues. Home title, heading and description name the country and are built from the site’s own data. Weights, rubrics, the coverage threshold, ceilings and holds are unchanged.
30 August 2026ABplásticos - Dr. João Pedro BilóInitial collection.
30 August 2026Centro Paulista de Medicina CutâneaInitial collection.
30 August 2026Clincer - Clínica de Cirurgia Plástica e ReconstrutoraInitial collection.
30 August 2026Clínica AvahInitial publication; every citation and the clinic site re-checked on this date.
30 August 2026Clínica Clube da PlásticaInitial publication; every citation and the clinic site re-checked on this date.
30 August 2026Clínica Clube da Plásticaaxes.M7: 3 → null (Citation re-check: quote not found at https://clubedaplastica.com.br/quem-somos/ (quote not found); cell degraded to could-not-verify.)
30 August 2026Clínica Dr. Fernando RodriguesInitial publication; every citation and the clinic site re-checked on this date.
30 August 2026Clínica Natalia Cymrot & DermacenterInitial collection.
30 August 2026Clínica PlastiquèInitial collection.
30 August 2026Clínica SollosInitial publication; every citation and the clinic site re-checked on this date.
30 August 2026Clínica VarelaInitial publication; every citation and the clinic site re-checked on this date.
30 August 2026Clínica Varelaaxes.M7: 4 → null (Citation re-check: quote not found at https://clinicavarela.com.br/ (quote not found); cell degraded to could-not-verify.)
30 August 2026Clínica Wulkan - Unidade Jardim PaulistaInitial collection.
30 August 2026Dr. Antonio Pitanguy - Clínica Antônio PitanguyInitial publication; every citation and the clinic site re-checked on this date.
30 August 2026Dr. Cristiano Campos Cirurgia PlásticaInitial publication; every citation and the clinic site re-checked on this date.
30 August 2026Dr. Erlânio Alencar - Clínica AlencarInitial collection.
30 August 2026Dr. Flávio Rezende - Clínica VRInitial publication; every citation and the clinic site re-checked on this date.
30 August 2026Dr. Flávio Rezende - Clínica VRaxes.M7: 3 → null (Citation re-check: quote not found at https://drflaviorezende.com.br/ (quote not found); cell degraded to could-not-verify.)
30 August 2026Dr. Guilherme Minikowski - Cirurgia PlásticaInitial collection.
30 August 2026Dr. Guilherme Minikowski - Cirurgia Plásticaaxes.M7: 2 → null (Citation re-check: quote not found at https://www.doutorguilherme.com/ (quote not found); cell degraded to could-not-verify.)
30 August 2026Dr. Luís Cláudio Barbosa - Cirurgia PlásticaInitial publication; every citation and the clinic site re-checked on this date.
30 August 2026Dr. Renato Fusaro - Cirurgia PlásticaInitial collection.
30 August 2026Dr. Tulio Martins - Élan ClinicInitial publication; every citation and the clinic site re-checked on this date.
30 August 2026Dra. Júlia Melo Cirurgia PlásticaInitial publication; every citation and the clinic site re-checked on this date.
30 August 2026Dra. Julia Ocampo - DermatologiaInitial collection.
30 August 2026Dra. Juliana Metzker Cirurgia PlásticaInitial publication; every citation and the clinic site re-checked on this date.
30 August 2026Grupo ProPlásticaInitial publication; every citation and the clinic site re-checked on this date.
30 August 2026Serviço de Cirurgia Plástica - Policlínica de BotafogoInitial publication; every citation and the clinic site re-checked on this date.
30 August 2026Serviço de Cirurgia Plástica - Policlínica de Botafogoaxes.M7: 3 → null (Citation re-check: quote not found at https://www.policlinicadebotafogo.com.br/cirurgiao-plastico-rio-de-janeiro/ (quote not found); cell degraded to could-not-verify.)
30 August 2026Tempo Cirurgia PlásticaInitial publication; every citation and the clinic site re-checked on this date.
29 August 2026Methodology v1.0.0Initial public methodology: nine mechanical axes (M1–M9, weights summing to 100), 1–5 rubric per axis, weighted composite normalised over axes that hold a value, 75% coverage threshold, hold ladder H1–H3, score caps only from verified-false findings, focus penalty, registry-gated crowns.