Panama 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 2026Dr. José Espino — Cirugía Plásticaaxes.M7: 2 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § B closed lexicon — safety_promise: M7-C)
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 2026Panama Aestheticsaxes.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 — matched by name)
18 September 2026A Flor de Piel Dermaclinicaxes.M1.nullReason: "retry" → "registry_closed" (Methodology v1.2 (owner ruling 2026-09-18): specialist register closed for the whole site (closedAttempt on record): the axis leaves the coverage denominator)
18 September 2026A Flor de Piel Dermaclinicaxes.M3: null → null (Re-run against the MINSA idoneidad register and typed registry_closed (v1.2 pass 1): the host accepted no connection and no secondary route publishes Panamanian idoneidad numbers)
18 September 2026A Flor de Piel Dermaclinicaxes.M1: null → null (Secondary routes for the closed specialist register run and logged (v1.2 pass 1))
18 September 2026A Flor de Piel Dermaclinicaxes.M5: null → 2 (Completed scan of the clinic pages plus a DGI query (v1.2 pass 1): the clinic names no legal entity, which is the rubric anchor for brand only)
18 September 2026Cirujanos Plásticos Panamá — Dr. Jair Brown Aciegoaxes.M1: 2 → null (Methodology v1.2 (owner ruling 2026-09-18): M1 is not scored where the country's specialist register is closed; the secondary finding moved to facts[])
18 September 2026Cirujanos Plásticos Panamá — Dr. Jair Brown Aciegoaxes.M3: null → null (Re-run against the MINSA idoneidad register and typed registry_closed (v1.2 pass 1): the host accepted no connection and no secondary route publishes Panamanian idoneidad numbers)
18 September 2026Cirujanos Plásticos Panamá — Dr. Jair Brown Aciegoaxes.M1: null → null (Secondary routes for the closed specialist register run and logged (v1.2 pass 1))
18 September 2026Cirujanos Plásticos Panamá — Dr. Jair Brown Aciegoaxes.M5: null → 2 (Completed scan of the clinic pages plus a DGI query (v1.2 pass 1): the clinic names no legal entity, which is the rubric anchor for brand only)
18 September 2026Clínica Dermatológica Arosemena (CDA) — David, Chiriquíaxes.M1: 2 → null (Methodology v1.2 (owner ruling 2026-09-18): M1 is not scored where the country's specialist register is closed; the secondary finding moved to facts[])
18 September 2026Clínica Dermatológica Arosemena (CDA) — David, Chiriquíaxes.M3: null → null (Re-run against the MINSA idoneidad register and typed registry_closed (v1.2 pass 1): the host accepted no connection and no secondary route publishes Panamanian idoneidad numbers)
18 September 2026Clínica Dermatológica Arosemena (CDA) — David, Chiriquíaxes.M1: null → null (Secondary routes for the closed specialist register run and logged (v1.2 pass 1))
18 September 2026Clínica Dermatológica Arosemena (CDA) — Marbellaaxes.M1: 2 → null (Methodology v1.2 (owner ruling 2026-09-18): M1 is not scored where the country's specialist register is closed; the secondary finding moved to facts[])
18 September 2026Clínica Dermatológica Arosemena (CDA) — Marbellaaxes.M3: null → null (Re-run against the MINSA idoneidad register and typed registry_closed (v1.2 pass 1): the host accepted no connection and no secondary route publishes Panamanian idoneidad numbers)
18 September 2026Clínica Dermatológica Arosemena (CDA) — Marbellaaxes.M1: null → null (Secondary routes for the closed specialist register run and logged (v1.2 pass 1))
18 September 2026Clínica Setton — Cirugía Plásticaaxes.M1.nullReason: "retry" → "registry_closed" (Methodology v1.2 (owner ruling 2026-09-18): specialist register closed for the whole site (closedAttempt on record): the axis leaves the coverage denominator)
18 September 2026Clínica Setton — Cirugía Plásticaaxes.M3: null → null (Re-run against the MINSA idoneidad register and typed registry_closed (v1.2 pass 1): the host accepted no connection and no secondary route publishes Panamanian idoneidad numbers)
18 September 2026Clínica Setton — Cirugía Plásticaaxes.M1: null → null (Secondary routes for the closed specialist register run and logged (v1.2 pass 1))
18 September 2026Clínica Setton — Cirugía Plásticaaxes.M5: null → 2 (Completed scan of the clinic pages plus a DGI query (v1.2 pass 1): the clinic names no legal entity, which is the rubric anchor for brand only)
18 September 2026Dermec — Derma Medical Centeraxes.M1.nullReason: "retry" → "registry_closed" (Methodology v1.2 (owner ruling 2026-09-18): specialist register closed for the whole site (closedAttempt on record): the axis leaves the coverage denominator)
18 September 2026Dermec — Derma Medical Centeraxes.M3: null → null (Re-run against the MINSA idoneidad register and typed registry_closed (v1.2 pass 1): the host accepted no connection and no secondary route publishes Panamanian idoneidad numbers)
18 September 2026Dermec — Derma Medical Centeraxes.M1: null → null (Secondary routes for the closed specialist register run and logged (v1.2 pass 1))
18 September 2026Dermec — Derma Medical Centeraxes.M5: null → 4 (Re-run against the DGI electronic-invoicing register (v1.2 pass 1): entity matched by name)
18 September 2026Dr. Abraham Malca Coiffman — Cirugía Plástica Estética y ReconstructivaInitial collection (v1.2 pass 1).
18 September 2026Dr. Erick Santos — Cirugía Plástica y EstéticaInitial collection (v1.2 pass 1).
18 September 2026Dr. José Espino — Cirugía Plásticaaxes.M1: 2 → null (Methodology v1.2 (owner ruling 2026-09-18): M1 is not scored where the country's specialist register is closed; the secondary finding moved to facts[])
18 September 2026Dr. José Espino — Cirugía Plásticaaxes.M7: 4 → null (Citation re-check: quote not found at https://drjoseespino.com/ (quote not found); cell degraded to could-not-verify.)
18 September 2026Dr. José Espino — Cirugía Plásticaaxes.M3: null → null (Re-run against the MINSA idoneidad register and typed registry_closed (v1.2 pass 1): the host accepted no connection and no secondary route publishes Panamanian idoneidad numbers)
18 September 2026Dr. José Espino — Cirugía Plásticaaxes.M1: null → null (Secondary routes for the closed specialist register run and logged (v1.2 pass 1))
18 September 2026Dr. José Espino — Cirugía Plásticaaxes.M5: null → 2 (Completed scan of the clinic pages plus a DGI query (v1.2 pass 1): the clinic names no legal entity, which is the rubric anchor for brand only)
18 September 2026Dr. José Espino — Cirugía Plásticaaxes.M7: null → 2 (Lexicon re-scan of the clinic pages (v1.2 pass 1): quote re-anchored on the About page)
18 September 2026Dr. Luis Bartley — Cirujano Plásticoaxes.M1: 2 → null (Methodology v1.2 (owner ruling 2026-09-18): M1 is not scored where the country's specialist register is closed; the secondary finding moved to facts[])
18 September 2026Dr. Luis Bartley — Cirujano Plásticoaxes.M3: null → null (Re-run against the MINSA idoneidad register and typed registry_closed (v1.2 pass 1): the host accepted no connection and no secondary route publishes Panamanian idoneidad numbers)
18 September 2026Dr. Luis Bartley — Cirujano Plásticoaxes.M1: null → null (Secondary routes for the closed specialist register run and logged (v1.2 pass 1))
18 September 2026Dr. Luis Bartley — Cirujano Plásticoaxes.M5: null → 2 (Completed scan of the clinic pages plus a DGI query (v1.2 pass 1): the clinic names no legal entity, which is the rubric anchor for brand only)
18 September 2026Dr. Luis Carlos Moreno Águila — Cirugía Plástica y Estéticaaxes.M1: 2 → null (Methodology v1.2 (owner ruling 2026-09-18): M1 is not scored where the country's specialist register is closed; the secondary finding moved to facts[])
18 September 2026Dr. Luis Carlos Moreno Águila — Cirugía Plástica y Estéticaaxes.M3: null → null (Re-run against the MINSA idoneidad register and typed registry_closed (v1.2 pass 1): the host accepted no connection and no secondary route publishes Panamanian idoneidad numbers)
18 September 2026Dr. Luis Carlos Moreno Águila — Cirugía Plástica y Estéticaaxes.M1: null → null (Secondary routes for the closed specialist register run and logged (v1.2 pass 1))
18 September 2026Dr. Luis Carlos Moreno Águila — Cirugía Plástica y Estéticaaxes.M5: null → 2 (Completed scan of the clinic pages plus a DGI query (v1.2 pass 1): the clinic names no legal entity, which is the rubric anchor for brand only)
18 September 2026Dra. Fanny Rodríguez — Cirugía PlásticaInitial collection (v1.2 pass 1).
18 September 2026IMPILO Plastic Surgery & Medical Spaaxes.M1: 2 → null (Methodology v1.2 (owner ruling 2026-09-18): M1 is not scored where the country's specialist register is closed; the secondary finding moved to facts[])
18 September 2026IMPILO Plastic Surgery & Medical Spaaxes.M3: null → null (Re-run against the MINSA idoneidad register and typed registry_closed (v1.2 pass 1): the host accepted no connection and no secondary route publishes Panamanian idoneidad numbers)
18 September 2026IMPILO Plastic Surgery & Medical Spaaxes.M1: null → null (Secondary routes for the closed specialist register run and logged (v1.2 pass 1))
18 September 2026Luis D. Crespo, M.D. — Plastic SurgeryInitial collection (v1.2 pass 1).
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.
18 September 2026Panama Aestheticsaxes.M1: 2 → null (Methodology v1.2 (owner ruling 2026-09-18): M1 is not scored where the country's specialist register is closed; the secondary finding moved to facts[])
18 September 2026Panama Aestheticsaxes.M3: null → null (Re-run against the MINSA idoneidad register and typed registry_closed (v1.2 pass 1): the host accepted no connection and no secondary route publishes Panamanian idoneidad numbers)
18 September 2026Panama Aestheticsaxes.M1: null → null (Secondary routes for the closed specialist register run and logged (v1.2 pass 1))
18 September 2026Panama Aestheticsaxes.M5: null → 5 (Re-run against the DGI electronic-invoicing register (v1.2 pass 1): the entity and the registration number published by the clinic were matched in the register)
18 September 2026The Clinic — Dr. Lenin Almanzaaxes.M1: 2 → null (Methodology v1.2 (owner ruling 2026-09-18): M1 is not scored where the country's specialist register is closed; the secondary finding moved to facts[])
18 September 2026The Clinic — Dr. Lenin Almanzaaxes.M3: null → null (Re-run against the MINSA idoneidad register and typed registry_closed (v1.2 pass 1): the host accepted no connection and no secondary route publishes Panamanian idoneidad numbers)
18 September 2026The Clinic — Dr. Lenin Almanzaaxes.M1: null → null (Secondary routes for the closed specialist register run and logged (v1.2 pass 1))
18 September 2026The Clinic — Dr. Lenin Almanzaaxes.M5: null → 2 (Completed scan of the clinic pages plus a DGI query (v1.2 pass 1): the clinic names no legal entity, which is the rubric anchor for brand only)
18 September 2026The Clinic — Dr. Lenin Almanzaaxes.M7: null → 4 (Lexicon re-scan of the clinic pages (v1.2 pass 1): quote re-anchored on the home page)
17 September 2026Clínica Dermatológica Arosemena (CDA) — David, Chiriquíaxes.M8: null → 5 (Mechanical cross-locale comparison (methodology v1.1, item 9).)
17 September 2026Clínica Dermatológica Arosemena (CDA) — Marbellaaxes.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.
17 September 2026Panama Aestheticsaxes.M8: null → 5 (Mechanical cross-locale comparison (methodology v1.1, item 9).)
1 September 2026A Flor de Piel DermaclinicInitial collection.
1 September 2026Cirujanos Plásticos Panamá — Dr. Jair Brown AciegoInitial collection.
1 September 2026Clínica Dermatológica Arosemena (CDA) — David, ChiriquíInitial collection.
1 September 2026Clínica Dermatológica Arosemena (CDA) — MarbellaInitial collection.
1 September 2026Clínica Setton — Cirugía PlásticaInitial collection.
1 September 2026Dermec — Derma Medical CenterInitial collection.
1 September 2026Dr. José Espino — Cirugía PlásticaInitial collection.
1 September 2026Dr. Luis Bartley — Cirujano PlásticoInitial collection.
1 September 2026Dr. Luis Carlos Moreno Águila — Cirugía Plástica y EstéticaInitial collection.
1 September 2026IMPILO Plastic Surgery & Medical SpaInitial collection.
1 September 2026Panama AestheticsInitial collection.
1 September 2026The Clinic — Dr. Lenin AlmanzaInitial collection.
1 September 2026The Clinic — Dr. Lenin Almanzaaxes.M7: 4 → null (Citation re-check: quote not found at https://cirugiaesteticapanama.com/ (quote not found); cell degraded to could-not-verify.)
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.