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"},"1274":{"operation":{"name":"Операция при сложной формы гинекомастии","alias":"operaciya-pri-slozhnoy-formy-ginekomastii","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3500,"max_amount":4800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":2600,"max_amount":4200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"PL":{"amount":2000,"max_amount":7000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"EG":{"amount":3000,"max_amount":3200,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"PL":true,"EG":true},"description":"Процедура включает в себя удаление избыточной ткани молочной железы у мужчин, улучшение внешнего вида груди с помощью менее инвазивных методов, что обеспечивает быстрое восстановление.
"},"1286":{"operation":{"name":"Установка пекторальных имплантов","alias":"ustanovka-pektoralnyh-implantov","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3200,"max_amount":5200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":3300,"max_amount":6000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"PL":{"amount":3200,"max_amount":5600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":true,"PL":false},"description":"Эта операция улучшает форму груди с помощью силиконовых имплантатов, улучшая эстетику тела с меньшим риском, чем другие методы.
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Compression garment worn on flight."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":3,"unit":"days","qualifier":"From surgery; drain or dressing check and compression garment review."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":10,"unit":"days","qualifier":"From surgery; only if non-dissolvable sutures used, before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"From surgery; healing and garment-use review."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery; contour review."}}],"indications":["Persistent gynecomastia causing physical or psychological discomfort in adult men","Gynecomastia unresponsive to or unsuitable for observation or cause treatment","Excess glandular tissue, fat or both after medical evaluation"],"main_risks":["Hematoma or seroma","Infection","Contour irregularities or residual asymmetry","Residual or recurrent breast tissue","Nipple-areola complex changes, including altered sensation or necrosis","Skin laxity or excess","Scarring","Anesthesia-related risks","Numbness or altered skin sensation","Thromboembolic events (deep vein thrombosis, pulmonary embolism)","Need for revision surgery"],"pain":"Mild to moderate soreness, tightness and bruising for the first several days, usually managed with oral analgesics.","preparation":["Medical evaluation to identify and address underlying causes of gynecomastia","Preoperative assessment and routine tests as indicated","Breast imaging or further work-up if clinically indicated","Review of medications and supplements with the surgeon or anesthetist","Stop smoking and nicotine before surgery as advised","Fasting before general anesthesia per clinic instructions","Arrange transport home and help for the first days"],"recovery_timeline":[{"phase":"First 48 hours","description":"Rest with compression garment; swelling, bruising and soreness are expected.","restrictions":["No driving while on strong analgesics","Avoid lifting and strenuous activity"]},{"phase":"Days 3-10","description":"Pain subsides; return to light or desk work; dressings or sutures managed.","restrictions":["Wear compression garment as instructed","Avoid heavy lifting and upper-body exertion"]},{"phase":"Weeks 2-6","description":"Swelling and bruising gradually resolve; activity increases.","restrictions":["Avoid chest and upper-body strenuous exercise until cleared"]},{"phase":"Months 3-6","description":"Swelling settles and final chest contour becomes apparent.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery to normal daily activities; no formal physiotherapy typically required."},"result_longevity":"Removed glandular tissue and fat generally do not return, but recurrence can occur if hormonal causes, medications, substance use or weight gain persist.","revision_rate_pct":{"min":1,"max":10,"unit":"percent","qualifier":"Repeat surgery for residual tissue, contour irregularity or asymmetry within 1–2 years; higher in severe cases."},"scars":"Small incisions, typically periareolar or in the lateral chest fold for liposuction cannulas; usually fade to inconspicuous scars. Larger excess skin may require longer scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operative session in a typical uncomplicated case."},"stages":[{"code":"surgery","label":"Gynecomastia surgery (liposuction and/or gland excision)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the initial procedure."}}],"qualifier":"Single-stage operation; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient satisfaction with chest contour","value":90,"unit":"percent satisfied","horizon":"6-12 months after surgery","population":"Adult men with persistent gynecomastia after uncomplicated primary surgery","evidence_status":"limited"},"techniques":[{"name":"Liposuction only","suits_whom":"Mainly fatty gynecomastia (pseudogynecomastia) with little glandular tissue.","recovery":"Usually the quickest recovery, with compression garment use for several weeks."},{"name":"Subcutaneous mastectomy (gland 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trained specifically in plastic surgery","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/gynecomastia-surgery/questions","host":"plasticsurgery.org","quote":"Were you trained specifically in the field of plastic surgery?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask whether the surgeon has hospital privileges to perform this procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/gynecomastia-surgery/questions","host":"plasticsurgery.org","quote":"Do you have hospital privileges to perform this procedure?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Ask where and how the gynecomastia procedure will be performed","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/gynecomastia-surgery/questions","host":"plasticsurgery.org","quote":"Where and how will you perform my 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redness and swelling near the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24022-gynecomastia-surgery","host":"my.clevelandclinic.org","quote":"Fever, redness and swelling near the incision (these are signs of infection).","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Shortness of breath, chest pain or palpitations","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24022-gynecomastia-surgery","host":"my.clevelandclinic.org","quote":"Get immediate medical help if you have shortness of breath (dyspnea), chest pain or heart palpitations.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W4","text":"Incision that opens up","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24022-gynecomastia-surgery","host":"my.clevelandclinic.org","quote":"Bleeding or pus from the incision, or if the incision opens.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lists medicines, doses, blood tests and follow-up dates for the home doctor","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Lets the home doctor review imaging taken during 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