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surgery","population":"Adults with nipple hypertrophy undergoing standalone reduction under local anesthesia","evidence_status":"limited"},"techniques":[{"name":"Wedge or distal (tip) amputation reduction","suits_whom":"Mainly elongated nipples needing length reduction.","recovery":"Dressing for several days; light activity within days."},{"name":"Circumferential (width) reduction with skin excision","suits_whom":"Nipples wide in diameter needing width reduction.","recovery":"Similar short recovery; friction avoidance for a couple of weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Both nipples, standalone procedure."},"initial_assessment_documents":["Front close-up photos of both nipples","Side-profile photos of both nipples","Summary of medical history and past surgeries","Current medication list"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage same-day surgery; stay about 5-10 days until the wound check and suture removal, if needed."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the practitioner has the right training, skills and insurance to carry out the procedure safely","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"They should have the right training, skills and insurance to safely carry out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Book a consultation with the person who will operate before deciding, so the decision is informed","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Always book a consultation with the person who will do the procedure before making your final 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inflammation","urgency":"contact_clinic","general":false,"source":{"url":"https://www.healthline.com/health/areola-reduction","host":"healthline.com","quote":"severe redness or inflammation","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"A sudden increase in pain","urgency":"contact_clinic","general":false,"source":{"url":"https://www.healthline.com/health/areola-reduction","host":"healthline.com","quote":"sudden increase in pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs the procedure details to continue appropriate care","document":"operation report","source":{"url":"https://www.leavale.nhs.uk/clinics-and-services/considering-surgery-abroad/","host":"leavale.nhs.uk","quote":"Ensure you receive detailed records of your surgery and aftercare plan","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T2","text":"The home doctor needs aftercare instructions to continue appropriate care","document":"aftercare plan","source":{"url":"https://www.leavale.nhs.uk/clinics-and-services/considering-surgery-abroad/","host":"leavale.nhs.uk","quote":"Ensure you receive detailed records of your surgery and aftercare plan","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T3","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","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":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in 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