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Physical work needs longer; complications extend recovery."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any complication (mainly wound dehiscence, seroma, infection) within first months; serious ones are a minority."},"contraindications":["Active local or systemic infection","Skin infection or open wounds in gluteal or sacral area","Pregnancy or breastfeeding","Untreated body dysmorphic disorder","Uncontrolled medical conditions (e.g., diabetes, heart disease)","Current smoking or nicotine use (relative; impairs wound healing)","Insufficient soft tissue coverage in very thin patients (relative)","Bleeding or clotting disorders or history of venous thromboembolism (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually day case or one night of observation after primary gluteal implant surgery."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking early; lower-body and strenuous exercise only after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"After swelling resolves and implants settle."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After the wound check and suture removal, once pain and sitting allow, with surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Early check, drain removal if used."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":10,"max":14,"unit":"days","qualifier":"If non-absorbable sutures were used."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":60,"unit":"days","qualifier":"Review of healing and activity clearance."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of settled result."}}],"indications":["Flat or underdeveloped buttocks","Gluteal asymmetry","Gluteal volume loss"],"main_risks":["Wound dehiscence or opening of the incision","Infection","Seroma or hematoma","Implant malposition, rotation or visible/palpable implant","Capsular contracture","Implant exposure or extrusion","Sciatic nerve irritation or numbness","Persistent pain","Asymmetry","Venous thromboembolism","Anesthesia-related risks","Scarring (widened or hypertrophic scar at the incision)","Skin necrosis or poor wound healing","Need for revision surgery or implant removal"],"pain":"Moderate to significant pain for the first 1–2 weeks, especially when sitting, controlled by prescribed analgesics; tightness and discomfort may persist for several weeks.","preparation":["Preoperative consultation and medical history review","Routine blood tests and medical clearance as indicated","Stop smoking and nicotine products in advance","Review of medication and supplements with the surgeon","Fasting before general anesthesia","Arrange home help and a sitting cushion","Preoperative photos and implant size and plane planning"],"recovery_timeline":[{"phase":"Days 0–3","description":"Rest, swelling and pain; compression garment worn; drains if used.","restrictions":["Avoid sitting directly on the buttocks","Sleep on stomach or side"]},{"phase":"Weeks 1–2","description":"Pain and swelling decrease; light walking encouraged.","restrictions":["No prolonged sitting","No lifting or strenuous activity"]},{"phase":"Weeks 3–6","description":"Gradual return to daily activities and gradual sitting; compression continues as advised.","restrictions":["Avoid squats and lower-body workouts","Avoid heavy lifting"]},{"phase":"Weeks 6–12","description":"Gradual return to exercise as cleared; swelling settles.","restrictions":["Avoid high-impact activity until cleared"]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Pain and limited sitting for 1–2 weeks, then gradual return to daily activities. Strenuous exercise waits 6–12 weeks."},"result_longevity":"Implants are long-lasting but not guaranteed lifetime devices; revision or removal may be needed in some patients over time.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Reoperation or implant removal/exchange within first 1-2 years, mostly for infection, exposure or malposition."},"scars":"Typically a single vertical incision of about 5–8 cm in the upper natal cleft, usually well hidden; scar may be sometimes widened or thickened.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical session for primary bilateral gluteal implant placement."},"stages":[{"code":"surgery","label":"Bilateral gluteal implant placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Single-stage operation; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient satisfaction with buttock shape and volume","value":85,"unit":"percent satisfied","horizon":"6-12 months after surgery","population":"Healthy adults undergoing primary gluteal implant placement","evidence_status":"limited"},"techniques":[{"name":"Intramuscular implant placement","suits_whom":"Patients with thin soft tissue needing extra coverage; provides better implant stability.","recovery":"Often more painful with longer sitting restrictions, around 4–6 weeks."},{"name":"Subfascial implant placement","suits_whom":"Selected patients with adequate soft tissue and muscle quality.","recovery":"Usually somewhat less painful than intramuscular placement, with similar activity restrictions."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for primary bilateral gluteal implant placement."},"initial_assessment_documents":["Rear, side and front standing photos of buttocks","Recent blood test results","Medical history and current medication list","List of blood thinners","Prior buttock surgery or filler details"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days until wound check, suture removal and clearance to fly. Later reviews can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Talk to the operating surgeon yourself before you consent to surgery","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure that you talk to the surgeon who will be performing your procedure before you give your consent to have surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the facilities and standards at the clinic or hospital where you 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