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Later follow-ups can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon explains how likely the risks and complications are, and how they would be treated","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/cosmetic-treatments/labiaplasty/","host":"nhs.uk","quote":"Your surgeon should explain how likely these risks and complications are, and how they would be treated if you have them.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check you can meet the surgeon before the procedure","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/cosmetic-treatments/labiaplasty/","host":"nhs.uk","quote":"Always book an appointment to meet the surgeon before the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}},{"id":"C4","text":"Check the surgeon can communicate with you in a language you speak well","scope":"treatment_abroad","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Make sure your surgeon speaks English or another language you speak well enough.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask how many labiaplasty surgeries the surgeon has performed","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/genital/labiaplasty/selecting-surgeon","host":"theaestheticsociety.org","quote":"How many labiaplasty surgeries have you performed?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C6","text":"Ask what options exist if the labiaplasty outcome does not meet the agreed goals","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/genital/labiaplasty/selecting-surgeon","host":"theaestheticsociety.org","quote":"What are my options if the outcome of my labiaplasty does not meet the goals we agreed on?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Surgeon or hospital does not want to discuss the details of surgery","scope":"procedure","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Be wary of surgeons and hospitals that do not want to discuss the details of surgery with you.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Offer markets cosmetic surgery as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Beware of any hospital which markets cosmetic surgery as part of a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Increased bleeding or seeing clumps of blood","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21953-labiaplasty","host":"my.clevelandclinic.org","quote":"Increased bleeding or seeing clumps of blood.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Discolored pus or discharge","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21953-labiaplasty","host":"my.clevelandclinic.org","quote":"Discolored pus or discharge.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Excessive swelling or worsening 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labia.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://www.plasticsurgery.org/news/blog/what-to-expect-at-every-stage-of-your-labiaplasty","host":"plasticsurgery.org","quote":"Recovery varies from person to person, but most women are able to return to their normal routine within 1 to 2 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"wedge-resection","name":"Wedge resection","how_it_works":{"text":"Wedge resection reduces labia size and length through a V-shaped incision","source":{"url":"https://isaps.org/discover/patients-home/procedures/body-procedures/labia-minora-reduction/","host":"isaps.org","quote":"It reduces the size and length of the labia minora through a V-shaped incision.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://www.plasticsurgery.org/news/blog/what-to-expect-at-every-stage-of-your-labiaplasty","host":"plasticsurgery.org","quote":"Recovery varies from person to person, but most women are able to return to their normal routine within 1 to 2 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"de-epithelialization","name":"De-epithelialization/Z-plasty variants","how_it_works":{"text":"Surface layer is removed from the central area of the labia minora","source":{"url":"https://www.isaps.org/discover/patients-home/procedures/body-procedures/labia-minora-reduction/","host":"isaps.org","quote":"A de-epithelialization of the central area of both the medial and lateral part of the labium minor is 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