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Chest soreness, swelling and a support bra are expected.","restrictions":["No driving until off opioid analgesics and comfortable","Avoid lifting arms overhead or lifting objects","Sleep on the back, elevated"]},{"phase":"Days 4-14","description":"Pain subsides; light daily activities and desk work resumed; first wound check.","restrictions":["No heavy lifting or strenuous activity","Wear support bra"]},{"phase":"Weeks 2-6","description":"Swelling gradually decreases and implants begin to settle; activity gradually increased.","restrictions":["Avoid strenuous upper-body exercise until cleared","Avoid underwire bras if advised"]},{"phase":"Months 3-6","description":"Implants settle and final shape and softness become evident.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after primary implant augmentation; full activity takes longer."},"result_longevity":"Implants are not lifetime devices; many remain satisfactory for 10-20 years, but replacement or revision may be needed sooner or later depending on complications, aging, weight change and patient preference.","revision_rate_pct":{"min":20,"max":35,"unit":"percent","qualifier":"Unplanned reoperation within 10 years of primary silicone implant augmentation; excludes reconstruction, fat grafting and planned changes."},"scars":"Short scar in the inframammary fold, around the areola or in the armpit depending on approach; usually fades to a fine pale line over 6-12 months but varies with individual healing.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary implant augmentation."},"stages":[{"code":"implant_augmentation_surgery","label":"Bilateral breast implant placement in a single operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of surgery."}}],"qualifier":"Follow-up checks are routine care and not counted as treatment sessions."},"success":{"metric":"Patients satisfied or very satisfied with breast appearance and size","value":90,"unit":"percent","horizon":"1-2 years after surgery","population":"Adult women after primary cosmetic silicone-gel implant augmentation","evidence_status":"limited"},"techniques":[{"name":"Bilateral silicone-gel implant augmentation","suits_whom":"Adults seeking primary cosmetic augmentation; pocket and incision chosen at consultation.","recovery":"Similar recovery to other implants; periodic imaging for rupture may be advised."},{"name":"Saline implants","suits_whom":"Patients preferring adjustable fill volume or smaller incisions.","recovery":"Similar recovery; deflation is evident if rupture occurs."},{"name":"Submuscular or dual-plane placement","suits_whom":"Thinner patients needing more coverage.","recovery":"Often more postoperative pain and slower comfort return."},{"name":"Subglandular placement","suits_whom":"Patients with adequate tissue coverage.","recovery":"Often somewhat less pain; faster early recovery."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for bilateral primary implant augmentation, excluding anesthesia induction and recovery."},"initial_assessment_documents":["Front, side and oblique photos of the chest","Previous breast surgery or implant records","Recent mammogram or breast ultrasound report","Current medication and blood thinner list","Recent blood test results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until wound check confirms healing and surgeon clears travel. Later reviews can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether the surgeon was trained specifically in plastic surgery","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation/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/breast-augmentation/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 for examples of the practitioner's experience with the planned surgery","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Ask for examples of the practitioners’ experience with the surgery you are intending to have.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Confirm the surgeon you consult is the person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","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":"Pressure to decide quickly, or cheap time-limited offers, is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","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}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","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":"Breast firmness or enlargement with pain and pressure","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/breast-augmentation","host":"my.clevelandclinic.org","quote":"Increasing enlargement, or firmness, of one or both of your breasts that’s associated with pain and pressure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Pus or abnormal discharge from incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/breast-augmentation","host":"my.clevelandclinic.org","quote":"Abnormal discharge, such as pus, from your incision site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Rupture of your stitches","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/breast-augmentation","host":"my.clevelandclinic.org","quote":"Rupture of your stitches.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","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":"T4","text":"Lets a doctor at home identify the breast implants you received","document":"implant registration card","source":{"url":"https://www.canada.ca/en/health-canada/services/drugs-medical-devices/breast-implants/what-to-know.html","host":"canada.ca","quote":"You should also receive a product registration card from your surgeon with information about the implant or implants.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want only a half to one full cup size increase","name":"Fat transfer breast augmentation","source":{"url":"https://www.plasticsurgery.org/news/articles/fat-transfer-for-breast-augmentation-the-ins-and-outs-of-this-implant-alternative","host":"plasticsurgery.org","quote":"The most ideal patient for breast augmentation fat grafting is a half a cup to a full cup augmentation","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"technique_details":{"status":"ok","items":[{"id":"bilateral-silicone-gel-implant","name":"Bilateral silicone-gel implant augmentation","how_it_works":{"text":"Silicone shells are filled with silicone gel","source":{"url":"https://my.clevelandclinic.org/health/treatments/21724-breast-implants","host":"my.clevelandclinic.org","quote":"Breast implants are silicone shells filled with either silicone gel or saline (sterile salt water).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"saline-implants","name":"Saline implants","how_it_works":{"text":"Shells are filled with sterile salt water","source":{"url":"https://my.clevelandclinic.org/health/treatments/21724-breast-implants","host":"my.clevelandclinic.org","quote":"Breast implants are silicone shells filled with either silicone gel or saline (sterile salt water).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"submuscular-or-dual-plane-placement","name":"Submuscular or dual-plane placement","how_it_works":{"text":"The implant sits behind the 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