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physical work later."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any early complication (hematoma, seroma, infection, delayed healing) within 90 days; serious ones under 2%."},"contraindications":["Active infection elsewhere or uncontrolled systemic illness","Medical conditions making general anesthesia unsafe","Uncontrolled bleeding disorder or unmanageable anticoagulation","Smoking or nicotine use (relative), impairing wound healing"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; occasionally one night for extensive capsulectomy or medical reasons."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":3,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous upper-body exercise after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling settles and skin retracts gradually; 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discomfort)","value":85,"unit":"percent of patients","horizon":"6-12 months","population":"Adults undergoing standalone implant removal for symptoms or preference","evidence_status":"limited"},"techniques":[{"name":"Implant removal without capsulectomy","suits_whom":"Patients with soft, uncomplicated capsules","recovery":"Fastest recovery, typically about 1 week for light activity."},{"name":"Total or en bloc capsulectomy","suits_whom":"Capsular contracture, rupture with silicone leakage, or suspected BIA-ALCL","recovery":"Longer and more uncomfortable recovery; drains more likely."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Both breasts, standalone removal; longer with extensive capsulectomy."},"initial_assessment_documents":["Front, side and oblique breast photos","Implant type, size and surgery date","Original implant card or operative report","Recent breast ultrasound or MRI report"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until first postoperative check and drain removal if used."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask about the surgeon's specific training in breast implant revision techniques","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal/questions","host":"plasticsurgery.org","quote":"What specific training do you have in breast implant revision techniques?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask what risks and complications apply to your own procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal/questions","host":"plasticsurgery.org","quote":"What are the risks and complications associated with my procedure?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that the surgeon can show before and after pictures of their work","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that the surgeon you consult with will be the person who carries 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":"2026-11-12","http_status":200}},{"id":"C5","text":"Check where your follow-up check-ups will take place before you 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offers","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":"2026-11-12","http_status":200}},{"id":"F3","text":"Websites selling cosmetic surgery as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Fluid collecting where the implant was","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21799-breast-implant-removal","host":"my.clevelandclinic.org","quote":"Seroma or bodily fluid collecting in the space where the implant was.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Unusual breast swelling","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/pip-implants/","host":"nhs.uk","quote":"Contact the clinic where you had the operation as soon as possible if you have unexpected pain or symptoms such as a burning sensation, unusual swelling in or around your breast or changes in the colour of your skin.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Feeling unwell with raised 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