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final shape evident.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal rehabilitation program is usually required."},"result_longevity":"Implants are not lifetime devices; many patients need replacement or revision within 10-20 years because of complications, rupture or change in size preference.","revision_rate_pct":{"min":20,"max":36,"unit":"percent","qualifier":"Cumulative reoperation at about 10 years; about 10-15% by 3-5 years."},"scars":"Short scar in the inframammary fold (most common), or around the areola or in the armpit depending on approach; usually fades to a fine line over 6-12 months, though hypertrophic scarring is possible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary bilateral augmentation."},"stages":[{"code":"implant_surgery","label":"Bilateral silicone implant placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Standard primary augmentation alone is a single-stage procedure."},"success":{"metric":"Patient satisfaction with breast outcome (satisfied or very satisfied)","value":90,"unit":"percent","horizon":"10 years","population":"Women with primary cosmetic silicone breast augmentation","evidence_status":"limited"},"techniques":[{"name":"Inframammary incision, submuscular (dual-plane) placement","suits_whom":"Most patients, particularly those with thin soft-tissue coverage.","recovery":"More discomfort in the first 1-2 weeks; implant settles over months."},{"name":"Inframammary incision, subglandular placement","suits_whom":"Patients with adequate soft-tissue coverage.","recovery":"Often slightly less early pain and faster early recovery."},{"name":"Periareolar or transaxillary approach","suits_whom":"Selected patients, based on anatomy and implant type.","recovery":"Similar overall recovery; scar location differs."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for primary bilateral augmentation, excluding anesthesia preparation and recovery."},"initial_assessment_documents":["Front, side and oblique chest photos","Prior breast surgery or implant records (if available)","Recent mammogram or breast ultrasound report","Medical history and current medication list","Recent blood test results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 5-7 days until first postoperative check. Later reviews can be done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","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}},{"id":"C3","text":"Check that the surgeon who consults with you is the same 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":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","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":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","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":"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":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"New breast or armpit lump","urgency":"emergency","general":false,"source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety","host":"plasticsurgery.org","quote":"It is very important to seek treatment immediately if you discover swelling around your breast implant, a new breast/armpit lump or changes to your breast skin.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Changes to the breast skin","urgency":"emergency","general":false,"source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety","host":"plasticsurgery.org","quote":"It is very important to seek treatment immediately if you discover swelling around your breast implant, a new breast/armpit lump or changes to your breast skin.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Unexplained breast enlargement","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety","host":"plasticsurgery.org","quote":"Common symptoms include unexplained breast enlargement, pain, asymmetry, lump in the breast or armpit, overlying skin rash, hardening of the breast or a large fluid collection.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Overlying skin rash","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety","host":"plasticsurgery.org","quote":"Common symptoms include unexplained breast enlargement, pain, asymmetry, lump in the breast or armpit, overlying skin rash, hardening of the breast or a large fluid collection.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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 English.","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":"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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"technique_details":{"status":"ok","items":[{"id":"inframammary-incision-submuscular","name":"Inframammary incision, submuscular (dual-plane) placement","how_it_works":{"text":"The implant is placed underneath the chest muscle","source":{"url":"https://www.plasticsurgery.org/news/blog/what-to-consider-before-you-get-a-breast-augmentation","host":"plasticsurgery.org","quote":"Options include sub-glandular placement (in between the mammary gland and the pectoral muscle) and sub-muscular or sub-pectoral (underneath the muscle).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"inframammary-incision-subglandular","name":"Inframammary incision, subglandular placement","how_it_works":{"text":"The implant is placed between the breast gland and the chest muscle","source":{"url":"https://www.plasticsurgery.org/news/blog/what-to-consider-before-you-get-a-breast-augmentation","host":"plasticsurgery.org","quote":"Options include sub-glandular placement (in between the mammary gland and the pectoral muscle) and sub-muscular or sub-pectoral (underneath the muscle).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"periareolar","name":"Periareolar or transaxillary approach","how_it_works":{"text":"The incision is made around the areola or in the 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