Добробут — сеть частных многопрофильных клиник в Киеве, Украине.\n
\nМедицинские центры специализируются на 75 направлениях. К основным из них относятся онкология, кардиохирургия, эндоваскулярная хирургия, пластическая хирургия, ортопедия и травматология.\n
\nКаждый год хирурги Добробут выполняют более 11 000 операций.\n
\nБолее 330 000 пациентов ежегодно проходят лечения в клиниках сети.\n
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":38.29482222436664,"price_to":0,"currency":"USD","id":33843},"diagnostic":{"id":431,"name":"Консультация челюстно-лицевого хирурга","alias":"konsultacia-celustno-licevogo-hirurga"}}],"reviews":[],"clinic":{"id":1591,"alias":"dobrobut","name":"Медицинская сеть Добробут (Dobrobut) ","short_description":"Добробут — сеть частных многопрофильных клиник в Киеве, Украине.\n
\nМедицинские центры специализируются на 75 направлениях. К основным из них относятся онкология, кардиохирургия, эндоваскулярная хирургия, пластическая хирургия, ортопедия и травматология.\n
\nКаждый год хирурги Добробут выполняют более 11 000 операций.\n
\nБолее 330 000 пациентов ежегодно проходят лечения в клиниках сети.\n
","images":[{"base_url":"clinic/618547228e206","title":"Зона ресепшн в Dobrobut Medical Network, современный интерьер клиники в Украине"},{"base_url":"clinic/618547064bd47","title":"Палата с современным медицинским оборудованием в клинике Dobrobut Medical Network"},{"base_url":"clinic/618546c168f04","title":"Кабинет КТ с современным оборудованием Siemens в клинике Dobrobut Medical Network"},{"base_url":"clinic/618546e815326","title":"Современная операционная в Dobrobut Medical Network с передовым хирургическим оборудованием"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Украина","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Киев","id":109,"alias":"kiev"},"address":"вулиця Сім'ї Ідзиковських, 3, Київ, Украина, 02000"},"rating":{"rating":0,"google":4.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2500,"year_foundation":2001},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"Международная организация по стандартизации ISO","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Доктор Тарас Врублевский выполнил более 900 операций по уменьшению груди за 13 лет практики, пройдя обучение в Университетском медицинском центре Гамбург-Эппендорф. Предварительная стоимость составляет около €4 500–4 600; в эту сумму обычно входят операция и диагностическое УЗИ. Как член Всеукраинской ассоциации пластических, реконструктивных и эстетических хирургов, он применяет индивидуальный подход для достижения естественных результатов.
Клиника dr. Vrublivskyi Plastic Surgery (ЗСЦ) — частная узкопрофильная клиника в Черновцах, Украина. Основная специализация центра — пластическая хирургия. Медицинское учреждение принимает только взрослых пациентов. Ежегодно клинику выбирают более 1000 человек. Большинство пациентов приезжают из стран СНГ, Европы, США, Канады и Австралии.
\n","images":[{"base_url":"clinic/68ba219511ad0","title":"Зона ресепшн в Западном сосудистом центре, современная клиника в Украине"},{"base_url":"clinic/68ba21e437a79","title":"Консультация в клинике пластической хирургии dr.VRUBLIVSKYI с измерением импланта"},{"base_url":"clinic/68ba222cac8ed","title":"Палата с современной больничной кроватью в клинике пластической хирургии dr.VRUBLIVSKYI"},{"base_url":"clinic/68bef1fd7b258","title":"Пластический хирург клиники dr.VRUBLIVSKYI в медицинской форме со стетоскопом"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Украина","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Черновцы","id":1795,"alias":"chernivtsi"},"address":"ул. Воробкевича, 33, Черновцы, Черновицкая область, Украина, 58032"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1,"year_foundation":2019},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"LITA Plus — частная клиника пластической хирургии и косметологии в Ужгороде, Украина. Команда специализируется на омоложении лица, хирургии груди и контурной пластике тела. Фирменное предложение — система увеличения груди ODA, позволяющая пациентам вернуться домой в день операции. Клиника также проводит пересадку волос методом FUE для мужчин и женщин. Основатель Сергей Дербак открыл центр в 2018 году. Он имеет более 10 лет опыта работы в ведущих клиниках Украины.
LITA Plus была названа «Предприятием года 2025» в национальных рейтингах. В медицинскую команду входят специалисты с опытом работы более 15 лет. Клиника использует передовые системы, такие как Morpheus 8, BodyTite и FaceTite. Хирурги также работают с премиальными имплантатами Motiva и Polytech, на которые предоставляется пожизненная гарантия. Иностранные пациенты получают полную поддержку на английском языке. Этот уход охватывает все этапы: от первой консультации до восстановления.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":7101,"alias":"lita-plus","name":"LITA Plus","short_description":"LITA Plus — частная клиника пластической хирургии и косметологии в Ужгороде, Украина. Команда специализируется на омоложении лица, хирургии груди и контурной пластике тела. Фирменное предложение — система увеличения груди ODA, позволяющая пациентам вернуться домой в день операции. Клиника также проводит пересадку волос методом FUE для мужчин и женщин. Основатель Сергей Дербак открыл центр в 2018 году. Он имеет более 10 лет опыта работы в ведущих клиниках Украины.
LITA Plus была названа «Предприятием года 2025» в национальных рейтингах. В медицинскую команду входят специалисты с опытом работы более 15 лет. Клиника использует передовые системы, такие как Morpheus 8, BodyTite и FaceTite. Хирурги также работают с премиальными имплантатами Motiva и Polytech, на которые предоставляется пожизненная гарантия. Иностранные пациенты получают полную поддержку на английском языке. Этот уход охватывает все этапы: от первой консультации до восстановления.
","images":[{"base_url":"clinic/6a7777f2d537a","title":"Современное здание клиники LITA Plus, окруженное зеленью"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Украина","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Ужгород","id":2673,"alias":"uzhgorod"}},"rating":{"rating":5,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":8,"year_foundation":2018},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":13,"total_pages":2}},"clinicsMeta":{"total_count":13,"total_pages":2},"clinicsCount":13,"clinicsCountByEntity":{"clinic_count":710},"doctors":{"doctors":[{"card_text":"Д-р Врублевский специализируется на уменьшении груди в собственной клинике пластической хирургии, уделяя особое внимание достижению естественных результатов.
Тарас Врублевский - пластический хирург, магистр медицины, действительный член Украинской ассоциации эстетических пластических хирургов. Более 13 лет занимается эстетической и реконструктивной хирургией, проходил стажировку в ведущей клинике Hamburg-Eppendorf (Германия), регулярно совершенствует свои навыки на международных конференциях и мастер-классах.
\n\nДоктор Врублевский владеет всеми современными методиками пластической хирургии и выполняет широкий спектр операций: ринопластику, блефаропластику, абдоминопластику, фейслифтинг и эндоскопическую подтяжку лица, отопластику, различные виды операций на молочных железах (увеличение, уменьшение, подтяжка, комбинированные техники). Такой широкий опыт позволяет врачу подбирать оптимальное решение для каждого пациента, учитывая его индивидуальные особенности, анатомию и пожелания.
\n\nГлавная цель доктора - естественный результат и гармония внешности, при этом в работе он сочетает высокие стандарты безопасности, инновационные техники и персонализированный подход. Его пациенты отмечают не только эстетические изменения, но и рост уверенности в себе, улучшение качества жизни и внутреннего комфорта.
\n","specialities":[{"id":"pls.001","name":"Пластический хирург","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0},"certificates":[{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/68c0329ec38f0.jpeg","name":"ISAPS Visiting Professor Program Kiev"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/68c033a68e400.jpeg","name":"II All-Ukrainian Practical Surgery Competition"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/68c0343b701b2.jpeg","name":"TOOLBOX PLASTIC SURGERY LVIV"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/68c03480319b3.jpeg","name":"ICAMPS"}]},"clinic":{"id":6994,"alias":"dr-vrublivskyi-plastic-surgery","name":"Клиника пластической хирургии д-ра Врублевского","short_description":"Клиника dr. Vrublivskyi Plastic Surgery (ЗСЦ) — частная узкопрофильная клиника в Черновцах, Украина. Основная специализация центра — пластическая хирургия. Медицинское учреждение принимает только взрослых пациентов. Ежегодно клинику выбирают более 1000 человек. Большинство пациентов приезжают из стран СНГ, Европы, США, Канады и Австралии.
\n","images":[{"base_url":"clinic/68ba219511ad0","title":"Зона ресепшн в Западном сосудистом центре, современная клиника в Украине"},{"base_url":"clinic/68ba21e437a79","title":"Консультация в клинике пластической хирургии dr.VRUBLIVSKYI с измерением импланта"},{"base_url":"clinic/68ba222cac8ed","title":"Палата с современной больничной кроватью в клинике пластической хирургии dr.VRUBLIVSKYI"},{"base_url":"clinic/68bef1fd7b258","title":"Пластический хирург клиники dr.VRUBLIVSKYI в медицинской форме со стетоскопом"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Украина","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Черновцы","id":1795,"alias":"chernivtsi"},"address":"ул. Воробкевича, 33, Черновцы, Черновицкая область, Украина, 58032"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1,"year_foundation":2019},"accreditations":[]}},{"doctor":{"id":11511,"alias":"oleksandr-karpinskiy","name":"Александр Карпинский","clinic_id":7101,"photo":"doctor/69b9dc8d9a74d","first_year_working":2019,"created_at":"2026-03-17T22:58:20.031+00:00","description":"Oleksandr Karpinskyi is a leading plastic surgeon at Lita Plus Clinic and an international expert in aesthetic medicine. He is recognized for his advanced surgical techniques, consistent clinical results and active contribution to professional education in plastic surgery.
Dr. Karpinskyi is a frequent speaker at Ukrainian and international congresses and conferences. He is also a Key Opinion Leader for the Institute Hyalual company, participating in educational and scientific initiatives in the field of aesthetic and regenerative medicine.
Oleksandr Karpinskyi specializes in aesthetic and reconstructive procedures of the breast, face and body. He is particularly востребован for:
Breast surgery — augmentation, lift and reduction
Facial lipofilling — contour correction and volume restoration
Endoscopic facial rejuvenation — minimally invasive lifting techniques
Laser blepharoplasty — precise eyelid correction with faster recovery
Brow lift — endoscopic eyebrow elevation for upper face rejuvenation
Body lipomodelling — contouring and harmonization of body proportions
His clinical approach combines detailed surgical planning, individualized treatment strategies and long-term patient follow-up.
Over recent years, Oleksandr Karpinskyi has conducted training programs and educational workshops for doctors in multiple countries, including Saudi Arabia, UAE, Qatar, South Africa, Vietnam, Turkey, Indonesia, Malaysia, Poland and the Czech Republic.
His international teaching activity reflects recognition of his practical expertise in lipofilling and facial contouring techniques.
Dr. Karpinskyi is an author and researcher in the field of lipofilling. He developed an original clinical technique that significantly improves fat graft survival and contributes to more stable and predictable long-term results.
His professional philosophy is based on the idea that plastic surgery is a combination of medical precision and artistic vision aimed at improving patients’ confidence and quality of life.
Uzhhorod National University — Medical Degree (2011–2017)
Residency in ENT Surgery (2017–2019)
Training in General Surgery (2019)
National Medical University named after O.O. Bohomolets — Plastic and Reconstructive Surgery (2023)
Oleksandr Karpinskyi works within a multidisciplinary medical team and follows structured safety and anesthesia protocols. His goal is to achieve natural-looking outcomes while ensuring high standards of patient safety and personalized treatment planning.
","specialities":[{"id":"pls.001","name":"Пластический хирург","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":7101,"alias":"lita-plus","name":"LITA Plus","short_description":"LITA Plus — частная клиника пластической хирургии и косметологии в Ужгороде, Украина. Команда специализируется на омоложении лица, хирургии груди и контурной пластике тела. Фирменное предложение — система увеличения груди ODA, позволяющая пациентам вернуться домой в день операции. Клиника также проводит пересадку волос методом FUE для мужчин и женщин. Основатель Сергей Дербак открыл центр в 2018 году. Он имеет более 10 лет опыта работы в ведущих клиниках Украины.
LITA Plus была названа «Предприятием года 2025» в национальных рейтингах. В медицинскую команду входят специалисты с опытом работы более 15 лет. Клиника использует передовые системы, такие как Morpheus 8, BodyTite и FaceTite. Хирурги также работают с премиальными имплантатами Motiva и Polytech, на которые предоставляется пожизненная гарантия. Иностранные пациенты получают полную поддержку на английском языке. Этот уход охватывает все этапы: от первой консультации до восстановления.
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Доктор Светлана Работенко — ведущий пластический хирург клиники Vidnova, имеет высшую квалификационную категорию. Является международным членом Американского общества пластических хирургов (ASPS) и Международного общества эстетической пластической хирургии (ISAPS), а также членом Всеукраинской ассоциации пластических, реконструктивных и эстетических хирургов.
\n\nДоктор Работенко имеет более 17 лет опыта и выполняет около 1 500 операций в год. Основные направления — пластика груди, тела и лица. Прошла повышение квалификации в НМАПО им. П.Л. Шупика. Регулярно участвует в международных конференциях и способствует развитию пластической хирургии в Украине.
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Он является многократным лауреатом Турецких национальных конгрессов пластической хирургии и прошел углубленную подготовку в Медицинском колледже Бейлора в Хьюстоне, штат Техас.","linkedin":"","specialities":[{"id":"pls.001","name":"Пластический хирург","illness_kind_id":38}]},"direction":{"id":38,"name":"Пластическая хирургия","alias":"plasticheskaya-hirurgiya"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk work usually possible in 7-14 days; physically demanding work needs about 4-6 weeks."},"complication_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation or readmission within about 90 days after pedicled reduction; higher with smoking, high BMI, large resections."},"contraindications":["Pregnancy or current breastfeeding (usually deferred)","Uncontrolled medical conditions (e.g., cardiovascular disease, diabetes)","Smoking or nicotine use (relative; raises necrosis risk)","Active breast infection or untreated breast malignancy","Significant bleeding or clotting disorders","Plans for future pregnancy/breastfeeding (relative precaution)","Unstable weight or very high BMI (relative precaution)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Day case under general anesthesia; same-day discharge with an adult escort and help at home overnight."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking earlier; strenuous exercise and upper-body training after surgeon clearance."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Swelling resolves and breasts settle gradually; scars continue to mature longer."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Short flights only after a postoperative check confirms stable healing; arrange any pending suture or drain removal beforehand."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check; dressing change and drain removal if used."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":14,"unit":"days","qualifier":"Only if non-absorbable sutures were used; done before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":60,"unit":"days","qualifier":"Review of healing, shape and activity clearance."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Later review of final shape and scars."}}],"indications":["Symptomatic macromastia with neck, shoulder or back pain","Skin irritation or rashes under the breasts","Bra-strap grooving","Limitation of physical activity due to breast size","Breast asymmetry with a larger breast"],"main_risks":["Bleeding or hematoma","Infection or delayed wound healing","Visible or hypertrophic scarring","Nipple-areola sensation changes or loss","Nipple-areola or skin necrosis","Asymmetry or contour irregularities","Fat necrosis or seroma","Reduced or lost ability to breastfeed","Anesthesia-related risks and venous thromboembolism","Need for revision surgery"],"pain":"Moderate soreness, tightness and pulling for the first several days, usually controlled with oral analgesics; improves markedly by 1–2 weeks.","preparation":["Preoperative consultation with medical history review and examination","Mammography or ultrasound as indicated by age and risk","Routine blood tests and anesthetic assessment","Stop smoking/nicotine in advance","Review medications and supplements with surgeon","Stable weight before surgery","Fasting before general anesthesia","Arrange transport home and help during first days","Obtain a supportive surgical bra"],"recovery_timeline":[{"phase":"Day of surgery (day case)","description":"Surgery takes about 2.5-4 hours under general anesthesia. Same-day discharge after assessment in a surgical bra with dressings; drains only if used.","restrictions":["Adult escort and help overnight","No driving","Rest with head elevated"]},{"phase":"Days 1-7","description":"Soreness, tightness, swelling and bruising are expected. Short indoor walks several times daily reduce clot risk.","restrictions":["No lifting or pushing","Avoid overhead reaching","Keep dressings dry as instructed"]},{"phase":"Days 7-14","description":"Light daily activities resume around days 7-10. Desk work usually resumes around days 7-14 once pain is controlled. Short flights possible if cleared.","restrictions":["No heavy lifting","No driving until comfortable and off strong analgesics","Continue supportive bra"]},{"phase":"Weeks 3-6","description":"Swelling and bruising subside; activity increases gradually. Strenuous exercise and demanding work resume at about 4-6 weeks with surgeon clearance.","restrictions":["No strenuous exercise before about 4 weeks and clearance","Continue supportive bra"]},{"phase":"Months 2-12","description":"Breasts settle into final shape over about 3-12 months and scars mature.","restrictions":["Protect scars from sun"]},{"phase":"At any time","description":"Seek urgent care for rapid one-sided swelling, heavy bleeding, fever, spreading redness, pus, wound opening, dusky nipple, chest pain, breathlessness or calf pain.","restrictions":["Do not wait for a scheduled review"]}],"rehabilitation_days":{"min":5,"max":10,"unit":"days","qualifier":"Light self-care within 5-10 days; soreness eases over 1-2 weeks; no strenuous exercise or heavy lifting for 4-6 weeks."},"result_longevity":"Long-lasting, but breasts can change with aging, pregnancy, hormonal changes and weight fluctuation; regrowth is possible.","revision_rate_pct":{"min":3,"max":8,"unit":"percent","qualifier":"Unplanned corrective surgery within about 1-5 years after primary pedicled reduction; higher with smoking, high BMI or very large resections."},"scars":"Permanent scars around the areola, vertically down to the breast crease and often along the inframammary fold (anchor pattern); they fade over 6–18 months but remain visible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Reduction mammaplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Typically one surgery; routine follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patients reporting satisfaction with the overall breast-reduction result (binary yes/no response)","value":85,"unit":"percent of patients","horizon":"About 12 months after surgery","population":"Adults after primary bilateral inverted-T inferior-pedicle reduction for symptomatic macromastia, including those with complications.","evidence_status":"limited"},"techniques":[{"name":"Inverted-T (Wise pattern) inferior pedicle reduction, bilateral","suits_whom":"Most adults with moderate to large reductions.","recovery":"Desk work about 7-14 days, ordinary function 5-10 days, strenuous exercise about 4-6 weeks."},{"name":"Vertical short-scar reduction (superior or medial pedicle)","suits_whom":"Mild to moderate reductions with good skin elasticity.","recovery":"Often similar recovery; usually no horizontal inframammary scar."},{"name":"Liposuction-assisted reduction","suits_whom":"Small reductions in fattier, less glandular breasts.","recovery":"Often quicker with minimal scarring."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2.5,"max":4,"unit":"hours","qualifier":"Both breasts, standard pedicled reduction under general anesthesia."},"initial_assessment_documents":["Front, side and oblique breast photos","Recent mammogram or breast ultrasound report","Recent blood test results","Medication list including blood thinners","Medical records of chronic conditions and prior surgeries"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days for postoperative check and drain or suture issues. Later reviews remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgeon was trained specifically in plastic surgery","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/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":"Check whether the surgeon has hospital privileges to perform this procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/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":"Check where and how the breast reduction surgery will be performed","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/questions","host":"plasticsurgery.org","quote":"Where and how will you perform my procedure?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check for before-and-after photos of this procedure to judge which results are realistic for you","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/questions","host":"plasticsurgery.org","quote":"Do you have before-and-after photos I can look at for this procedure and what results are reasonable for me?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that a named doctor is available to deal with complications, not only a helpline","scope":"treatment_abroad","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Make sure you have the contact details of a named doctor who can deal with any complications rather than a helpline.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C6","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}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","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":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe pain after breast reduction","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/breast-reduction/","host":"nhs.uk","quote":"Contact the clinic where you had the operation as soon as possible if you have severe pain or any unexpected symptoms, such as a burning feeling, unusual swelling on or around your breast or changes in the colour of your skin.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Unusual swelling on or around the breast","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/breast-reduction/","host":"nhs.uk","quote":"Contact the clinic where you had the operation as soon as possible if you have severe pain or any unexpected symptoms, such as a burning feeling, unusual swelling on or around your breast or changes in the colour of your skin.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Breast enlargement with pain and pressure","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/11025-breast-reduction","host":"my.clevelandclinic.org","quote":"Enlargement on one or both breasts associated with pain and pressure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W4","text":"Unusual discharge from the incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/11025-breast-reduction","host":"my.clevelandclinic.org","quote":"Unusual discharge from the incision site, including pus.","tier":"tier1_medical","fetched_at":"2026-11-11","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":"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":"T3","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":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare 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