{"key":"op_815_US","page":{"url":"https://ru.bookimed.com/clinics/country=united-states/procedure=liposakcia-goleni/","procedure":{"id":815,"slug":"liposakcia-goleni","name":"Липосакция голени","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"plastic-surgery","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":44,"iso":"US","name":"Соединенные Штаты Америки"},"currency":"USD","data_date":"2026-09-25"},"pages":{"clinics_url":"https://ru.bookimed.com/clinics/country=united-states/procedure=liposakcia-goleni/","cost_url":"https://ru.bookimed.com/clinics/country=united-states/procedure=liposakcia-goleni/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":4000,"to":7800,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":4000,"to":7800},"uk":{"from":5200,"to":7800},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Детройт","from":4000},{"city":"Сан-Диего","from":5500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":500,"to":1200},{"country_iso":"FR","from":3600,"to":6200},{"country_iso":"GB","from":5200,"to":7800},{"country_iso":"IL","from":3800,"to":5800},{"country_iso":"TR","from":1300,"to":2900},{"country_iso":"MX","from":2500,"to":4300},{"country_iso":"DE","from":3600,"to":6200},{"country_iso":"CA","from":4200,"to":7200},{"country_iso":"AE","from":5500,"to":{"status":"missing","reason":"not_collected"}},{"country_iso":"TH","from":700,"to":1800},{"country_iso":"PL","from":1200,"to":4600},{"country_iso":"KR","from":1800,"to":5400},{"country_iso":"CZ","from":1700,"to":3800},{"country_iso":"AT","from":4300,"to":6900},{"country_iso":"ES","from":3600,"to":6200},{"country_iso":"IT","from":3600,"to":5600},{"country_iso":"CN","from":2300,"to":4300},{"country_iso":"AU","from":5500,"to":8800},{"country_iso":"IN","from":1600,"to":2700},{"country_iso":"MY","from":2300,"to":3700},{"country_iso":"VN","from":1500,"to":2700},{"country_iso":"BR","from":2300,"to":4300},{"country_iso":"AZ","from":2100,"to":2400},{"country_iso":"CY","from":900,"to":4000}],"base_country":"US","base_is_fallback":false},"savings":{"pct":0,"variant":"ranges_overlap"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":2,"items":[{"id":1819,"name":"Center for Plastic and Reconstructive Surgery","city":"Detroit","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":8661,"name":"Ciao Bella Cosmetic Surgery","city":"United States","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":2,"has_procedure":true,"why_ranked":"Uses VECTRA 3D simulation to preview calf contour results. Board-certified surgeon targets stubborn calf fat to improve cankle appearance.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":{"status":"missing","reason":"not_collected"},"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":1718,"slug":"detroit","name":"Детройт","clinics_count":1,"price_from":4000,"profile":{"status":"missing","reason":"not_collected"}},{"id":1703,"slug":"san-diego","name":"Сан-Диего","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":5500,"profile":{"city_type":"Pacific coast city near Mexican border","access":["San Diego Airport (SAN), 5 km northwest of downtown"],"sources":["https://en.wikipedia.org/wiki/San_Diego","https://en.wikipedia.org/wiki/San_Diego_International_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Localized excess fat in the calves or lower legs","Disproportionately thick calves from fat rather than muscle or edema"],"contraindications":["Pregnancy","Active infection or skin disease in the treatment area","Severe vascular or venous disease, or prior deep vein thrombosis","Uncontrolled systemic illness or bleeding disorders","Lymphedema","Anticoagulant therapy that cannot be safely managed"],"operation_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Calf liposuction alone, both legs; excludes combined procedures such as ankle or thigh liposuction."},"anesthesia":["local"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Usually one liposuction session."},"stages":[{"code":"liposuction","label":"Tumescent liposuction of calves","after":{"min":0,"max":0,"unit":"days","qualifier":"Single procedure on the day of surgery."}}],"qualifier":"Single-stage procedure in typical cases."},"hospital_nights":{"value":{"min":0,"max":0,"unit":"nights","qualifier":"Typical outpatient/day-case procedure under tumescent local anesthesia, same-day discharge."},"source":"parsed_details"},"treatment_conditions":["outpatient"],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; calf swelling can be slow to settle."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"After early wound check and compression garment fitting; longer flights raise DVT risk, so walking and compression are needed."},"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Desk-based or light work; standing-intensive work may need longer. Depends on extent and individual swelling."},"exercise_resume_weeks":{"min":2,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous leg exercise resumed at weeks 2-6 as swelling and tenderness settle."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Calf swelling resolves slowly; contour may continue to refine for several months."},"result_longevity":"Removed fat cells do not regenerate, but remaining fat cells can enlarge with significant weight gain; results are generally long-lasting if weight is stable.","main_risks":["Swelling, bruising and prolonged calf edema","Contour irregularities or asymmetry","Numbness or altered sensation","Infection","Seroma or hematoma","Deep vein thrombosis or pulmonary embolism","Skin pigmentation changes"],"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Mostly minor events (prolonged swelling, bruising, irregularities, numbness) within 6 months; serious ones under 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contour."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the surgeon how likely each risk and complication is, and how it would be treated","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/liposuction/","host":"nhs.uk","quote":"The surgeon should explain how likely these risks and complications are, and how they would be treated if you get them.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the practitioner has the right training, skills and insurance for the procedure","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"They should have the right training, skills and insurance to safely carry out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Book a consultation with the person who will do the procedure before deciding","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Always book a consultation with the person who will do the procedure before making your final decision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask how many liposuctions the surgeon has performed where complications occurred","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/liposuction/","host":"nhs.uk","quote":"how many liposuctions they've performed where there have been complications","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask what follow-up the surgeon provides if something goes wrong","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/liposuction/","host":"nhs.uk","quote":"what sort of follow-up you should expect if things go wrong","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check the clinician's qualifications and the credentials of the facility where the procedure will be done","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Check how you will communicate with the clinician and carers before the procedure, if the language is not yours","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A promise that liposuction results are guaranteed","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/liposuction/","host":"nhs.uk","quote":"It can be expensive, the results cannot be guaranteed, and there are risks to consider.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Pressure to decide straight after the consultation, with no time given to think","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Your practitioner should give you time after your consultation to decide whether you want to go ahead with the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"The practitioner has completed only a short training course in the procedure","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Avoid practitioners who've only completed a short training course in your chosen procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The clinic does not identify what to do if something goes wrong or dissatisfaction occurs","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"what to do if something goes wrong or you're not happy with the result","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"An offer claiming liposuction removes cellulite or stretch marks is a warning sign","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/liposuction/","host":"nhs.uk","quote":"Liposuction is not a treatment for obesity, and it will not remove cellulite or stretch marks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"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 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 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yours","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A promise that liposuction results are guaranteed","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/liposuction/","host":"nhs.uk","quote":"It can be expensive, the results cannot be guaranteed, and there are risks to consider.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Pressure to decide straight after the consultation, with no time given to 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large calves come from muscle, not fat","name":"Calf muscle reduction surgery","source":{"url":"https://www.plasticsurgery.org/news/blog/how-can-plastic-surgery-make-my-legs-thinner","host":"plasticsurgery.org","quote":"Surgical options for treatment of excess muscle include removal of strips or subtotal muscle belly excision","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"tumescent-liposuction","name":"Tumescent liposuction with small cannulas","how_it_works":{"text":"Wetting solution is injected, then a cannula suctions out fat","source":{"url":"https://www.plasticsurgery.org/news/blog/liposuction-tell-me-all-about-it","host":"plasticsurgery.org","quote":"Tiny incisions are used to first inject wetting solution and then remove fat cells permanently using a blunt-ended wand called a 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