{"key":"op_807_US","page":{"url":"https://ru.bookimed.com/clinics/country=united-states/procedure=otkrytaa-rinoplastika/","procedure":{"id":807,"slug":"otkrytaa-rinoplastika","name":"Открытая ринопластика","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=otkrytaa-rinoplastika/","cost_url":"https://ru.bookimed.com/clinics/country=united-states/procedure=otkrytaa-rinoplastika/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":8000,"to":13000,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":8000,"to":13000},"uk":{"from":6000,"to":13800},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Детройт","from":8000},{"city":"Сан-Диего","from":8500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":2000,"to":2800},{"country_iso":"FR","from":7600,"to":12500},{"country_iso":"GB","from":6000,"to":13800},{"country_iso":"IL","from":6000,"to":8500},{"country_iso":"TR","from":2000,"to":3600},{"country_iso":"MX","from":3200,"to":6000},{"country_iso":"DE","from":5900,"to":9400},{"country_iso":"CA","from":6500,"to":11000},{"country_iso":"AE","from":6800,"to":7800},{"country_iso":"TH","from":2700,"to":3500},{"country_iso":"PL","from":7100,"to":7800},{"country_iso":"KR","from":3000,"to":4900},{"country_iso":"CZ","from":2500,"to":5200},{"country_iso":"AT","from":6800,"to":10000},{"country_iso":"ES","from":5300,"to":7000},{"country_iso":"IT","from":5600,"to":8800},{"country_iso":"CN","from":3300,"to":6200},{"country_iso":"AU","from":9500,"to":13500},{"country_iso":"IN","from":2200,"to":3600},{"country_iso":"MY","from":3200,"to":5000},{"country_iso":"VN","from":2300,"to":3900},{"country_iso":"BR","from":6000,"to":10000},{"country_iso":"AZ","from":2200,"to":3800},{"country_iso":"CP","from":4400,"to":7200},{"country_iso":"LT","from":2900,"to":4200}],"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":9627,"name":"Davinci Plastic Surgery","city":"Washington","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":"Vectra 3D imaging simulates results before surgery. Triple board-certified facial plastic surgeon handles complex and revision nasal cases, with two on-site operating rooms holding AAAHC accreditation.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"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":2,"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"}}]},"doctors":{"count":1,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":1718,"slug":"detroit","name":"Детройт","clinics_count":1,"price_from":8000,"profile":{"status":"missing","reason":"not_collected"}},{"id":1703,"slug":"san-diego","name":"Сан-Диего","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":8500,"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":["Aesthetic reshaping of nasal size, profile, tip or proportions","Nasal asymmetry or deviation","Structural nasal obstruction from septal or valve problems","Post-traumatic nasal deformity","Complex tip deformity needing structural correction"],"contraindications":["Active nasal or facial skin infection","Untreated body dysmorphic disorder","Uncontrolled systemic disease or unfitness for general anesthesia","Active smoking or nicotine use (relative)","Bleeding disorders or inability to pause anticoagulants","Pregnancy","Ongoing cocaine or intranasal drug use (relative)","Incomplete facial growth in adolescents (relative)"],"operation_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for primary open rhinoplasty; longer with grafting or septal work."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary rhinoplasty."},"stages":[{"code":"surgery","label":"Open rhinoplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Follow-up checks are not counted as treatment sessions."},"hospital_nights":{"value":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; occasionally one night of observation."},"source":"parsed_details"},"treatment_conditions":["day_case"],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after primary open rhinoplasty; full healing takes much longer."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"Usually cleared at first review, when splint and columellar sutures are removed. Complications may delay travel."},"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk or non-physical work after primary open rhinoplasty; visible swelling and bruising may persist longer."},"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking earlier; strenuous exercise and contact sports typically delayed until surgeon clearance, contact sports often longer."},"final_result_months":{"min":12,"max":18,"unit":"months","qualifier":"Complete resolution of swelling, especially nasal tip, in primary rhinoplasty; thick skin may take longer."},"result_longevity":"Structural changes are generally long-lasting, though the nose continues to age and minor changes can occur over time.","main_risks":["Bleeding and nosebleeds","Infection","Prolonged swelling and bruising","Persistent numbness of nasal tip","Asymmetry or unsatisfactory aesthetic result","Breathing difficulty","Visible columellar scar or poor scarring","Skin or tip tissue compromise (rare)","Septal perforation (rare)","Need for revision surgery","Anesthesia-related complications","Nasal valve collapse or contour irregularities"],"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any early or late complication after primary open rhinoplasty, including bleeding, infection, asymmetry; serious ones are rare."},"revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Revision after primary rhinoplasty, judged once final result is visible at 12–18 months. Mostly aesthetic."},"success":{"metric":"Patient satisfaction with nasal appearance and function","value":85,"horizon":"12 months after surgery","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Small transcolumellar incision across the columella plus hidden internal incisions; the external scar is typically fine and inconspicuous once matured, though it can occasionally remain visible.","pain":"Usually mild to moderate; mostly pressure, congestion and a stuffy feeling rather than sharp pain, controlled with oral analgesics for the first several days.","preparation":["Surgical consultation with goal discussion and photographs","Preoperative medical assessment and routine blood tests as indicated","Review medications and supplements that raise bleeding risk","Stop smoking and nicotine before and after surgery","Fasting before general anesthesia","Arrange transport and help at home for the first days"],"recovery_timeline":[{"phase":"Days 0-7","description":"Nasal splint and possible internal packing or splints; swelling, bruising and congestion peak early.","restrictions":["Keep head elevated","No nose blowing","Avoid strenuous activity"]},{"phase":"Weeks 1-2","description":"Splint and sutures removed; bruising fades and most people resume desk work.","restrictions":["Avoid bumping the nose","No glasses resting on the nose unless supported"]},{"phase":"Weeks 3-6","description":"Visible swelling decreases; return to gradual exercise after clearance.","restrictions":["No contact sports","Avoid heavy strenuous exertion until cleared"]},{"phase":"Months 3-12+","description":"Gradual refinement as residual swelling, especially of the tip, resolves.","restrictions":["Sun protection for the nose"]}],"follow_up_visits":[{"purpose":"splint_removal","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Removal of external splint and any sutures, counted from surgery."}},{"purpose":"wound_check","requirement":"routine","after":{"min":14,"max":30,"unit":"days","qualifier":"Check of healing and swelling, counted from surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":365,"unit":"days","qualifier":"Later reviews at roughly 3, 6 and 12 months, counted from surgery."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgeon specializes in rhinoplasty or regularly performs it","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-the-nose","host":"plasticsurgery.org","quote":"After reviewing qualifications, look for a plastic surgeon that either specializes in rhinoplasty or one who regularly performs rhinoplasty.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check how many rhinoplasties the surgeon performs each year, since expertise differs significantly with volume","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-the-nose","host":"plasticsurgery.org","quote":"There is a significant difference in the expertise of someone who performs 9 versus 90 rhinoplasties annually.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you have had two to three consultations before making the final decision on surgery","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-the-nose","host":"plasticsurgery.org","quote":"I would recommend 2-3 consultations before making your final decision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask the surgeon what training and qualifications they have","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"You should always ask a surgeon what training and qualifications they have and what organisations they belong to.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check whether a body regulates the clinic to ensure it meets minimum standards of care","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there a body that regulates the clinic or practice to ensure that it meets minimum standards of care and treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check the arrangements for follow-up care with the surgeon after the operation","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Once you have had your surgery what are the arrangements for follow-up care with the surgeon?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Advert or website sells the 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}},{"id":"F2","text":"You are asked to pay before meeting the surgeon who will operate","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Do not pay to see a surgeon you have not met.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Medical advice on the call or in the offer comes from a sales or travel agent rather than a doctor","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","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":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives your home doctor the medication details and any changes to continue care","document":"written discharge summary","source":{"url":"https://midyorks.nhs.uk/hospital-discharge","host":"midyorks.nhs.uk","quote":"You will be given a written discharge summary which includes details of your medication and any changes.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Lets your home doctor review imaging taken during treatment abroad","document":"copies of x-rays and scans","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Travellers should ensure they have copies of all overseas medical records, including x-rays and scans, before departure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Sets out the surgeon's specific aftercare steps your home doctor can follow","document":"written post-operative instructions","source":{"url":"https://www.plasticsurgery.org/news/blog/what-to-expect-during-your-rhinoplasty-recovery","host":"plasticsurgery.org","quote":"In addition, your surgeon will give you specific and detailed post-operative instructions.","tier":"tier1_medical","fetched_at":"2026-11-12","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}},{"id":"T5","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk or non-physical work after primary open rhinoplasty; visible swelling and bruising may persist longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any early or late complication after primary open rhinoplasty, including bleeding, infection, asymmetry; serious ones are rare."},"contraindications":["Active nasal or facial skin infection","Untreated body dysmorphic disorder","Uncontrolled systemic disease or unfitness for general anesthesia","Active smoking or nicotine use (relative)","Bleeding disorders or inability to pause anticoagulants","Pregnancy","Ongoing cocaine or intranasal drug use (relative)","Incomplete facial growth in adolescents (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; occasionally one night of observation."},"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 contact sports typically delayed until surgeon clearance, contact sports often longer."},"final_result_months":{"min":12,"max":18,"unit":"months","qualifier":"Complete resolution of swelling, especially nasal tip, in primary rhinoplasty; thick skin may take longer."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"Usually cleared at first review, when splint and columellar sutures are removed. Complications may delay travel."},"follow_up_visits":[{"purpose":"splint_removal","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Removal of external splint and any sutures, counted from surgery."}},{"purpose":"wound_check","requirement":"routine","after":{"min":14,"max":30,"unit":"days","qualifier":"Check of healing and swelling, counted from surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":365,"unit":"days","qualifier":"Later reviews at roughly 3, 6 and 12 months, counted from surgery."}}],"indications":["Aesthetic reshaping of nasal size, profile, tip or proportions","Nasal asymmetry or deviation","Structural nasal obstruction from septal or valve problems","Post-traumatic nasal deformity","Complex tip deformity needing structural correction"],"main_risks":["Bleeding and nosebleeds","Infection","Prolonged swelling and bruising","Persistent numbness of nasal tip","Asymmetry or unsatisfactory aesthetic result","Breathing difficulty","Visible columellar scar or poor scarring","Skin or tip tissue compromise (rare)","Septal perforation (rare)","Need for revision surgery","Anesthesia-related complications","Nasal valve collapse or contour irregularities"],"pain":"Usually mild to moderate; mostly pressure, congestion and a stuffy feeling rather than sharp pain, controlled with oral analgesics for the first several days.","preparation":["Surgical consultation with goal discussion and photographs","Preoperative medical assessment and routine blood tests as indicated","Review medications and supplements that raise bleeding risk","Stop smoking and nicotine before and after surgery","Fasting before general anesthesia","Arrange transport and help at home for the first days"],"recovery_timeline":[{"phase":"Days 0-7","description":"Nasal splint and possible internal packing or splints; swelling, bruising and congestion peak early.","restrictions":["Keep head elevated","No nose blowing","Avoid strenuous activity"]},{"phase":"Weeks 1-2","description":"Splint and sutures removed; bruising fades and most people resume desk work.","restrictions":["Avoid bumping the nose","No glasses resting on the nose unless supported"]},{"phase":"Weeks 3-6","description":"Visible swelling decreases; return to gradual exercise after clearance.","restrictions":["No contact sports","Avoid heavy strenuous exertion until cleared"]},{"phase":"Months 3-12+","description":"Gradual refinement as residual swelling, especially of the tip, resolves.","restrictions":["Sun protection for the nose"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after primary open rhinoplasty; full healing takes much longer."},"result_longevity":"Structural changes are generally long-lasting, though the nose continues to age and minor changes can occur over time.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Revision after primary rhinoplasty, judged once final result is visible at 12–18 months. Mostly aesthetic."},"scars":"Small transcolumellar incision across the columella plus hidden internal incisions; the external scar is typically fine and inconspicuous once matured, though it can occasionally remain visible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary rhinoplasty."},"stages":[{"code":"surgery","label":"Open rhinoplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient satisfaction with nasal appearance and function","value":85,"unit":"percent satisfied","horizon":"12 months after surgery","population":"Adults after primary open rhinoplasty for aesthetic or functional concerns","evidence_status":"limited"},"techniques":[{"name":"Open approach with transcolumellar incision and structural grafting","suits_whom":"Patients needing tip refinement, complex deformities or grafting with full visualization.","recovery":"Slightly more tip swelling and a small columellar scar compared with closed approach."},{"name":"Open approach with septorhinoplasty","suits_whom":"Patients with both aesthetic concerns and septal deviation causing obstruction.","recovery":"Similar to standard open rhinoplasty with some added internal congestion."},{"name":"Open approach with ultrasonic piezo osteotomies","suits_whom":"Patients needing controlled bony reshaping.","recovery":"May reduce bruising in some patients; overall timeline similar."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for primary open rhinoplasty; longer with grafting or septal work."},"initial_assessment_documents":["Front, side and base-view photos of the nose","List of previous nasal surgeries or injuries","List of blood thinners and supplements","Recent CT scan of sinuses and nose (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days until splint and suture removal. Later reviews can be done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgeon specializes in rhinoplasty or regularly performs it","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-the-nose","host":"plasticsurgery.org","quote":"After reviewing qualifications, look for a plastic surgeon that either specializes in rhinoplasty or one who regularly performs rhinoplasty.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check how many rhinoplasties the surgeon performs each year, since expertise differs significantly with volume","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-the-nose","host":"plasticsurgery.org","quote":"There is a significant difference in the expertise of someone who performs 9 versus 90 rhinoplasties 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to ensure it meets minimum standards of care","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there a body that regulates the clinic or practice to ensure that it meets minimum standards of care and treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check the arrangements for follow-up care with the surgeon after the operation","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Once you have had your surgery what are the arrangements for follow-up care with the surgeon?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Advert or website sells the 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}},{"id":"F2","text":"You are asked to pay before meeting the surgeon who will operate","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Do not pay to see a surgeon you have not met.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Medical advice on the call or in the offer comes from a sales or travel agent rather than a doctor","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Medical advice from 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