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It is often greater after submuscular implant placement.","preparation":["Surgical consultation with medical history and breast examination","Preoperative photographs and measurements","Mammography or breast imaging when age or risk indicates","Routine preoperative blood tests and anesthesia assessment","Stop smoking and nicotine before and after surgery","Review medications and supplements, especially those affecting bleeding, with clinicians","Fasting before general anesthesia as instructed","Arrange an adult escort and help at home after surgery"],"recovery_timeline":[{"phase":"First days","description":"Swelling, bruising and tightness; surgical bra or dressings in place.","restrictions":["Avoid lifting arms overhead or heavy objects","No driving while taking strong analgesics"]},{"phase":"Weeks 1-2","description":"Pain and swelling settle; return to light daily activity; sutures removed or dissolve.","restrictions":["Wear supportive bra as directed","Avoid strenuous activity and sleeping on the stomach"]},{"phase":"Weeks 3-6","description":"Gradual return to normal activity as tissues heal and implants settle.","restrictions":["Avoid heavy lifting and vigorous upper-body exercise until cleared"]},{"phase":"Months 3-12","description":"Swelling resolves, implants settle and scars mature.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Light daily activities resume after about 1–2 weeks; heavy lifting stays restricted."},"result_longevity":"Breast implants are not lifetime devices; many patients need replacement or revision after about 10–20 years. 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It starts red, usually fades over 12 months or longer; hypertrophic scarring is possible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation under general anesthesia; follow-up checks are not counted as sessions."},"stages":[{"code":"surgery","label":"Mammoplasty operation under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}},{"code":"early_check","label":"Early wound and dressing check","after":{"min":1,"max":3,"unit":"days","qualifier":"Includes drain removal when used."}},{"code":"suture_check","label":"Suture and wound review before travel","after":{"min":7,"max":10,"unit":"days","qualifier":"Timing depends on suture type and healing."}},{"code":"final_review","label":"Final result review","after":{"min":90,"max":180,"unit":"days","qualifier":"Once swelling resolves and breast shape settles."}}],"qualifier":"Single-stage surgery; revision, if needed, is a separate later 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modest volume increase using own fat","recovery":"Liposuction site bruising for 1–2 weeks; compression garment; desk work after 5–7 days."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time under general anesthesia for implant augmentation; fat transfer takes longer."},"initial_assessment_documents":["Front, side and oblique photos of the breasts","Recent mammogram or breast ultrasound report","List of current medications including blood thinners","Previous breast surgery or implant records (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days until wound and suture checks."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon has years of breast augmentation experience, not just general plastic surgery 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setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Asked to pay to see a surgeon you have never met","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":"F2","text":"Cosmetic surgery offered bundled 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":"F3","text":"Surgeon cannot show before and after pictures of their 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letter for your GP, providing information about your treatment and future care needs.","tier":"tier1_medical","fetched_at":"2026-11-12","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 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