Van Gogh Plastic Surgery est une clinique spécialisée située à Porto Alegre et à Passo Fundo, au Brésil. Elle se concentre sur la chirurgie plastique esthétique et reconstructrice. Le Dr Bruno Gasperin et le Dr Felipe Fasolin collaborent à chaque intervention. Cette approche à « double regard » contribue à la sécurité des patients et à la précision chirurgicale. La clinique a été fondée en 1971. Les deux chirurgiens sont membres de la Société brésilienne de chirurgie plastique.
Parmi les interventions phares figurent les implants mammaires à récupération rapide et la rhinoplastie structurelle. L’équipe réalise également des abdominoplasties, des liposculptures et des corrections de la gynécomastie. La chirurgie mammaire à récupération rapide dure généralement 90 minutes. Les patients peuvent souvent rentrer chez eux après la récupération liée à l’anesthésie. Une équipe de physiothérapie dédiée assure un accompagnement continu. La prise en charge s’étend de la première consultation jusqu’à la fin de la période de récupération.
","text_type":"short_description","reviews":[],"clinic":{"id":9260,"alias":"van-gogh-plastic-surgery","name":"Van Gogh plastic surgery","short_description":"Van Gogh Plastic Surgery est une clinique spécialisée située à Porto Alegre et à Passo Fundo, au Brésil. Elle se concentre sur la chirurgie plastique esthétique et reconstructrice. Le Dr Bruno Gasperin et le Dr Felipe Fasolin collaborent à chaque intervention. Cette approche à « double regard » contribue à la sécurité des patients et à la précision chirurgicale. La clinique a été fondée en 1971. Les deux chirurgiens sont membres de la Société brésilienne de chirurgie plastique.
Parmi les interventions phares figurent les implants mammaires à récupération rapide et la rhinoplastie structurelle. L’équipe réalise également des abdominoplasties, des liposculptures et des corrections de la gynécomastie. La chirurgie mammaire à récupération rapide dure généralement 90 minutes. Les patients peuvent souvent rentrer chez eux après la récupération liée à l’anesthésie. Une équipe de physiothérapie dédiée assure un accompagnement continu. La prise en charge s’étend de la première consultation jusqu’à la fin de la période de récupération.
","images":[{"base_url":"clinic/6ae19036e5777","title":"Salle de soins moderne à la clinique de chirurgie plastique Van Gogh avec fauteuil médical et équipements"},{"base_url":"clinic/6ae190387585f","title":"Salle de soins à la clinique de chirurgie plastique Van Gogh avec équipement moderne"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brésil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"Gomes Jardim 301 Sala 401, Porto Alegre, RS, Brazil, 90450-071"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":1971},"accreditations":[]}},{"text":"L’accréditation TEMOS constitue une distinction importante chez Elisabete Weber, à Porto Alegre. La réduction mammaire est réalisée à l’hôpital, avec des anesthésistes spécialisés et du matériel de prévention de la thrombose. Les patientes bénéficient d’une évaluation préopératoire et de conseils sur le soulagement de la douleur et les soins de la plaie. La planification du rétablissement permet une reprise des activités normales au bout d’environ 15 jours, tandis que le repos et le soutien sont recommandés pendant les premiers jours.
","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"Clinique accréditée TEMOS, équipée de matériel de prévention de la thrombose et disposant d’anesthésistes spécialisés en chirurgie plastique, pour une réduction mammaire plus sûre. Chirurgien formé à l’UFRGS."},"reviews":[],"clinic":{"id":9060,"alias":"elisabete-weber","name":"Elisabete Weber","short_description":"Elisabete Weber est une clinique de chirurgie plastique située à Porto Alegre, au Brésil. Le centre se spécialise dans la chirurgie mammaire, le remodelage corporel et la prise en charge des brûlures. La Dre Elisabete Weber dirige le cabinet et possède plus de 15 ans d’expérience. Elle a suivi sa formation à l’UFRGS et à l’Hospital Ernesto Dornelles. Elle a également consacré 14 ans à la spécialisation dans le traitement des brûlures au sein d’un centre de traumatologie.
La clinique applique une règle de sécurité stricte pour les interventions combinées : la durée totale de l’intervention ne doit pas dépasser cinq heures. Les soins mammaires comprennent la pose d’implants en silicone, la mastopexie et le lipofilling hybride. L’équipe réalise également des abdominoplasties et des lipofillings fessiers dans le cadre de programmes de Mommy Makeover. La prise en charge des brûlures comprend les soins d’urgence et le traitement des séquelles cicatricielles. L’établissement est accrédité TEMOS pour ses normes médicales.
","images":[{"base_url":"clinic/6adffff3f0031","title":"Accueil de la clinique Elisabete Weber avec décoration moderne et sièges pour patients"},{"base_url":"clinic/6adffff598c14","title":"Accueil de la clinique Medplex Saúde avec intérieur en marbre moderne au Brésil"},{"base_url":"clinic/6adffff765703","title":"Bureau de consultation à la clinique Elisabete Weber avec vue sur la ville"},{"base_url":"clinic/6adffff96a143","title":"Salle de soins moderne à la clinique Elisabete Weber avec fauteuil médical et vue sur la ville"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brésil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"Medplex Santana - Torre Sul - R. Gomes Jardim, 301 - Sl 1009 - Santana, Porto Alegre - RS, 90620-130, Brazil"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"Accréditation Internationale en Soins de Santé TEMOS","country_code":"DE"}]}},{"text":"Un chirurgien plasticien reconnu comme spécialiste par la Société brésilienne de chirurgie plastique dirige la prise en charge dans cette clinique de Porto Alegre. Le cabinet propose également un accompagnement postopératoire, notamment un drainage lymphatique manuel, des conseils sur les vêtements de compression, des soins des cicatrices et des recommandations concernant la position à adopter pour dormir. La majeure partie du gonflement disparaît en quatre semaines, le résultat final se précisant au sixième mois. Des consultations en ligne sont disponibles en anglais, en espagnol et en portugais.
","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"Le programme postopératoire comprend le drainage lymphatique manuel, les soins des cicatrices et le positionnement pour dormir. Consultations en ligne en anglais, espagnol et portugais pour les patients internationaux."},"reviews":[],"clinic":{"id":9069,"alias":"dr-mariana-cioffi-plastic-surgery","name":"Dr. Mariana Cioffi — plastic surgery","short_description":"La clinique de chirurgie plastique du Dr Mariana Cioffi se trouve à Porto Alegre, au Brésil. Le centre est spécialisé en chirurgie plastique et en médecine esthétique. Parmi les principales interventions proposées figurent le mommy makeover, le lifting du visage et la chirurgie mammaire. La clinique propose également des traitements non chirurgicaux, tels que des biostimulateurs et des produits de comblement.
Le Dr Mariana Cioffi est titulaire du titre de spécialiste de la Société brésilienne de chirurgie plastique. Elle a effectué ses études de médecine à l’Université de Caxias do Sul. Ses inscriptions professionnelles sont les suivantes : CRMRS 35851 et RQE 35732. L’équipe médicale propose une planification chirurgicale personnalisée et des consultations en ligne. Les soins postopératoires comprennent le drainage lymphatique et des protocoles de convalescence adaptés à chaque patient.
","images":[{"base_url":"clinic/6ae4542a883ab","title":"Bloc opératoire à la clinique Dr. Mariana Cioffi avec sac de marque et équipement médical"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brésil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"Centro Profissional Luiz Osório de Almeida, Rua Dona Laura, 414, sala 501, Rio Branco, Porto Alegre - RS, Brazil"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"Accréditation Internationale en Soins de Santé TEMOS","country_code":"DE"}]}},{"text":"Le Dr José Júlio Guimarães est chirurgien plasticien certifié, titulaire des accréditations CRM et RQE au Brésil. Avant l’intervention, la clinique exige un bilan de santé et des examens diagnostiques. Elle ne procède à l’intervention que si le patient est en bonne santé. La convalescence comprend généralement 7 à 21 jours de repos, selon l’intervention. L’œdème et les cicatrices s’atténuent généralement au cours des 6 à 9 mois suivants. La clinique de Porto Alegre accueille les patients en portugais, en anglais et en espagnol, et coordonne les soins pour les patients internationaux.
","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"Un chirurgien plasticien certifié (CRM 26046, RQE 18829) réalise une réduction mammaire pour soulager la gêne et améliorer les proportions corporelles, pour un coût estimé de 3 700 à 5 300 $."},"reviews":[],"clinic":{"id":9227,"alias":"dr-jose-julio-guimaraes","name":"Dr. José Júlio Guimarães","short_description":"Le Dr José Júlio Guimarães est à la tête d’une clinique de chirurgie plastique à Porto Alegre, au Brésil. Le cabinet se concentre sur les interventions esthétiques et reconstructrices du visage et du corps. Les interventions mammaires comprennent la réduction mammaire, le lifting des seins et la reconstruction. Les interventions du visage incluent la rhinoplastie, le lifting du visage et la chirurgie des paupières. La clinique propose également des interventions de remodelage de la silhouette, comme la brachioplastie et la chirurgie intime.
Le Dr José Júlio Guimarães a fondé ce cabinet individuel en 2025. C’est un spécialiste certifié, enregistré sous les numéros CRM 26046 et RQE 18829. Chaque patient bénéficie d’une préparation individuelle avant l’intervention, comprenant des examens médicaux. L’intervention n’a lieu que lorsque le patient est en bonne santé. La cicatrisation définitive de la plupart des sites opératoires est visible dans les neuf mois. La rhinoplastie nécessite une année complète pour cicatriser. Le personnel parle portugais, anglais et espagnol.
","images":[{"base_url":"clinic/6ae16ff118ca2","title":"Accueil moderne à la clinique Dr. José Júlio Guimarães avec intérieur blanc élégant"},{"base_url":"clinic/6ae16ff2883b7","title":"Médecin en uniforme bleu à la clinique Blanc, Brésil, expliquant la procédure"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brésil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"Av. Sen. Tarso Dutra, 605 - Conj. 1206, Porto Alegre / RS"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}},{"text":"Hospital da Plástica de Porto Alegre est le seul hôpital de la ville dédié à la chirurgie plastique. La clinique propose une technique en T inversé, parfois associée à une liposuccion autour du sein et au niveau de l’aisselle pour affiner le contour. Un physiothérapeute dédié suit la convalescence, et la plupart des activités peuvent être reprises au bout d’environ 14 jours. Le travail de bureau peut reprendre au bout d’environ sept jours. La clinique indique être accréditée TEMOS et affiliée à la Société brésilienne de chirurgie plastique (SBCP).
","text_type":"mt_wow_description","best_texts":{"techniques":"T inversé, liposuccion pour le remodelage.","why_its_ranked":"Se consacre exclusivement à la chirurgie esthétique des seins ; exerce dans le seul hôpital de Porto Alegre dédié à la chirurgie plastique. Accrédité par TEMOS. Le chirurgien est membre de la SBCP et de la BAPS."},"reviews":[],"clinic":{"id":9035,"alias":"dr-bruno-gasperin","name":"Dr. Bruno Gasperin","short_description":"Le Dr Bruno Gasperin exerce la chirurgie plastique à Porto Alegre, au Brésil. Son centre se consacre exclusivement à la chirurgie esthétique des seins chez les adultes. Le Dr Gasperin opère à l’Hospital da Plástica de Porto Alegre, le seul hôpital de la ville consacré à la chirurgie plastique. Le cabinet utilise le protocole de récupération rapide R24R pour les implants mammaires. De nombreuses patientes reprennent leurs activités de base dès le lendemain. La clinique propose également la technique Preservé avec des implants Ergonomix 2 afin de préserver les ligaments clés.
La mastopexie sans silicone est proposée selon une technique à cicatrices courtes. Cette intervention comprend souvent une greffe de graisse pour améliorer le décolleté. Le cabinet détient les accréditations de TEMOS et de la Société brésilienne de chirurgie plastique. Pendant leur rétablissement, les patientes restent en contact direct avec un physiothérapeute. Les consultations en ligne sont ouvertes à toutes les patientes. L’équipe parle anglais, espagnol et portugais.
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Parmi les interventions phares figurent les implants mammaires à récupération rapide et la rhinoplastie structurelle. L’équipe réalise également des abdominoplasties, des liposculptures et des corrections de la gynécomastie. La chirurgie mammaire à récupération rapide dure généralement 90 minutes. Les patients peuvent souvent rentrer chez eux après la récupération liée à l’anesthésie. Une équipe de physiothérapie dédiée assure un accompagnement continu. La prise en charge s’étend de la première consultation jusqu’à la fin de la période de récupération.
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Il a reçu de nombreuses distinctions lors des congrès nationaux turcs de chirurgie plastique et a suivi une formation spécialisée au Baylor College of Medicine de Houston, au Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}]},"direction":{"id":38,"name":"Chirurgie plastique","alias":"plastic-surgery"},"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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