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Later reviews can be done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical 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present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","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 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lump","urgency":"emergency","general":false,"source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety","host":"plasticsurgery.org","quote":"It is very important to seek treatment immediately if you discover swelling around your breast implant, a new breast/armpit lump or changes to your breast skin.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Changes to the breast skin","urgency":"emergency","general":false,"source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety","host":"plasticsurgery.org","quote":"It is very important to seek treatment immediately if you discover swelling around your breast implant, a new breast/armpit lump or changes to your breast skin.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Unexplained breast enlargement","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety","host":"plasticsurgery.org","quote":"Common symptoms include unexplained breast enlargement, pain, asymmetry, lump in the breast or armpit, overlying skin rash, hardening of the breast or a large fluid collection.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Overlying skin rash","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety","host":"plasticsurgery.org","quote":"Common symptoms include unexplained breast enlargement, pain, asymmetry, lump in the breast or armpit, overlying skin rash, hardening of the breast or a large fluid 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