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orthodontics and reviews done at home. Second trip only for in-person review."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgeon has hospital privileges to perform this procedure. Why: privileges show approval to perform it at that facility","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/orthognathic-surgery/consultation","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":"C2","text":"Check the qualifications of the whole medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that you have been able to ask the team questions about your 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clinicians","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Warning sign: no face-to-face consultation with the operating clinician before surgery","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"A face-to-face consultation with the health professional who will carry out any planned surgery or treatment must take place before any procedure.","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":"Pus or discharge from the 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out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You accept a result that braces alone may not fully correct","name":"Braces alone","source":{"url":"https://uhbristol.nhs.uk/patients-and-visitors/your-hospitals/university-of-bristol-dental-hospital/what-we-do/corrective-jaw-treatment/frequently-asked-questions/","host":"uhbristol.nhs.uk","quote":"The second alternative is to have braces alone.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"bimaxillary-surgery","name":"Bimaxillary surgery (Le Fort I plus bilateral sagittal split osteotomy)","how_it_works":{"text":"Both upper and lower jaws are treated to correct the 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