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A drain site scar may remain.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for mastectomy alone, without staged reconstruction."},"stages":[{"code":"mastectomy_surgery","label":"Mastectomy operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"Standalone unilateral mastectomy without reconstruction."},"success":{"metric":"Local control: no chest wall recurrence","value":95,"unit":"percent","horizon":"10 years","population":"Adults with early-stage breast cancer undergoing simple mastectomy without reconstruction","evidence_status":"limited"},"techniques":[{"name":"Total (simple) mastectomy","suits_whom":"Most patients needing removal of all breast tissue, including prophylactic cases.","recovery":"Usually 2–6 weeks to return to routine activity."},{"name":"Skin-sparing or nipple-sparing mastectomy","suits_whom":"Patients planning immediate reconstruction with suitable tumor location.","recovery":"Depends on reconstruction; generally longer than simple mastectomy."},{"name":"Modified radical mastectomy","suits_whom":"Patients with confirmed axillary node involvement needing axillary dissection.","recovery":"Often 4–8 weeks; higher risk of lymphedema and shoulder stiffness."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Unilateral simple mastectomy without reconstruction; longer with axillary dissection or bilateral surgery."},"initial_assessment_documents":["Breast biopsy pathology report","Mammogram and breast ultrasound reports","Breast MRI report (if available)","Imaging discs or files of breast scans","Genetic test results (if available)","Oncology treatment plan (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 7-14 days for drain removal and first review. Later checks usually done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon will explain the risks and complications of your procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reconstruction/questions","host":"plasticsurgery.org","quote":"What are the risks and complications associated with my procedure?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the 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":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask about the clinic's regulation and its record on infection rates","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"You should ask about the regulation of the clinic, its record on infection rates.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Confirm how your aftercare will be coordinated before you commit to treatment","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Clinic cannot explain how your aftercare will be coordinated","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Complications and side effects are not discussed with you before you agree to 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before","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Ask if you can speak to patients they've treated before.","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 information on treatment and future care needs","document":"discharge letter for your gp","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital","host":"nhs.uk","quote":"You'll also be given a 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":"Home 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