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with implant exchange."},"success":{"metric":"Freedom from recurrent capsular contracture or reoperation","value":85,"unit":"percent of patients","horizon":"2-3 years","population":"Adults undergoing implant exchange with or without capsulectomy for contracture, rupture or size change","evidence_status":"limited"},"techniques":[{"name":"Implant exchange through existing incision","suits_whom":"Patients wanting a size/type change or with a ruptured implant and a satisfactory pocket.","recovery":"Usually 1-2 weeks to return to light activity."},{"name":"Capsulectomy or capsulotomy with implant replacement","suits_whom":"Patients with capsular contracture.","recovery":"Slightly longer swelling; drains may be used."},{"name":"Pocket modification (capsulorrhaphy, neopectoral or plane change)","suits_whom":"Patients with malposition or bottoming out.","recovery":"Often 2-4 weeks of more restricted activity."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Both breasts, typical implant exchange with or without capsulectomy; longer for complex pocket reconstruction."},"initial_assessment_documents":["Front, side and oblique photos of the breasts","Original breast augmentation operative report","Implant type, size and manufacturer card","Breast ultrasound or MRI report","Mammogram report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until the first postoperative check, later reviews done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the surgeon what specific training they have in breast implant revision techniques","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal/questions","host":"plasticsurgery.org","quote":"What specific training do you have in breast implant revision techniques?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask whether the surgeon has hospital privileges to perform this procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal/questions","host":"plasticsurgery.org","quote":"Do you have hospital privileges to perform this procedure?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check whether follow-up care is scheduled at the same facility where the procedure is performed","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":"2026-11-12","http_status":403}},{"id":"C4","text":"Check that the surgeon you consult with will be the same person who carries out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Official-sounding boards or certifications in marketing can be misleading","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/surgeon","host":"plasticsurgery.org","quote":"Do not be confused by other official-sounding boards and certifications.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Pressure to decide quickly, or cheap time-limited offers, is a warning sign","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":"2026-11-12","http_status":200}},{"id":"F3","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}}],"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 the home doctor treatment details and future care needs","document":"discharge letter for gp","source":{"url":"https://www.nhs.uk/using-the-nhs/nhs-services/hospitals/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":"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 be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Lets a doctor at home identify the breast implants you received","document":"implant registration card","source":{"url":"https://www.canada.ca/en/health-canada/services/drugs-medical-devices/breast-implants/what-to-know.html","host":"canada.ca","quote":"You should also receive a product registration card from your surgeon with information about the implant or implants.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want the implants removed rather than replaced","name":"Breast implant removal","source":{"url":"https://www.isaps.org/discover/patients-home/procedures/breast-procedures/breast-implant-removal/","host":"isaps.org","quote":"Breast implant removal, also known as explantation, is a surgical procedure to remove previously placed breast implants.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":913}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"implant-exchange-through","name":"Implant exchange through existing incision","how_it_works":{"text":"Old implants are swapped for new ones","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision","host":"plasticsurgery.org","quote":"The goal of breast implant revision surgery is to replace old breast implants with new implants.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"capsulectomy","name":"Capsulectomy or capsulotomy with implant replacement","how_it_works":{"text":"The scar capsule around the implant is partly removed or released","source":{"url":"https://www.healthline.com/health/capsulectomy","host":"healthline.com","quote":"During capsulotomy surgery, the capsule is partially removed or released.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"pocket-modification","name":"Pocket modification (capsulorrhaphy, neopectoral or plane change)","how_it_works":{"text":"The implant is repositioned to a new location in the breast","source":{"url":"https://my.clevelandclinic.org/health/treatments/21724-breast-implants","host":"my.clevelandclinic.org","quote":"Additional surgeries may include implant removal/replacement, removing scar tissue or repositioning an implant.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=italiya/city=bari/procedure=operacia-po-zamene-grudnyh-implantov/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}