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покращуючи комфорт і зовнішній вигляд.</p>"}}},"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":110449}},"direction":{"id":38,"name":"Пластична хірургія","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":3,"max":10,"unit":"days","qualifier":"Desk-based work after uncomplicated implant removal (with or without capsulectomy); physical work later."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any early complication (hematoma, seroma, infection, delayed healing) within 90 days; serious ones under 2%."},"contraindications":["Active infection elsewhere or uncontrolled systemic illness","Medical conditions making general anesthesia unsafe","Uncontrolled bleeding disorder or unmanageable anticoagulation","Smoking or nicotine use (relative), impairing wound healing"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; occasionally one night for extensive capsulectomy or medical reasons."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":3,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous upper-body exercise after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling settles and skin retracts gradually; skin laxity may persist without lift."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After first check with stable wounds and drains out; short flights near day 7, long-haul nearer 14."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check, drain removal if used."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":60,"unit":"days","qualifier":"Review of healing and breast shape."}}],"indications":["Capsular contracture","Implant rupture or deflation","Implant malposition or visible rippling","Pain or discomfort related to implants","Infection or extrusion","Suspected BIA-ALCL or late seroma","Breast implant illness symptoms"],"main_risks":["Bleeding or hematoma","Infection","Seroma","Delayed wound healing","Scarring","Asymmetry, skin laxity or ptosis after removal","Changes in nipple or breast sensation","Anesthesia-related risks","Need for further surgery such as lift","Persistent capsule problems or residual silicone material"],"pain":"Mild to moderate soreness for several days, usually less than with implant placement, controlled with oral analgesics; greater if capsulectomy is performed.","preparation":["Consultation with discussion of capsulectomy, lift and expected appearance","Implant records and imaging (ultrasound or MRI) if indicated","Medical history review and pre-operative tests as required","Stop smoking and nicotine before surgery","Fasting before general anesthesia","Arrange transport home and help for the first days","Review medications and supplements with surgeon; don't stop prescriptions independently","Pre-operative photographs and markings"],"recovery_timeline":[{"phase":"Days 0-3","description":"Rest at home, soreness and swelling, dressing or surgical bra in place; drains if used.","restrictions":["No driving while on strong analgesics","Avoid lifting"]},{"phase":"Weeks 1-2","description":"Pain subsides, return to light activity and desk work; wound check.","restrictions":["Avoid heavy lifting and strenuous arm movement"]},{"phase":"Weeks 3-6","description":"Gradual return to normal activities and exercise as cleared.","restrictions":["Avoid high-impact or upper-body strenuous exercise until cleared"]},{"phase":"Months 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Final breast shape (skin retraction, volume, sagging) settles over about 3–6 months, then changes with ageing, weight change and pregnancy.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Further surgery within about 2 years, mainly lift, scar revision, or seroma/hematoma drainage."},"scars":"Usually reuses the previous incision (inframammary, periareolar or other), giving a short scar that fades over 6-12 months; additional lift incisions leave longer scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for both breasts; follow-up checks not counted."},"stages":[{"code":"implant_removal","label":"Implant removal with or without capsulectomy","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Standalone removal without simultaneous lift or fat transfer."},"success":{"metric":"Resolution of implant-related symptoms (pain, contracture, discomfort)","value":85,"unit":"percent of patients","horizon":"6-12 months","population":"Adults undergoing standalone implant removal for symptoms or preference","evidence_status":"limited"},"techniques":[{"name":"Implant removal without capsulectomy","suits_whom":"Patients with soft, uncomplicated capsules","recovery":"Fastest recovery, typically about 1 week for light activity."},{"name":"Total or en bloc capsulectomy","suits_whom":"Capsular contracture, rupture with silicone leakage, or suspected BIA-ALCL","recovery":"Longer and more uncomfortable recovery; drains more likely."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Both breasts, standalone removal; longer with extensive capsulectomy."},"initial_assessment_documents":["Front, side and oblique breast photos","Implant type, size and surgery date","Original implant card or operative report","Recent breast ultrasound or MRI report"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until first postoperative check and drain removal if used."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask about the surgeon's specific training 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 what risks and complications apply to your own procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal/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":"C3","text":"Check that the surgeon can show before and after pictures of their work","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that the surgeon you consult with will be the 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 where your follow-up check-ups will take place before you go","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You need to think about where check-ups will take place.","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":"An advert or information promising 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":"2026-11-12","http_status":200}},{"id":"F2","text":"Pressure to decide quickly, or cheap time-limited offers","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":"Websites selling cosmetic surgery as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","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":"ok","items":[{"id":"W1","text":"Fluid collecting where the implant was","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21799-breast-implant-removal","host":"my.clevelandclinic.org","quote":"Seroma or bodily fluid collecting in the space where the implant was.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Unusual breast swelling","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/pip-implants/","host":"nhs.uk","quote":"Contact the clinic where you had the operation as soon as possible if you have unexpected pain or symptoms such as a burning sensation, unusual swelling in or around your breast or changes in the colour of your skin.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Feeling unwell with raised temperature","urgency":"contact_clinic","general":true,"source":{"url":"https://www.bapras.org.uk/public/patient-information/surgery-guides/breast-augmentation/what-complications-can-occur","host":"bapras.org.uk","quote":"you may feel unwell with a raised temperature.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lists the treatment and medicines so the home doctor can continue care","document":"discharge summary","source":{"url":"https://midyorks.nhs.uk/hospital-discharge","host":"midyorks.nhs.uk","quote":"You will be given a written discharge summary which includes details of your medication and any changes.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure 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themselves.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":898}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"implant-removal-without-capsulectomy","name":"Implant removal without capsulectomy","how_it_works":{"text":"Only the implant is removed and the scar capsule stays","source":{"url":"https://www.healthline.com/health/breast-implant-removal","host":"healthline.com","quote":"Some surgeons will only remove the implant and leave the tissue capsule.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"days","label":"2–4 days","source":{"url":"https://www.plasticsurgery.org/news/blog/is-breast-explant-surgery-right-for-you","host":"plasticsurgery.org","quote":"In most cases, you can return to your regular daily activities within a few days, with some restrictions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"total-or-en-bloc-capsulectomy","name":"Total or en bloc capsulectomy","how_it_works":{"text":"The scar capsule around the implant is surgically removed","source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety/bia-alcl-summary/frequently-asked-questions","host":"plasticsurgery.org","quote":"The surgical removal of the scar capsule around your implant is called a \"capsulectomy\" in an otherwise healthy 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