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used"},"requirement":"conditional"},{"purpose":"result_review","after":{"min":42,"max":90,"unit":"days","qualifier":"Usually remote or local review"},"requirement":"routine"}],"indications":["Flat or underdeveloped buttocks seeking more projection and volume","Insufficient muscle or fat for natural augmentation","Buttock asymmetry or volume loss after weight loss"],"main_risks":["Wound opening (dehiscence)","Infection","Seroma or hematoma","Implant displacement or malposition","Sciatic nerve irritation or numbness","Capsular contracture","Implant visibility or palpability","Persistent pain when sitting","Asymmetry"],"pain":"Moderate to significant for the first 1-2 weeks, especially when sitting or moving; controlled with prescribed analgesics. Gradually eases over 4-6 weeks.","preparation":["No smoking or nicotine for at least 4 weeks","Pre-operative blood tests and medical clearance","Pause blood-thinning drugs and supplements as the surgeon directs","Stable weight before surgery","Plan several weeks of limited sitting and home help"],"recovery_timeline":[{"phase":"Days 0-7","description":"Hospital stay then rest; drains and compression garment in place; pain and swelling peak.","restrictions":["No sitting directly on buttocks","Sleep on stomach or sides","Walk short distances only"]},{"phase":"Weeks 2-4","description":"Drains removed and sutures taken out by about week 2; swelling and pain decrease; return to desk work.","restrictions":["Use a cushion when sitting briefly","No lifting or strenuous activity","Wear compression garment"]},{"phase":"Weeks 4-8","description":"Gradual return to normal sitting and daily activity.","restrictions":["No lower-body or heavy exercise until cleared","Avoid deep squats"]},{"phase":"Months 3-6","description":"Swelling resolves and final shape settles.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Time to ordinary daily function with limited sitting; full recovery takes longer."},"result_longevity":"Implants are long-lasting but not guaranteed lifetime devices; replacement or removal may be needed over the years.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Reoperation or implant removal/replacement within 2 years, mainly for wound problems, infection or malposition."},"scars":"One vertical incision in the gluteal cleft (intergluteal crease) usually, typically 5-8 cm and well hidden; sometimes two incisions in the gluteal fold.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation with both implants placed together."},"stages":[{"code":"surgery","label":"Implant placement surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}}],"qualifier":"Single-stage surgery."},"success":{"metric":"Patient satisfaction with buttock shape and volume","value":85,"unit":"percent satisfied","horizon":"12 months after surgery","population":"Healthy adult men with adequate soft tissue, standard silicone implant surgery","evidence_status":"limited"},"techniques":[{"name":"Intramuscular implant placement","suits_whom":"Patients with adequate gluteal muscle; implant sits within the muscle layer.","recovery":"Longer, more painful recovery of about 4-6 weeks before normal activity."},{"name":"Submuscular or subfascial placement","suits_whom":"Patients with enough soft tissue wanting less muscle disruption.","recovery":"Often somewhat easier recovery with less muscle trauma."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Surgery time for bilateral implant placement."},"initial_assessment_documents":["Front, side and back photos of the buttocks","List of blood thinners","Recent blood test results (if available)","Previous buttock or body surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days until drain removal, wound check and suture removal."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon’s experience with the procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/buttock-enhancement/cost","host":"plasticsurgery.org","quote":"When choosing a board-certified plastic surgeon in your area for buttock enhancement, remember that the surgeon's experience with the procedure and your comfort with him or her are just as important as the final cost of the surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check who will provide anesthesia","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/planning-a-summer-trip-what-you-need-to-know-about-medical-tourism","host":"plasticsurgery.org","quote":"Do your research on the individual, where the surgery is being done, who is doing it and who the anesthesiologist is.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check what preoperative and postoperative care is available","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/medical-tourism-what-you-need-to-know-about-traveling-for-plastic-surgery","host":"plasticsurgery.org","quote":"You need to look at what kind of preoperative and postoperative care is in place.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether follow-up is arranged after returning home","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/medical-tourism-what-you-need-to-know-about-traveling-for-plastic-surgery","host":"plasticsurgery.org","quote":"And then there has to be a system in place for follow-up when you get back home because surgery is not just the two or three hours on the table, it's the month before and two months after the procedure.","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":"The consultation does not address procedure-specific risks and complications","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/x26565","host":"plasticsurgery.org","quote":"These risks and others will be fully discussed prior to your consent.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The offer does not identify who will perform surgery or provide anesthesia","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/planning-a-summer-trip-what-you-need-to-know-about-medical-tourism","host":"plasticsurgery.org","quote":"Do your research on the individual, where the surgery is being done, who is doing it and who the anesthesiologist is.","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":"ok","items":[{"id":"W1","text":"Shortness of breath or chest pains","urgency":"emergency","general":false,"source":{"url":"https://plasticsurgery.org/cosmetic-procedures/buttock-augmentation/recovery","host":"plasticsurgery.org","quote":"If you experience shortness of breath, chest pains or unusual heart beats, seek medical attention immediately.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Excessive bleeding or swelling","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23353-butt-implants","host":"my.clevelandclinic.org","quote":"Excessive bleeding or swelling.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Blood buildup under your skin","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23353-butt-implants","host":"my.clevelandclinic.org","quote":"Blood buildup under your skin (hematoma).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Allergic reaction or infection","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23353-butt-implants","host":"my.clevelandclinic.org","quote":"An allergic reaction or 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follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":null,"technique_details":{"status":"ok","items":[{"id":"intramuscular-implant-placement","name":"Intramuscular implant placement","how_it_works":{"text":"The implant is placed inside the gluteal muscle, not below 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