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seen","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":"Excessive bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/11017-tummy-tuck","host":"my.clevelandclinic.org","quote":"Contact a healthcare provider right away if you experience complications after surgery, like: Severe pain. Excessive bleeding","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Fluid or pus leaking from an incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/11017-tummy-tuck","host":"my.clevelandclinic.org","quote":"Fluid or pus leaking from an incision site.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Severe pain","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/procedures/11017-tummy-tuck","host":"my.clevelandclinic.org","quote":"Contact a healthcare provider right away if you experience complications after surgery, like: Severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lists medicines and changes so the home doctor can continue care","document":"discharge summary","source":{"url":"https://www.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":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","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":"2026-11-11","next_check_at":"2027-11-11","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":28,"unit":"days","qualifier":"Desk work typically resumes after 2–4 weeks, depending on pain and drains. Physically demanding work needs 6–8 weeks."},"complication_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Major complications only: hematoma, venous thromboembolism, necrosis, deep infection, reoperation. Minor events excluded; adding liposuction does not raise risk."},"contraindications":["Pregnancy or plans for future pregnancy soon (relative/often deferred)","Active smoking or nicotine use (relative; cessation required before surgery)","Significant uncontrolled medical conditions (cardiac, pulmonary, diabetes)","Prior venous thromboembolism or high clotting risk without assessment","Active infection or skin disease in the abdominal area","Untreated body dysmorphic disorder","Obesity with high BMI (relative; weight optimisation usually advised)","Anticipated major further weight loss (relative)","Unfit for general anesthesia"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical inpatient stay after combined abdominoplasty with liposuction; some patients are discharged after 1 night."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":8,"unit":"weeks","qualifier":"Light walking encouraged early; strenuous exercise and core work resumed after surgeon clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling resolves gradually and scars mature over a longer period."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After drain removal and wound check; depends on surgeon clearance, thrombosis risk and flight length. Walk often and wear compression."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":2,"max":7,"unit":"days","qualifier":"Early check and drain review."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":10,"max":21,"unit":"days","qualifier":"Removal of non-absorbable sutures or drains if used."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"Recovery review and clearance for activity."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Final result assessment."}}],"indications":["Excess abdominal skin and fat after weight loss or pregnancy","Abdominal wall laxity or rectus diastasis","Stubborn abdominal, flank or waist fat despite diet and exercise","Abdominal and waist contour deformity in stable-weight adults"],"main_risks":["Seroma","Hematoma","Infection or wound-healing problems","Skin or umbilical necrosis, especially in smokers","Venous thromboembolism, including pulmonary embolism","Visible or widened scarring","Contour irregularities or asymmetry","Numbness or altered sensation","Anesthesia-related risks","Need for revision"],"pain":"Moderate pain and tightness for the first 1-2 weeks, controlled with oral analgesics; discomfort when standing upright initially.","preparation":["Preoperative consultation and medical assessment, including blood tests","Stable weight close to goal","Stop smoking and nicotine before surgery","Review medications, supplements, blood thinners and NSAIDs with your doctors","Fasting before general anesthesia","Arrange help at home and compression garment","Preoperative photographs and marking"],"recovery_timeline":[{"phase":"Days 0-3","description":"Hospital stay or rest, drains if placed, compression garment, assisted mobilisation.","restrictions":["Walk bent forward slightly","No lifting","No driving"]},{"phase":"Weeks 1-2","description":"Swelling, bruising and tightness peak then ease; drains and sutures managed.","restrictions":["Avoid strenuous activity","Wear compression garment","Avoid heavy lifting"]},{"phase":"Weeks 3-6","description":"Desk work resumes by weeks 2-4; swelling decreases and daily activities normalise.","restrictions":["No intense exercise or core work","Avoid heavy lifting"]},{"phase":"Weeks 6-12","description":"Gradual return to full exercise with surgeon approval.","restrictions":["Avoid sun exposure on scars"]},{"phase":"Months 6-12","description":"Final contour and scar maturation.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Walking from day 1; light daily activities resume over 2–4 weeks. Strenuous activity and exercise wait 6–8 weeks."},"result_longevity":"Long-lasting if weight remains stable; results can change with weight gain, pregnancy or aging.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Secondary procedures (scar, dog-ear or contour correction, necrosis, wound problems) within 1–2 years. Liposuction does not raise risk."},"scars":"Permanent horizontal lower abdominal scar from hip to hip, placed low, plus a scar around the navel and tiny liposuction incision marks; scars fade over 12-18 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single combined operation."},"stages":[{"code":"combined_surgery","label":"Liposuction and abdominoplasty in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Typically performed in a single surgical session."},"success":{"metric":"Patient satisfaction with abdominal contour","value":90,"unit":"percent","horizon":"12 months after surgery","population":"Adults with stable weight, abdominal skin excess and fat, undergoing standalone lipoabdominoplasty","evidence_status":"limited"},"techniques":[{"name":"Full abdominoplasty with liposuction","suits_whom":"Patients with excess skin, lax muscles and fat above and below the navel.","recovery":"About 2-4 weeks to desk work, 6-8 weeks to full activity."},{"name":"Mini abdominoplasty with liposuction","suits_whom":"Patients with limited lower abdominal skin excess and good upper abdominal skin tone.","recovery":"Somewhat shorter recovery, about 1-2 weeks to desk work."},{"name":"Extended or circumferential tummy tuck with liposuction","suits_whom":"Patients with flank or back excess, often after massive weight loss.","recovery":"Longer recovery, often 3-6 weeks before work."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2.5,"max":5,"unit":"hours","qualifier":"Combined full abdominoplasty and liposuction of the abdomen/flanks in one operation."},"initial_assessment_documents":["Front, side and back photos of the abdomen","Current medication list including blood thinners","Previous abdominal surgery reports and scar details","Recent blood test results","Medical reports for chronic conditions"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single combined operation; stay about 10-14 days for drain and wound checks and suture removal before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the place where surgery is done is an accredited facility","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/five-questions-to-ask-your-plastic-surgeon-about-liposuction","host":"plasticsurgery.org","quote":"All of these are acceptable, just make sure it is an accredited facility.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check that you have two consultations with the surgeon who will treat you before surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","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}},{"id":"C4","text":"Check that the surgeon who consults with you is the same person who will carry 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":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Cosmetic surgery is sold as part of a holiday package, such as in a website ad","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":"2026-11-11","http_status":200}},{"id":"F2","text":"You are offered meetings only with sales staff, with no consultation with the surgeon","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Make sure you have a consultation with the surgeon (avoid meetings only with sales people)","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"You are asked to pay for a hospital you have not yet visited or seen","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"do not pay for a hospital you have never seen","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":"Excessive bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/11017-tummy-tuck","host":"my.clevelandclinic.org","quote":"Contact a healthcare provider right away if you experience complications after surgery, like: Severe pain. 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visa for 30 days.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"A visa is required for visits longer than 30 days","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Required for visits longer than 30 days.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A valid travel document is required to enter Dominican Republic; a passport reported lost or stolen results in denied entry","source":{"url":"https://www.gov.uk/foreign-travel-advice/dominican-republic/entry-requirements","host":"gov.uk","quote":"You will be denied entry if you do not have a valid travel document or try to use a passport that has been reported lost or 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consultation","kind":"ui"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}