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Always follow your surgeon\"s advice for the best results.</i></p>"}}},"relations":{"countries":[{"name":"Azerbaijan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Brazil","alias":"brazil","iso_code":"BR"},{"name":"Colombia","alias":"colombia","iso_code":"CO"},{"name":"Czech Republic","alias":"czech-republic","iso_code":"CZ"},{"name":"Dominican Republic","alias":"dominican-republic","iso_code":"DO"},{"name":"Egypt","alias":"egypt","iso_code":"EG"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Italy","alias":"italy","iso_code":"IT"},{"name":"Lithuania","alias":"lithuania","iso_code":"LT"},{"name":"Malaysia","alias":"malaysia","iso_code":"MY"},{"name":"Mexico","alias":"mexico","iso_code":"MX"},{"name":"Poland","alias":"poland","iso_code":"PL"},{"name":"Portugal","alias":"portugal","iso_code":"PT"},{"name":"Republic of 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depends on technique and whether combined with other breast surgery (excluded here)."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any complication within 90 days, mainly scar widening, areola irregularity, sensation change; serious ones under 2%."},"contraindications":["Active breast infection or skin disease at surgical site","Pregnancy or current breastfeeding (usually deferred)","Uncontrolled systemic illness or unfitness for surgery","Body dysmorphic disorder","Tendency to keloid or hypertrophic scarring (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Standalone areola reduction is usually performed as an outpatient procedure."},"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":"Strenuous upper-body exercise resumed gradually; light walking earlier."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Scar maturation and settling of areola shape."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After the early wound check, with sutures removed if non-absorbable; 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may widen or remain visible in some patients.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session."},"stages":[{"code":"surgery","label":"Areola reduction surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"Standalone primary areola reduction; follow-up checks counted separately."},"success":{"metric":"Patient-satisfied with areola size and appearance","value":85,"unit":"percent of patients","horizon":"6-12 months","population":"Adults with enlarged areola, standalone periareolar reduction under local anesthesia","evidence_status":"limited"},"techniques":[{"name":"Periareolar circular (donut) skin excision with purse-string suture","suits_whom":"Most patients wanting a smaller areola without breast reshaping.","recovery":"Light activity within days; exercise in about 3-6 weeks."},{"name":"Areola reduction with permanent support suture","suits_whom":"Larger reductions or lax skin with higher risk of re-stretching.","recovery":"Similar to standard technique."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Standalone bilateral areola reduction under local anesthesia."},"initial_assessment_documents":["Front-view photos of both breasts","Side and oblique photos of both breasts","Photo of areola next to a ruler","List of blood thinners","Previous breast surgery report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single outpatient surgery; stay about 5-10 days for wound check and suture removal. Later review can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgery site is an accredited office-based facility, licensed ambulatory surgical center, or hospital","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/x26543","host":"plasticsurgery.org","quote":"Breast reduction surgery may be performed in an accredited office-based surgical facility, licensed ambulatory surgical center, or a hospital.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you can address all your questions directly with the plastic surgeon","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/x26541","host":"plasticsurgery.org","quote":"It's important that you address all of your questions directly with your plastic surgeon.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm the risks will be fully discussed with you before you consent","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/x26541","host":"plasticsurgery.org","quote":"These risks and others will be fully discussed prior to your consent.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Confirm the surgeon examines and measures the breasts, skin, nipples, and areolas during consultation","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/x26543","host":"plasticsurgery.org","quote":"Examine your breasts and may take detailed measurements on their size, skin quality, and location of your nipples and areolas","tier":"tier1_medical","fetched_at":"2026-11-13","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The clinic never mentions signing consent forms before surgery","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/x26541","host":"plasticsurgery.org","quote":"Prior to undergoing breast reduction surgery, you will be asked to sign consent forms to ensure that you fully understand the procedure and any risks and potential complications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","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}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","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":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Shortness of 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you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want a smaller areola and breasts that have also sagged","name":"Breast lift","source":{"url":"https://my.clevelandclinic.org/health/treatments/23298-breast-lift","host":"my.clevelandclinic.org","quote":"Reduce the size of your areola (darkened area around the nipple) and make it face forward rather than downward.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":20}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"periareolar-circular-skin","name":"Periareolar circular (donut) skin excision with purse-string suture","how_it_works":{"text":"Skin is removed around the areola perimeter to reduce its 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