InSense Clinic is a private plastic surgery center in Kaunas, Lithuania, performing around 1,000 procedures each year. It specializes in plastic surgery, aesthetic surgery, and functional rhinoplasty. The clinic's dual-endoscopic operating room is unique in the Baltic region.
InSense Clinic is a private plastic surgery center in Kaunas, Lithuania, performing around 1,000 procedures each year. It specializes in plastic surgery, aesthetic surgery, and functional rhinoplasty. The clinic's dual-endoscopic operating room is unique in the Baltic region.
Dr. Ernest Zacharevskij is a plastic surgeon at InSense Clinic in Kaunas. He has performed 4,000+ operations throughout his career. Dr. Zacharevskij leads the Plastic and Reconstructive Surgery Sector at Kaunas Clinics. He holds a PhD from the Lithuanian University of Health Sciences.
InSense Clinic is a private plastic surgery center in Kaunas, Lithuania, performing around 1,000 procedures each year. It specializes in plastic surgery, aesthetic surgery, and functional rhinoplasty. The clinic's dual-endoscopic operating room is unique in the Baltic region.
This treatment reshapes outlying nipples for aesthetic pleasure, utilizing minimally invasive methods for natural results with quick recovery.
"},"1029":{"operation":{"name":"Nipple reduction","alias":"nipple-reduction","use_for_listing":true},"country_price":{"US":{"amount":3000,"max_amount":5500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1900,"max_amount":2700,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":800,"max_amount":1400,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"LT":{"amount":800,"max_amount":1300,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":true,"PL":true,"KR":true,"CZ":false,"AT":false,"ES":false,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"CY":true,"LT":true},"description":"This surgery reshapes enlarged nipples for cosmetic improvement, performed under local anesthetic.
"},"1285":{"operation":{"name":"Inverted nipple surgery","alias":"inverted-nipple-surgery","use_for_listing":true},"country_price":{"US":{"amount":3000,"max_amount":6000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":550,"max_amount":2600,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":2300,"max_amount":2900,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"LT":{"amount":900,"max_amount":1900,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"LT":true},"description":"This operation corrects inward-pointing nipples, enhancing appearance and breastfeeding ability with minimal scarring.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":2},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Ergin Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"Dr. Ergin Er is a plastic, reconstructive and aesthetic surgeon who has performed more than 10,000 aesthetic procedures. He is a multiple award winner at Turkish National Congresses of Plastic Surgery and completed advanced training at Baylor College of Medicine in Houston, Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}]},"direction":{"id":38,"name":"Plastic Surgery","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":5,"unit":"days","qualifier":"Desk-type work; longer for manual work or friction-prone clothing."},"complication_rate_pct":{"min":3,"max":15,"unit":"percent","qualifier":"Any minor complication within 3 months: delayed healing, infection, hematoma, scarring, sensation change; serious ones rare."},"contraindications":["Active local infection or skin disease of the nipple-areola region","Uncontrolled systemic illness or unfitness for minor surgery","Poor wound-healing tendency or history of problematic scarring (relative)","Pregnancy, breastfeeding, or planned breastfeeding soon (relative; may affect lactation)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Same-day discharge."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Strenuous upper-body exercise and activities causing nipple friction resume after wound healing."},"final_result_months":{"min":2,"max":6,"unit":"months","qualifier":"Swelling resolves and scars mature; scar maturation may take longer."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After wound check and suture removal; short-haul flights possible earlier once the wound is stable."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"From surgery; often coincides with suture removal if non-absorbable sutures are used."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"From surgery."}}],"indications":["Enlarged or elongated nipples (nipple hypertrophy) causing aesthetic concern","Nipple prominence visible through clothing causing self-consciousness","Discomfort or irritation from nipple size","Asymmetry of nipple size","Congenital or post-nursing nipple enlargement"],"main_risks":["Bleeding or hematoma","Infection","Visible or hypertrophic scarring","Altered or reduced nipple sensation","Reduced or lost ability to breastfeed (lactiferous duct injury)","Partial nipple necrosis (rare)","Asymmetry or under/over-correction","Delayed wound healing","Possible need for revision"],"pain":"Usually mild to moderate discomfort for a few days, controlled with simple analgesics; local anesthesia is used during surgery.","preparation":["Surgical consultation with examination and discussion of breastfeeding plans","Review of medical history and current medications with the surgeon","Avoid smoking and nicotine before and after surgery as advised","Arrange transport home after surgery"],"recovery_timeline":[{"phase":"First days","description":"Dressing in place, mild swelling, bruising and tenderness; sensitivity common.","restrictions":["Avoid touching or pressure on nipples","Keep dressings clean and dry"]},{"phase":"Weeks 1-2","description":"Swelling subsides; sutures removed or dissolve; return to light daily activities.","restrictions":["Avoid friction and tight bras as advised","No heavy lifting"]},{"phase":"Weeks 2-4","description":"Gradual return to exercise as comfort allows.","restrictions":["Avoid strenuous upper-body exercise until cleared"]},{"phase":"Months 2-6","description":"Scars mature and final shape settles.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery for daily activities."},"result_longevity":"Generally long-lasting as surgical size reduction is permanent, though natural changes with age, pregnancy or weight change may alter appearance.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Patients needing revision for asymmetry, under/over-correction or scarring within 1 year."},"scars":"Small scars on the nipple, often placed at the base or within natural nipple texture and usually inconspicuous once matured; hypertrophic scarring is possible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure."},"stages":[{"code":"surgery","label":"Nipple reduction surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Standalone procedure; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patients satisfied with nipple size reduction","value":90,"unit":"percent","horizon":"6 months after surgery","population":"Adults with nipple hypertrophy undergoing standalone reduction under local anesthesia","evidence_status":"limited"},"techniques":[{"name":"Wedge or distal (tip) amputation reduction","suits_whom":"Mainly elongated nipples needing length reduction.","recovery":"Dressing for several days; light activity within days."},{"name":"Circumferential (width) reduction with skin excision","suits_whom":"Nipples wide in diameter needing width reduction.","recovery":"Similar short recovery; friction avoidance for a couple of weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Both nipples, standalone procedure."},"initial_assessment_documents":["Front close-up photos of both nipples","Side-profile photos of both nipples","Summary of medical history and past surgeries","Current medication list"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage same-day surgery; stay about 5-10 days until the wound check and suture removal, if needed."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the practitioner has the right training, skills and insurance to carry out the procedure safely","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"They should have the right training, skills and insurance to safely carry out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Book a consultation with the person who will operate before deciding, so the decision is informed","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Always book a consultation with the person who will do the procedure before making your final decision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the 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procedure","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"about the most common complications of the procedure","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Asked to pay for the procedure before any consultation has taken place","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Do not pay for a procedure until you've had a consultation to make sure it's right for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"No appointment is offered to meet the surgeon before the 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websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"The clinic cannot explain who will provide aftercare","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"what aftercare you can expect and who will look after you","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Pus leaking from the incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.healthline.com/health/areola-reduction","host":"healthline.com","quote":"pus leaking from your incision site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Severe redness or 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