Meliva Kardiolita Hospital is the only JCI-accredited hospital in the Baltic States. This private hospital in Vilnius welcomes nearly 300,000 patients annually. Its core specialties include orthopedics, cardiac surgery, plastic surgery, and bariatric surgery.
Meliva Kardiolita Hospital is the only JCI-accredited hospital in the Baltic States. This private hospital in Vilnius welcomes nearly 300,000 patients annually. Its core specialties include orthopedics, cardiac surgery, plastic surgery, and bariatric surgery.
InSense Clinic operates a dual-endoscopic operating room, the only one of its kind in the Baltic region. The facility performs 1,000+ procedures every year as part of the Kardiolitos Klinikos network. Inverted nipple correction typically costs around $1,700 at this clinic. Surgeons here bring international expertise, having trained in the USA, Germany, and France. Dr. Ernest Zacharevskij is a member of ISAPS, while Dr. Justinas Grašys is a fellow of the European Board of Plastic, Reconstructive and Aesthetic Surgery.
","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"Inverted nipple correction performed by an ISAPS member plastic surgeon. Features the only dual-endoscopic OR in the Baltic region. 1,000+ plastic surgeries annually."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":3562,"alias":"sv-plastic-surgery-clinic","name":"InSense Clinic ","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/3562-6ac3a2df3ccbd.png","short_description":"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.
Medical Diagnostic and Treatment Center is a JCI-accredited private clinic in Vilnius serving 60,000 patients each year. With 200 doctors and 53 medical specialties, it is one of Lithuania's largest private clinics. Its core areas are diagnostics, surgery, and rehabilitation.
Medical Diagnostic and Treatment Center is a JCI-accredited private clinic in Vilnius serving 60,000 patients each year. With 200 doctors and 53 medical specialties, it is one of Lithuania's largest private clinics. Its core areas are diagnostics, surgery, and rehabilitation.
Fi Clinica is the largest plastic surgery center in the Baltic states, specializing in breast procedures including nipple correction. Dr. Raminta Česnaitienė, a board-certified plastic surgeon, trained at the Lithuanian University of Health Sciences and attended international conferences like the 88th Annual Meeting of Plastic Surgeons in California. The procedure typically costs around $890. The clinic offers 3D planning to visualize results beforehand.
Fi Clinica is the largest plastic surgery center in the Baltic states. It specializes in breast surgery, facial plastic surgery, and mommy makeovers. The clinic uses 3D planning to show patients results before surgery.
Clinicus is a plastic and reconstructive surgery clinic in Klaipėda and Vilnius, Lithuania. It focuses on aesthetic breast, facial, and body contouring procedures. The center was founded in 2004 by a team of experienced plastic surgeons. They have completed over 6,500 surgeries since opening. The medical team performs around 1,000 operations each year.
Surgeons at the clinic are members of ISAPS and the American Society of Plastic Surgeons. The facility uses the Leonardo Duo laser for advanced varicose vein treatments. Other technologies include the Mia Femtech system for breast augmentation and BTL Emsculpt. Patients traveling from abroad get full support through the MedTour program. This service covers airport pickups, blood tests, and 24/7 post-operative nursing care.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":4875,"alias":"clinicus-klaipeda","name":"CLINICUS","short_description":"Clinicus is a plastic and reconstructive surgery clinic in Klaipėda and Vilnius, Lithuania. It focuses on aesthetic breast, facial, and body contouring procedures. The center was founded in 2004 by a team of experienced plastic surgeons. They have completed over 6,500 surgeries since opening. The medical team performs around 1,000 operations each year.
Surgeons at the clinic are members of ISAPS and the American Society of Plastic Surgeons. The facility uses the Leonardo Duo laser for advanced varicose vein treatments. Other technologies include the Mia Femtech system for breast augmentation and BTL Emsculpt. Patients traveling from abroad get full support through the MedTour program. This service covers airport pickups, blood tests, and 24/7 post-operative nursing care.
","images":[{"base_url":"clinic/6a7517dcbf161","title":"Clinic facade of CLINICUS with modern glass entrance and brick exterior"},{"base_url":"clinic/6a7517de5ed81","title":"Clinicus Klaipeda clinic exterior with modern brick facade and landscaped garden"},{"base_url":"clinic/6a7517dfe04f7","title":"Modern reception area at CLINICUS clinic with brick walls and glass ceiling"},{"base_url":"clinic/6a7517e176767","title":"Reception area at Clinicus Klaipeda with modern design and brick walls"}],"flags":[{"name":"is_hide","value":false}],"geo":{"country":{"name":"Lithuania","id":215,"alias":"lithuania","iso_code":"LT"},"city":{"name":"Klaipeda","id":2031,"alias":"klaipeda"},"address":"Šaulių g. 25A, Klaipėda, 92233 Klaipėdos m. sav., Lithuania"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":4,"year_foundation":2004},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"Given to the doctor International Society of Aesthetic Plastic Surgery (ISAPS) Сertificate ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"American Society of Plastic Surgeons","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":5,"total_pages":1}},"clinicsMeta":{"total_count":5,"total_pages":1},"clinicsCount":5,"clinicsCountByEntity":{"clinic_count":227},"doctors":{"doctors":[{"card_text":"Dr. Kazanavicius has performed over 5,000 treatments since 2005, specializing in breast procedures at Meliva Kardiolita Hospital.
Dr. Mindaugas Kazanavicius has performed over 5,000 plastic surgery treatments at Meliva Kardiolita Hospital. He specializes in breast augmentation, laser lipolysis, and facelifts. He earned his Master of Medical Sciences from Kaunas Medical University. Dr. Kazanavicius also focuses on burn diagnosis and reconstructive treatment.
Meliva Kardiolita Hospital is the only JCI-accredited hospital in the Baltic States. This private hospital in Vilnius welcomes nearly 300,000 patients annually. Its core specialties include orthopedics, cardiac surgery, plastic surgery, and bariatric surgery.
Dr. Jamil Hayek is a recognized international speaker with a focus on aesthetic treatments, including nipple correction at Meliva Kardiolita Hospital.
Dr. Jamil Hayek is a board-certified plastic surgeon at Meliva Kardiolita Hospital in Vilnius. He performs hundreds of successful surgeries every year. He specializes in VASER liposuction, tummy tucks, and breast augmentation. Dr. Hayek is an international speaker and a published author on liposculpture techniques. He founded the New Image Clinic in 2017.
Meliva Kardiolita Hospital is the only JCI-accredited hospital in the Baltic States. This private hospital in Vilnius welcomes nearly 300,000 patients annually. Its core specialties include orthopedics, cardiac surgery, plastic surgery, and bariatric surgery.
Performs approximately 400 surgeries per year – Dr. Jauniskis specializes in plastic and reconstructive surgery at Vilnius University Hospital Santaros Clinics.
Dr. Darius Jauniskis is a plastic and reconstructive surgeon at Meliva Kardiolita Hospital. He performs approximately 400 surgeries every year. He holds a prize from the Lithuanian Academy of Sciences for his pelvic bone research. Dr. Jauniskis works at Meliva Kardiolita, which holds JCI accreditation for patient safety.
Meliva Kardiolita Hospital is the only JCI-accredited hospital in the Baltic States. This private hospital in Vilnius welcomes nearly 300,000 patients annually. Its core specialties include orthopedics, cardiac surgery, plastic surgery, and bariatric surgery.
Dr. Ernest Zacharevskij specializes in aesthetic and reconstructive surgery, including nipple correction, with a focus on natural-looking results.
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.
Dr. Raminta Česnaitienė is a board-certified plastic and reconstructive surgeon at Fi Clinica. She specializes in mommy makeovers, breast augmentation, and arm lifts. Dr. Česnaitienė conducts research on wound healing. She works at the largest plastic surgery center in the Baltic states. Her clinic uses 3D planning to show results before surgery.
Fi Clinica is the largest plastic surgery center in the Baltic states. It specializes in breast surgery, facial plastic surgery, and mommy makeovers. The clinic uses 3D planning to show patients results before surgery.
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":{"US":false,"TR":true,"TH":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":"local","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":1},"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":"Typical office work after minor nipple correction (e.g., inverted nipple release or nipple reduction); physical work may need longer."},"complication_rate_pct":{"min":3,"max":15,"unit":"percent","qualifier":"Any complication within 90 days (infection, hematoma, delayed healing, sensation change); serious ones under 1%."},"contraindications":["Active breast infection or skin disease at the surgical site","Pregnancy","Uncontrolled systemic illness or bleeding disorder","Current breastfeeding (usually deferred until after lactation)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Minor outpatient procedure under local anesthesia; 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":"Light activity earlier; chest-strenuous exercise and pressure on the nipple avoided until cleared by the surgeon."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling and scar maturation settle over this period; varies by technique."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After the early wound check and nipple perfusion review; suture removal timing and surgeon clearance can extend it."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Early check of wound and nipple perfusion."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":10,"unit":"days","qualifier":"If non-absorbable sutures are used; falls inside the stay."}},{"purpose":"result_review","requirement":"routine","after":{"min":60,"max":90,"unit":"days","qualifier":"Assessment of shape and projection."}}],"indications":["Inverted or retracted nipple","Enlarged or elongated nipple (nipple hypertrophy)","Asymmetry of the nipples","Nipple deformity after breast surgery or trauma"],"main_risks":["Recurrence of inversion or retraction","Reduced or lost nipple sensation","Impaired ability to breastfeed (milk duct division)","Nipple ischemia or partial necrosis (rare)","Infection, bleeding or hematoma","Visible scarring or asymmetry","Delayed healing"],"pain":"Mild to moderate discomfort for a few days, usually managed with simple oral analgesics.","preparation":["Consultation to assess nipple type and duct preservation goals","Discussion of breastfeeding plans","Medical history review and routine pre-operative assessment as indicated","Avoid smoking before and after surgery as advised","Follow surgeon's instructions on medications and skin preparation"],"recovery_timeline":[{"phase":"Days 0-3","description":"Mild swelling, bruising and tenderness; protective dressing or nipple shield in place.","restrictions":["Avoid pressure on the nipple","Keep dressing dry"]},{"phase":"Days 4-14","description":"Swelling settles; sutures removed or dissolve; wound care continues.","restrictions":["No tight bras or friction","Avoid heavy lifting and vigorous chest exercise"]},{"phase":"Weeks 2-6","description":"Return to normal activity; tenderness and sensitivity gradually normalize.","restrictions":["Resume strenuous exercise only when cleared"]},{"phase":"Months 3-6","description":"Scars mature and final nipple shape stabilizes.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after a minor nipple correction."},"result_longevity":"Often long-lasting, though inverted nipples may recur in some patients depending on technique and severity; hypertrophy correction is generally permanent.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat surgery mainly for recurrent inversion; higher for severe inversion and duct-preserving techniques."},"scars":"Small scars at the nipple base or around the nipple, usually inconspicuous and fading over several months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One procedure per nipple pair, typically done in a single operative session."},"stages":[{"code":"nipple_correction","label":"Nipple correction procedure","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial session."}}],"qualifier":"Single-stage surgery for uncomplicated primary correction."},"success":{"metric":"Nipple projection maintained without recurrence of inversion","value":85,"unit":"percent of patients","horizon":"12 months","population":"Adults with mild to moderate inverted nipples, primary standalone correction","evidence_status":"limited"},"techniques":[{"name":"Inverted nipple release with duct-preserving technique","suits_whom":"Mild to moderate inversion, women wishing to preserve breastfeeding potential","recovery":"Recovery of about 1 week for routine activity."},{"name":"Duct-dividing release with purse-string suture","suits_whom":"Severe inversion with fibrosis, when breastfeeding is not a concern","recovery":"Similar to duct-preserving release, about 1 week to routine activity."},{"name":"Nipple reduction (wedge or circumferential excision)","suits_whom":"Enlarged or elongated nipples","recovery":"About 1 week to routine activity; sutures removed or absorbed in 1-2 weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Per procedure for both nipples in a standalone primary correction."},"initial_assessment_documents":["Front close-up photos of both nipples","Side-view photos of both nipples","Photos of nipples when stimulated or cold","Breast ultrasound or mammogram report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage outpatient surgery under local anesthesia; stay about 7-10 days to cover wound check and suture removal."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm your surgeon discusses options, risks and benefits before you decide, so you can make an informed decision","scope":"procedure","source":{"url":"https://www.cuh.nhs.uk/patient-information/nipple-reconstruction/","host":"cuh.nhs.uk","quote":"Your surgeon will discuss with you the options, risks and benefits in order for you to make an informed decision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Confirm a follow-up appointment is arranged after your operation to check wound healing","scope":"procedure","source":{"url":"https://www.cuh.nhs.uk/patient-information/nipple-reconstruction/","host":"cuh.nhs.uk","quote":"A follow-up appointment will be arranged for you one week after your operation to remove the dressing and check that the wound is healing properly.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm the person who will do the procedure is the one you consult before deciding","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":"C4","text":"Ask the surgeon to show before and after pictures of their work","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/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":"2026-11-13","http_status":200}},{"id":"C5","text":"Find out whether the surgeon is fully trained in the procedure you want, since this can be hard to confirm abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"It can be difficult to find out if a surgeon is fully trained in the procedure you want.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask how many similar procedures the surgeon has performed","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"how many procedures like the one you're having they have done","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Ask about the surgeon’s training and qualifications","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"what training and qualifications they have","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":"The clinic cannot show before and after pictures of its surgeon's work","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/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":"2026-11-13","http_status":200}},{"id":"F3","text":"Cosmetic surgery offered on a website as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The surgeon will not personally consult with you before your final decision","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":"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":"More bleeding from the wound than expected","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/9097-breast-surgery-options","host":"my.clevelandclinic.org","quote":"Bleeding from the surgical wound that’s more than you expect","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Redness at the incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/9097-breast-surgery-options","host":"my.clevelandclinic.org","quote":"Redness at the incision site","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Pain that persists even after taking pain medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/9097-breast-surgery-options","host":"my.clevelandclinic.org","quote":"Pain that persists even after you take pain medication","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever of 101 degrees Fahrenheit or higher","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/9097-breast-surgery-options","host":"my.clevelandclinic.org","quote":"Fever of 101 degrees Fahrenheit (38.33 degrees Celsius) or higher","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":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","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}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer trying a conservative measure before surgery","name":"Suction devices","source":{"url":"https://www.rightdecisions.scot.nhs.uk/national-referral-protocol/nhs-scotland-referral-protocol/breast-surgery/inverted-nipple-surgery/","host":"rightdecisions.scot.nhs.uk","quote":"Conservative measures using suction devices may be 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