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It improves markedly within 1-2 weeks.","preparation":["Surgical consultation and breast examination","Preoperative tests: blood work, mammography or ultrasound by age","Quit smoking and nicotine before and after surgery","Review medications and supplements with the surgeon","Fasting before general anesthesia","Arrange a support person and home help","Prepare a supportive surgical bra"],"recovery_timeline":[{"phase":"First 48 hours","description":"Rest with dressings and a surgical bra; swelling, tightness and bruising are expected.","restrictions":["No driving","No lifting"]},{"phase":"Days 3-14","description":"Pain eases, early wound checks, gentle daily activity; return to desk work possible.","restrictions":["Avoid raising arms above the shoulders","No lifting over a few kilograms","Wear the support bra continuously"]},{"phase":"Weeks 2-6","description":"Swelling and bruising decline, and the implants begin to settle. 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A lift with implants often has longer scars than augmentation alone.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single-stage surgery is standard; staging is uncommon, mainly for significant ptosis."},"stages":[{"code":"single_operation","label":"Combined breast lift and implant placement in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery"}}],"qualifier":"Follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient satisfaction with breast shape and volume","value":90,"unit":"percent satisfied","horizon":"1-2 years after surgery","population":"Adults with mild to moderate ptosis and volume loss, uncomplicated single-stage surgery","evidence_status":"limited"},"techniques":[{"name":"Periareolar (donut) lift with implants","suits_whom":"Mild ptosis needing limited skin removal","recovery":"Similar overall recovery; scar around the areola."},{"name":"Vertical (lollipop) lift with implants","suits_whom":"Moderate ptosis","recovery":"Typically 1-2 weeks off desk work; scar around the areola and vertically down the breast."},{"name":"Anchor (inverted-T) lift with implants","suits_whom":"Significant ptosis or excess skin","recovery":"Somewhat longer wound healing around the incisions; additional scar along the breast fold."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for both breasts in a single standard operation."},"initial_assessment_documents":["Front, side and oblique breast photos","Previous breast surgery or implant records (if available)","Recent mammogram or breast ultrasound","Recent blood test results","Current medication list including blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 7-10 days for first dressing check and clearance to fly. Later reviews usually done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon’s experience with this procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/important-things-to-know-about-breast-augmentation","host":"plasticsurgery.org","quote":"How much experience does this person have with this procedure?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that the surgeon explains risks and expectations openly","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/important-things-to-know-about-breast-augmentation","host":"plasticsurgery.org","quote":"Is the surgeon up-front about risks and expectations?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","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}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","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":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","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":"A surgeon does not explain risks and expectations openly","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/important-things-to-know-about-breast-augmentation","host":"plasticsurgery.org","quote":"Is the surgeon up-front about risks and expectations?","tier":"tier1_medical","fetched_at":"2026-11-12","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":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"A lump in the breast or armpit","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety","host":"plasticsurgery.org","quote":"Common symptoms include unexplained breast enlargement, pain, asymmetry, lump in the breast or armpit, overlying skin rash, hardening of the breast or a large fluid collection.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Breast hardening or large fluid collection","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety","host":"plasticsurgery.org","quote":"Common symptoms include unexplained breast enlargement, pain, asymmetry, lump in the breast or armpit, overlying skin rash, hardening of the breast or a large fluid collection.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Sudden difficulty breathing or chest 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card","source":{"url":"https://www.canada.ca/en/health-canada/services/drugs-medical-devices/breast-implants/what-to-know.html","host":"canada.ca","quote":"You should also receive a product registration card from your surgeon with information about the implant or implants.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T5","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":"T6","text":"Lets a doctor at home identify the breast implants you received","document":"implant registration 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