Prof. Federico Hernandez Alfaro brings _doctor_260_years_ of expertise with 900+ orthognathic surgeries performed. The comprehensive package at Centro Médico Teknon may cost around $41,160–58,800 USD, including 3D planning, surgery with general anesthesia, custom guides, and 2-4 days hospitalization. Recognized among Stanford University's Top 2% global scientists, Prof. Alfaro works in a JCI-accredited hospital with advanced virtual simulation technology. This Quirónsalud facility appears in Newsweek's World's Best Hospitals.
Centro Médico Teknon is a private multi-specialty medical center in Barcelona, Spain, and part of Quirónsalud, Spain’s largest private hospital group. The center specializes in neurosurgery, orthopedics, oncology, and heart surgery, with expertise also covering cardiology, fertility, ophthalmology, and advanced diagnostics. JCI accredited and recognized as one of Barcelona’s leading private hospitals, Centro Médico Teknon treats complex cases and welcomes international patients, including public figures, athletes, and celebrities. The center serves adults only and welcomes around 10,000 patients each year, with patients most often coming from Russian-speaking countries, Europe and the Commonwealth, the USA, Canada, and Australia.
\n","images":[{"base_url":"clinic/5c87be3904761","title":"Centro Médico Teknon clinic exterior with grand staircase in Barcelona, Spain"},{"base_url":"clinic/5ab24c738630b","title":"Centro Médico Teknon clinic facade with landscaped garden in Barcelona, Spain"},{"base_url":"clinic/5ac3164cd87d2","title":"Medical team in front of Centro Médico Teknon clinic building in Barcelona, Spain"},{"base_url":"clinic/5ac3156221add","title":"Centro Médico Teknon clinic entrance in Barcelona, Spain"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Carrer de Vilana, 12, 08022 Barcelona, Spain"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"European Foundation for Quality Management","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Patient choice in Neurology","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Patient choice in Neurosurgery","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Patient choice for Epilepsy treatment","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Hospital Quiron Barcelona offers advanced orthognathic surgery with personalized care for international patients. The procedure typically costs around $43,600–$48,600. The hospital features 23 operating rooms and cutting-edge technology, including PET-CT and MRI for precise treatment planning.
Quiron Barcelona Hospital is a top clinic in Spain, known for its advanced oncology care through the Baselga Institute of Oncology, which collaborates with leading American centers. With 23 operating rooms and cutting-edge technology like PET-CT and MRI, it offers precise and effective treatments, including robotized surgeries and assisted reproduction.
\n\nThe hospital provides personalized care for international patients, with 165 wards, suites, and royal apartments. Services include tailored treatment plans, WiFi, airport transfers, and nearby hotel accommodations, making it a preferred choice for high-quality medical care.
\n","images":[{"base_url":"clinic/5b040bd627256","title":"Hospital Quiron Barcelona modern clinic building exterior in Spain"},{"base_url":"clinic/5b040cf40de89","title":"Operating room with advanced imaging equipment at Hospital Quiron Barcelona"},{"base_url":"clinic/5b040cf51721a","title":"Spacious waiting area at Hospital Quiron Barcelona with modern seating and natural light"},{"base_url":"clinic/5b040cf5d0e1c","title":"Modern hospital corridor with elevators at Hospital Quiron Barcelona"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Plaça d'Alfonso Comín, 5-7, 08023 Barcelona, Spain"},"rating":{"rating":4.4,"google":3.5,"percent_of_satisfied_clients":66},"statistics":{"number_of_reviews":6,"doctors_number":300,"year_foundation":1997},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Hospital HM Nou Delfos, part of Spain's largest hospital network, offers orthognathic surgery with prices typically ranging from $14,000 to $17,400. The clinic is equipped with advanced diagnostic tools like EOS for high-precision imaging. It collaborates with Institut Guttmann, a neurorehabilitation hospital holding JCI and ISO certifications.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":422,"alias":"hospital-hm-delfos","name":"Hospital HM Nou Delfos","short_description":"Hospital HM Nou Delfos is part of HM Hospitals, the largest private hospital network in Spain. This comprehensive medical-surgical center in Barcelona specializes in surgery, oncology, orthopedics, and cardiology. It holds EFQM excellence recognition and TÜV NORD ISO 9001 certification.
Over 4,000 patients treated worldwide – Dr. Alfaro personally performs 150 orthognathic surgeries annually.
Dr. Federico Hernandez Alfaro is a maxillofacial surgeon at Centro Medico Teknon in Barcelona. He specializes in orthognathic surgery and dental implantology. He personally performs around 150 orthognathic operations every year. Dr. Alfaro has treated over 4,000 patients from 50 different countries.
Centro Médico Teknon is a private multi-specialty medical center in Barcelona, Spain, and part of Quirónsalud, Spain’s largest private hospital group. The center specializes in neurosurgery, orthopedics, oncology, and heart surgery, with expertise also covering cardiology, fertility, ophthalmology, and advanced diagnostics. JCI accredited and recognized as one of Barcelona’s leading private hospitals, Centro Médico Teknon treats complex cases and welcomes international patients, including public figures, athletes, and celebrities. The center serves adults only and welcomes around 10,000 patients each year, with patients most often coming from Russian-speaking countries, Europe and the Commonwealth, the USA, Canada, and Australia.
\n","images":[{"base_url":"clinic/5c87be3904761","title":"Centro Médico Teknon clinic exterior with grand staircase in Barcelona, Spain"},{"base_url":"clinic/5ab24c738630b","title":"Centro Médico Teknon clinic facade with landscaped garden in Barcelona, Spain"},{"base_url":"clinic/5ac3164cd87d2","title":"Medical team in front of Centro Médico Teknon clinic building in Barcelona, Spain"},{"base_url":"clinic/5ac3156221add","title":"Centro Médico Teknon clinic entrance in Barcelona, Spain"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Carrer de Vilana, 12, 08022 Barcelona, Spain"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"European Foundation for Quality Management","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Patient choice in Neurology","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Patient choice in Neurosurgery","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Patient choice for Epilepsy treatment","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"}]},"images":[{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/67bcc258c38af.jpeg","seo_alt":"Before and after orthognathic surgery results at Centro Médico Teknon, jaw alignment improvement"},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/67bcc258de482.jpeg","seo_alt":"Before and after orthognathic surgery results at Centro Médico Teknon, facial profile improved"},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/67bcc25903a39.jpeg","seo_alt":"Before and after orthognathic surgery results at Centro Médico Teknon, facial profile improved"}]},{"card_text":"Ranked among Spain's top 5 plastic surgeons by Forbes – Dr. Ruiz Castilla leads the Plastic Surgery Service at Quironsalud Barcelona.
Dr. Mireia Ruiz Castilla was ranked among Spain’s top five plastic surgeons by Forbes magazine. She participated in the world's first total face transplant procedure. Dr. Ruiz leads the plastic surgery departments at both Hospital Quiron Barcelona and Dexeus University Hospital. She earned a PhD in surgery with Summa Cum Laude honors.
Quiron Barcelona Hospital is a top clinic in Spain, known for its advanced oncology care through the Baselga Institute of Oncology, which collaborates with leading American centers. With 23 operating rooms and cutting-edge technology like PET-CT and MRI, it offers precise and effective treatments, including robotized surgeries and assisted reproduction.
\n\nThe hospital provides personalized care for international patients, with 165 wards, suites, and royal apartments. Services include tailored treatment plans, WiFi, airport transfers, and nearby hotel accommodations, making it a preferred choice for high-quality medical care.
\n","images":[{"base_url":"clinic/5b040bd627256","title":"Hospital Quiron Barcelona modern clinic building exterior in Spain"},{"base_url":"clinic/5b040cf40de89","title":"Operating room with advanced imaging equipment at Hospital Quiron Barcelona"},{"base_url":"clinic/5b040cf51721a","title":"Spacious waiting area at Hospital Quiron Barcelona with modern seating and natural light"},{"base_url":"clinic/5b040cf5d0e1c","title":"Modern hospital corridor with elevators at Hospital Quiron Barcelona"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Plaça d'Alfonso Comín, 5-7, 08023 Barcelona, Spain"},"rating":{"rating":4.4,"google":3.5,"percent_of_satisfied_clients":66},"statistics":{"number_of_reviews":6,"doctors_number":300,"year_foundation":1997},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}]}}],"meta":{"total_count":2,"total_pages":1}},"offers":{"cards":[{"image_count":6,"images":[{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/67bcc258c38af.jpeg","seo_alt":"Before and after orthognathic surgery results at Centro Médico Teknon, jaw alignment improvement","operation":{"id":841},"operation_id":841,"doctor_id":260},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/67bcc25903a39.jpeg","seo_alt":"Before and after orthognathic surgery results at Centro Médico Teknon, facial profile improved","operation":{"id":841},"operation_id":841,"doctor_id":260},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/67bcc258de482.jpeg","seo_alt":"Before and after orthognathic surgery results at Centro Médico Teknon, facial profile improved","operation":{"id":841},"operation_id":841,"doctor_id":260},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/67bcc25903a39.jpeg","seo_alt":"Before and after orthognathic surgery results at Centro Médico Teknon, facial profile improved","operation":{"id":841},"operation_id":841,"doctor_id":260}],"offer":{"id":"638f5423de62cc82380b66e2","name":"Orthognathic Surgery with 3D Planning by Stanford-Recognized Maxillofacial Surgeon — Custom Guides & Private Room","type":"procedure","tags":[],"for_who":"This package offers 3D virtual surgical planning with custom guides for Le Fort I and BSSO osteotomies. Dr. Federico Hernandez Alfaro, a European Board-certified surgeon with 30+ years of international experience, performs the minimally invasive procedure at the JCI-accredited Centro Médico Teknon. Priced at about _offer_price_, the all-inclusive fee covers preoperative 3D modeling, anesthesia, a 2–4 day private hospital stay, and post-operative follow-up. Patients can expect to return to light activities in about two weeks.
","clinic_entity_text":"Prof. Federico Hernandez Alfaro brings _doctor_260_years_ of expertise with 900+ orthognathic surgeries performed. The comprehensive package at Centro Médico Teknon may cost around $41,160–58,800 USD, including 3D planning, surgery with general anesthesia, custom guides, and 2-4 days hospitalization. Recognized among Stanford University's Top 2% global scientists, Prof. Alfaro works in a JCI-accredited hospital with advanced virtual simulation technology. This Quirónsalud facility appears in Newsweek's World's Best Hospitals.
Dr. Federico Hernandez Alfaro is a maxillofacial surgeon at Centro Medico Teknon in Barcelona. He specializes in orthognathic surgery and dental implantology. He personally performs around 150 orthognathic operations every year. Dr. Alfaro has treated over 4,000 patients from 50 different countries.
Centro Médico Teknon is a private multi-specialty medical center in Barcelona, Spain, and part of Quirónsalud, Spain’s largest private hospital group. The center specializes in neurosurgery, orthopedics, oncology, and heart surgery, with expertise also covering cardiology, fertility, ophthalmology, and advanced diagnostics. JCI accredited and recognized as one of Barcelona’s leading private hospitals, Centro Médico Teknon treats complex cases and welcomes international patients, including public figures, athletes, and celebrities. The center serves adults only and welcomes around 10,000 patients each year, with patients most often coming from Russian-speaking countries, Europe and the Commonwealth, the USA, Canada, and Australia.
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"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":7,"rehabilitation_days":6,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":1830}},"direction":{"id":66,"name":"Maxillofacial Surgery","alias":"maxillofacial-surgery"},"illness_kind":{"id":66,"name":{"en":"Maxillofacial Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Desk work about 2-6 weeks after surgery, once swelling and speech allow. Physical work takes longer and needs surgeon clearance."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any significant surgical complication (infection, bleeding, unfavorable split, hardware problem, nonunion) within 12 months; expected lip or chin numbness excluded."},"contraindications":["Unfinished skeletal growth (relative; surgery delayed until growth completes)","Uncontrolled systemic disease or unfitness for general anesthesia","Active oral or jaw infection","Uncontrolled periodontal disease or poor oral hygiene","Heavy smoking or nicotine use (relative; impairs bone healing)","Bleeding disorders or anticoagulation that cannot be safely managed","Untreated significant psychiatric conditions","Pregnancy (elective surgery usually deferred)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Bimaxillary Le Fort I plus BSSO: inpatient stay for airway and swelling monitoring; length set by surgical team."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking early; strenuous exercise and contact sports typically delayed until surgeon confirms bone healing; contact sports often longer."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling resolves gradually; bone healing and orthodontic finishing determine final bite and facial appearance."},"fly_home_after_days":{"min":14,"max":21,"unit":"days","qualifier":"Fly after discharge and surgeon clearance with stable breathing and swelling; otherwise arrange destination review or local follow-up."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"First postoperative review of swelling, bite and healing."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":56,"unit":"days","qualifier":"Review of bite, bone healing and orthodontic coordination."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Later review of skeletal position and final result."}}],"indications":["Dentofacial skeletal deformity (e.g., Class II or III malocclusion)","Open bite or deep bite not correctable by orthodontics alone","Facial asymmetry due to jaw discrepancy","Obstructive sleep apnea related to jaw retrusion","Difficulty chewing, speaking or breathing due to jaw position","Jaw deformity after trauma or congenital conditions"],"main_risks":["Swelling and bruising","Lip, chin or cheek numbness (may be persistent)","Bleeding requiring intervention","Infection","Unfavorable or unstable bone split or fracture","Relapse of jaw position or malocclusion","Need for further surgery or hardware removal","Temporomandibular joint symptoms","Nasal changes or airway issues","Anesthesia-related risks","Unfavorable aesthetic result or facial asymmetry","Avascular necrosis of bone segment or nonunion/malunion"],"pain":"Moderate pain and significant swelling for the first days, usually controlled with oral analgesics; pressure, numbness and tightness persist for weeks.","preparation":["Pre-surgical orthodontics (braces), typically 12-18 months","3D imaging, cephalometric analysis and virtual surgical planning","Dental and periodontal clearance","Pre-anesthetic assessment and medical review","Stop smoking before surgery","Fasting before general anesthesia","Arrange post-operative help and soft-diet supplies","Stopping blood-thinning medications/NSAIDs as advised"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Monitoring of airway, swelling and pain; liquid diet begins.","restrictions":["No solid food","Head elevated","Cold compresses"]},{"phase":"Weeks 1-2","description":"Peak swelling then gradual improvement; liquid and blended diet; oral hygiene with gentle rinses.","restrictions":["No strenuous activity","Avoid nose blowing if upper jaw operated"]},{"phase":"Weeks 2-6","description":"Swelling decreases, soft diet, return to light work; elastics used for bite guidance if prescribed.","restrictions":["No chewing hard food","No contact activities"]},{"phase":"Weeks 6-12","description":"Bone healing advances; diet progresses to normal; orthodontic finishing continues.","restrictions":["Avoid contact sports until cleared"]},{"phase":"Months 3-12","description":"Residual swelling resolves; sensation gradually improves; braces removed after finishing.","restrictions":[]},{"phase":"At any time","description":"Seek urgent care for breathing difficulty, uncontrolled bleeding, fever, spreading swelling or pus, unmanageable vomiting, sudden bite change, loose fixation, or worsening numbness.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Light daily activities resume at 2–4 weeks; soft diet continues about 6 weeks; strenuous activity deferred."},"result_longevity":"Skeletal correction is generally long-lasting when stable; some relapse can occur depending on movement type and individual factors.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Unplanned corrective reoperation for relapse, malunion or malocclusion within 24 months; excludes planned stages, orthodontics and routine hardware removal."},"scars":"Incisions are mostly intraoral so there are usually no visible scars; occasional small external incisions may be used for hardware in some cases.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure (one operation); orthodontic treatment before and after is separate."},"stages":[{"code":"orthognathic_operation","label":"Orthognathic jaw surgery under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery after completed pre-surgical orthodontics."}}],"qualifier":"Counts only the surgical operation; orthodontic phases and follow-up checks are not included."},"success":{"metric":"Stable functional occlusion with planned jaw correction, no unplanned corrective surgery","value":85,"unit":"percent","horizon":"12 months after surgery","population":"Adults with dentofacial deformity after planned bimaxillary surgery; excludes cleft, syndromic, trauma cases","evidence_status":"limited"},"techniques":[{"name":"Bimaxillary surgery (Le Fort I plus bilateral sagittal split osteotomy)","suits_whom":"Adults with combined upper and lower jaw discrepancies, or maxillomandibular advancement for sleep apnea.","recovery":"Hospital 1-3 nights; swelling peaks in week 1 and improves over 2-4 weeks; light work often at 2-4 weeks, up to 4-6 weeks."},{"name":"Bilateral sagittal split osteotomy alone","suits_whom":"Isolated mandibular advancement or setback.","recovery":"Swelling 2-4 weeks; possible lower lip numbness; often a shorter course than bimaxillary."},{"name":"Le Fort I osteotomy alone","suits_whom":"Isolated maxillary advancement, impaction, or vertical/transverse change.","recovery":"Nasal congestion and swelling for 1-2 weeks."},{"name":"Genioplasty added to jaw surgery","suits_whom":"Chin position correction, usually combined with jaw surgery.","recovery":"Mild additional swelling and chin numbness."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":6,"unit":"hours","qualifier":"Operating time for bimaxillary Le Fort I plus BSSO; single-jaw surgery is shorter."},"initial_assessment_documents":["Front and side facial photos, smiling and relaxed","Intraoral bite photos","Panoramic dental X-ray (OPG)","Lateral cephalometric X-ray","Jaw CBCT scan (if available)","Orthodontist treatment plan and current braces status"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"One trip with 14-21 days stay; orthodontics and reviews done at home. Second trip only for in-person review."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgeon has hospital privileges to perform this procedure. Why: privileges show approval to perform it at that facility","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/orthognathic-surgery/consultation","host":"plasticsurgery.org","quote":"Do you have hospital privileges to perform this procedure?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check the qualifications of the whole medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that you have been able to ask the team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check the language ability of all care staff, not only the doctor","scope":"treatment_abroad","source":{"url":"https://www.orthoinfo.org/en/treatment/what-to-know-about-medical-tourism","host":"orthoinfo.org","quote":"Even if your physician speaks English, other patient care providers may not.","tier":"tier1_medical","fetched_at":"2026-11-11","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":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Warning sign: a hospital that markets surgery as a holiday package","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Beware of any hospital which markets cosmetic surgery as a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Warning sign: treatment advice comes from sales staff or agents rather than clinicians","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Warning sign: no face-to-face consultation with the operating clinician before surgery","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"A face-to-face consultation with the health professional who will carry out any planned surgery or treatment must take place before any procedure.","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":"Pus or discharge from the incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/jaw-surgery","host":"my.clevelandclinic.org","quote":"Pus or discharge from the incisions","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Pain that gets worse","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/jaw-surgery","host":"my.clevelandclinic.org","quote":"Pain that gets worse","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Fever higher than 100.4 degrees Fahrenheit","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/procedures/jaw-surgery","host":"my.clevelandclinic.org","quote":"A fever higher than 100.4 degrees Fahrenheit (38.3 degrees Celsius)","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":"Gives your home doctor hospital treatment details and any ongoing medication","document":"discharge summary letter","source":{"url":"https://royalwolverhampton.nhs.uk/patients-and-visitors/staying-in-hospital/going-home/","host":"royalwolverhampton.nhs.uk","quote":"A discharge summary – this is a letter that includes details of your hospital treatment and any ongoing medication.","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}},{"id":"T4","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}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You accept a result that braces alone may not fully correct","name":"Braces alone","source":{"url":"https://uhbristol.nhs.uk/patients-and-visitors/your-hospitals/university-of-bristol-dental-hospital/what-we-do/corrective-jaw-treatment/frequently-asked-questions/","host":"uhbristol.nhs.uk","quote":"The second alternative is to have braces alone.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"bimaxillary-surgery","name":"Bimaxillary surgery (Le Fort I plus bilateral sagittal split osteotomy)","how_it_works":{"text":"Both upper and lower jaws are treated to correct the 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