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for first few hours"]},{"phase":"Day 1","description":"Normal activities usually resume; any bruising is minor.","restrictions":["Avoid exercise, sauna or heat for about 24 hours"]},{"phase":"Days 3-14","description":"Muscle relaxation develops gradually, with full effect at about 2 weeks.","restrictions":[]}],"rehabilitation_days":{"min":0,"max":1,"unit":"days","qualifier":"Ordinary functional recovery after the injection session; no rehabilitation is needed."},"result_longevity":"Effects typically last about 3-4 months and then gradually wear off; repeat treatment is needed to maintain results.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Patients needing a touch-up injection around 2 weeks for incomplete or uneven effect."},"scars":"No scarring is expected; tiny needle marks resolve within hours to days.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One treatment session; repeat sessions are for maintenance every few months."},"stages":[{"code":"injection","label":"Botulinum toxin injection under the eyes","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the first and only initial session."}}],"qualifier":"Initial course is a single session; maintenance is separate."},"success":{"metric":"Patients with visible improvement of lower eyelid fine lines","value":75,"unit":"percent of patients","horizon":"2-4 weeks after injection","population":"Adults with fine dynamic lower eyelid lines and adequate eyelid tone","evidence_status":"limited"},"techniques":[{"name":"Microdroplet intradermal or superficial botulinum toxin injection to the lower eyelid orbicularis oculi","suits_whom":"Adults with fine dynamic lines and adequate lower eyelid tone, treated with small conservative doses.","recovery":"Minimal downtime; effect appears within days and lasts about 3-4 months."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"Per session including preparation; injection itself takes a few minutes."},"initial_assessment_documents":["Front photo of face, relaxed expression","Front photo of eyes while smiling","Side photos of both eyes","Close-up photos of under-eye area","List of blood thinners","Previous botulinum toxin treatment record (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single injection session; typical stay 1-2 days; optional 2-week check can be done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","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}},{"id":"C2","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":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","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":"F2","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}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","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":"Breathing problems","urgency":"emergency","general":false,"source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/botulinum-toxin//safety","host":"plasticsurgery.org","quote":"It is very unlikely that the toxin might spread beyond the treatment area, causing botulism-like signs and symptoms such as breathing problems, trouble swallowing, muscle weakness and slurred speech.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Trouble swallowing","urgency":"emergency","general":false,"source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/botulinum-toxin//safety","host":"plasticsurgery.org","quote":"It is very unlikely that the toxin might spread beyond the treatment area, causing botulism-like signs and symptoms such as breathing problems, trouble swallowing, muscle weakness and slurred speech.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Slurred speech","urgency":"emergency","general":false,"source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/botulinum-toxin//safety","host":"plasticsurgery.org","quote":"It is very unlikely that the toxin might spread beyond the treatment area, causing botulism-like signs and symptoms such as breathing problems, trouble swallowing, muscle weakness and slurred speech.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Temporary facial weakness or drooping","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/botulinum-toxin//safety","host":"plasticsurgery.org","quote":"If this happens, you could have temporary facial weakness or drooping.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Muscle weakness","urgency":"emergency","general":false,"source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/botulinum-toxin//safety","host":"plasticsurgery.org","quote":"It is very unlikely that the toxin might spread beyond the treatment area, causing botulism-like signs and symptoms such as breathing problems, trouble swallowing, muscle weakness and slurred 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