Davinci Plastic Surgery has AAAHC-accredited operating rooms for outpatient care. The procedure uses general anesthesia and can be combined with areola reshaping, a breast lift, or breast augmentation. Most patients return to normal activities within a few days as soreness and bruising ease. A responsible adult must provide transportation and stay overnight. Insurance coverage is generally limited to cases deemed medically necessary; financing is available.
","text_type":"mt_wow_description","best_texts":{"techniques":"Nipple reduction, areolar reduction","why_its_ranked":"Nipple reduction via very small incisions, with puffy areola corrected in the same surgery. Performed by triple board-certified plastic surgeons. Operating rooms hold AAAHC accreditation."},"reviews":[],"clinic":{"id":9627,"alias":"davinci-plastic-surgery","name":"Davinci Plastic Surgery","short_description":"Davinci Plastic Surgery is a specialized practice in Washington, D.C. The clinic focuses on aesthetic and reconstructive plastic surgery. Key areas include facial rejuvenation, breast reconstruction, and body contouring. The office surgical suite has 10 exam rooms and two operating rooms. Both operating rooms hold AAAHC accreditation for outpatient safety.
Dr. Steven Davison and Dr. Ximena Pinell lead the medical team. Dr. Davison is triple board-certified in plastic and facial surgery. He has authored over 100 clinical papers. Dr. Pinell is double board-certified and trained at Emory University. The team uses Vectra 3D imaging for surgical planning. They also apply the Keller Funnel no-touch technique for breast safety.
The practice treats a diverse group of international patients. Virtual consultations are available via FaceTime and Skype. The surgeons perform complex revisions for rhinoplasty and breast procedures. Non-surgical options include BOTOX and the full range of Juvéderm fillers. Most surgical patients return to work within one week.
","images":[{"base_url":"clinic/6ae2f5778654e","title":"Modern operating room at Davinci Plastic Surgery with surgical lights and equipment"},{"base_url":"clinic/6ae2f57918478","title":"Patient recovery room with two hospital beds at Davinci Plastic Surgery clinic"},{"base_url":"clinic/6ae2f57aa7990","title":"Modern operating room at Davinci Plastic Surgery with surgical lights and equipment"},{"base_url":"clinic/6ae2f57c500af","title":"Consultation room with exam chair at Davinci Plastic Surgery clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"United States of America","id":44,"alias":"united-states","iso_code":"US"},"city":{"name":"Washington","id":1715,"alias":"washington"},"address":"3050 K St. NW Suite 170, Washington D.C., DC 20007, United States"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[]}},{"text":"Cleveland Clinic is a nonprofit multispecialty academic healthcare system in Cleveland, Ohio. It offers adult and pediatric care across 12 specialized institutes. Key departments include heart surgery, neurology, and oncology. The clinic was founded in 1921. It now employs over 50,000 people across its global network, with hospitals in London, Abu Dhabi, and Canada.
The Neurological Institute treats over 140,000 patients each year. The Heart and Vascular program manages over 900,000 visits annually. Surgical teams perform more than 200,000 procedures each year. The nursing practice holds the Magnet designation for excellence. Its cancer program is accredited by the American College of Surgeons. International patients get help through a dedicated Global Patient Services department.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":250,"price_to":350,"currency":"USD","id":40403},"diagnostic":{"id":340,"name":"Plastic Surgery Consultation","alias":"plastic-surgery-consultation"}}],"reviews":[],"clinic":{"id":80,"alias":"cleveland-clinic","name":"Cleveland Clinic","short_description":"Cleveland Clinic is a nonprofit multispecialty academic healthcare system in Cleveland, Ohio. It offers adult and pediatric care across 12 specialized institutes. Key departments include heart surgery, neurology, and oncology. The clinic was founded in 1921. It now employs over 50,000 people across its global network, with hospitals in London, Abu Dhabi, and Canada.
The Neurological Institute treats over 140,000 patients each year. The Heart and Vascular program manages over 900,000 visits annually. Surgical teams perform more than 200,000 procedures each year. The nursing practice holds the Magnet designation for excellence. Its cancer program is accredited by the American College of Surgeons. International patients get help through a dedicated Global Patient Services department.
","images":[{"base_url":"clinic/6a78129a14470","title":"Cleveland Clinic hospital exterior with emergency entrance, USA"},{"base_url":"clinic/6a78129bcf8d1","title":"Cleveland Clinic Taussig Cancer Center modern glass building in Cleveland, USA"},{"base_url":"clinic/6a78129df2450","title":"Cleveland Clinic Taussig Cancer Center modern glass building exterior in Cleveland"},{"base_url":"clinic/6a78129fee224","title":"Cleveland Clinic modern glass facade with landscaped pond in Cleveland, USA"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"United States of America","id":44,"alias":"united-states","iso_code":"US"},"city":{"name":"Cleveland","id":102,"alias":"cleveland"},"address":"9500 Euclid Ave, Cleveland, OH 44195"},"rating":{"rating":4.8,"google":3.4,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":4,"doctors_number":2,"year_foundation":1921},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6194fa5077fec.jpeg","name":"Accreditation Canada Diamond Status Level ","country_code":"CA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/619b4c38f036b.jpeg","name":"QHA Trent Accreditation","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"World's Best Hospitals 2022 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"Fellow, American College of Surgeons","country_code":"US"},{"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"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Center for Plastic and Reconstructive Surgery is a clinic in Detroit, United States. The clinic focuses on plastic and reconstructive surgery.
","text_type":"short_description","procedure_prices":[{"prices":{"price_from":1500,"price_to":3500,"currency":"USD","id":38732},"operation":{"id":512,"name":"Nipple correction","alias":"nipple-correction"}}],"reviews":[],"clinic":{"id":1819,"alias":"center-for-plastic-and-reconstructive-surgery","name":"Center for Plastic and Reconstructive Surgery","short_description":"Center for Plastic and Reconstructive Surgery is a clinic in Detroit, United States. The clinic focuses on plastic and reconstructive surgery.
","images":[{"base_url":"clinic/67f8d83b66962","title":"Waiting room at Center for Plastic and Reconstructive Surgery with modern decor"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"United States of America","id":44,"alias":"united-states","iso_code":"US"},"city":{"name":"Detroit","id":1718,"alias":"detroit"},"address":"5333 McAuley Dr, Ypsilanti, MI 48197"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":0},"accreditations":[]}},{"text":"Dr Otto Placik is a double board-certified plastic surgeon in Chicago, Illinois. The clinic specializes in feminine rejuvenation, rhinoplasty, and liposuction. A RealSelf Top Doctor and recipient of the Compassionate Doctor Award.
Dr Otto Placik is a double board-certified plastic surgeon in Chicago, Illinois. The clinic specializes in feminine rejuvenation, rhinoplasty, and liposuction. A RealSelf Top Doctor and recipient of the Compassionate Doctor Award.
Florence Mussat MD is a Chicago plastic surgery practice focused on facial rejuvenation and body contouring. Core specialties include mommy makeovers, Brazilian butt lifts, and gynecomastia surgery. Open six days a week with financing options available.
Florence Mussat MD is a Chicago plastic surgery practice focused on facial rejuvenation and body contouring. Core specialties include mommy makeovers, Brazilian butt lifts, and gynecomastia surgery. Open six days a week with financing options available.
Jaibaji Plastic Surgery is a San Diego practice led by board-certified plastic surgeon Dr. Moneer Jaibaji with over a decade of experience. Core specialties include body contouring, breast augmentation, skin rejuvenation, and hand surgery. The clinic also offers injectables like Botox, Dysport, and Restylane.
Jaibaji Plastic Surgery is a San Diego practice led by board-certified plastic surgeon Dr. Moneer Jaibaji with over a decade of experience. Core specialties include body contouring, breast augmentation, skin rejuvenation, and hand surgery. The clinic also offers injectables like Botox, Dysport, and Restylane.
Belladerma Cosmetic Surgery & Skin Care Center is a San Diego clinic led by a double board-certified plastic surgeon. Specialties include cosmetic surgery, plastic surgery, medical spa, and skin care. The surgeon is a member of the American College of Surgeons and the American Society of Plastic Surgeons.
Belladerma Cosmetic Surgery & Skin Care Center is a San Diego clinic led by a double board-certified plastic surgeon. Specialties include cosmetic surgery, plastic surgery, medical spa, and skin care. The surgeon is a member of the American College of Surgeons and the American Society of Plastic Surgeons.
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"},"MX":{"amount":1200,"max_amount":3200,"currency":"USD","clinic_count":1,"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"}},"available_clinics":{"US":false,"TR":true,"MX":true,"TH":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"},"MX":{"amount":1800,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":2300,"max_amount":2900,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":false,"TH":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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