HWT Clinic is a Turkish Ministry of Health-approved hair transplant and plastic surgery clinic. It performs over 7,000 operations annually and serves as the official health sponsor of Manchester City Football Club.
HWT Clinic is a Turkish Ministry of Health-approved hair transplant and plastic surgery clinic. It performs over 7,000 operations annually and serves as the official health sponsor of Manchester City Football Club.
Academic Hospital is a TÜV NORD-certified private medical center in Istanbul with 60 specialist departments. It is best known for orthopedics, plastic surgery, weight loss surgery, and medical check-ups. The hospital treats over 15,000 patients each year, both adults and children.
Academic Hospital is a TÜV NORD-certified private medical center in Istanbul with 60 specialist departments. It is best known for orthopedics, plastic surgery, weight loss surgery, and medical check-ups. The hospital treats over 15,000 patients each year, both adults and children.
Happy Esthetic Clinic specializes in nipple reduction procedures with a team of experienced plastic surgeons. Dr. Gökhan Semerci brings _doctor_5909_years_ of plastic surgery expertise, including advanced microsurgery training in Switzerland. The clinic serves international patients with personalized care in Istanbul.
Happy Esthetic Clinic is an ISAPS-accredited private medical center in Istanbul. It specializes in plastic surgery, aesthetic medicine, and cosmetology. The clinic treats both adults and children from multiple countries.
Health & Beauty Turkey Clinic in Istanbul sees over 1,000 patients a year. Many are Arab celebrities. Core specialties are dental care, plastic surgery, and aesthetic medicine. It holds Turkish Medical Association accreditation.
Health & Beauty Turkey Clinic in Istanbul sees over 1,000 patients a year. Many are Arab celebrities. Core specialties are dental care, plastic surgery, and aesthetic medicine. It holds Turkish Medical Association accreditation.
Celikkaya Clinic offers nipple reduction procedures performed by Dr. Kemal Celikkaya, a German board-certified and UK GMC registered plastic surgeon. The surgery typically costs around $1,065. The clinic serves international patients from Europe, the Balkans, and CIS countries, focusing exclusively on adult care with a multi-specialty approach to plastic surgery and aesthetic medicine.
Celikkaya Clinic is a private multi-specialty medical center in Cyprus. It specializes in plastic surgery, dental treatment, and aesthetic medicine. The clinic is co-founded by a German board-certified and UK GMC-registered plastic surgeon.
Sona Health Turkey is a multispecialty health center in Sisli, Istanbul. The team specializes in plastic surgery, weight loss procedures, and IVF care. Major operations take place at the partner facility, Acibadem Hospital Istanbul. The clinic opened in 2024. It holds official approval from the Turkish Ministry of Health and Tourism.
Obesity treatments include laparoscopic sleeve gastrectomy and gastric bypass. Non-surgical options like the Allurion swallowable gastric balloon are available. Plastic surgery services cover rhinoplasty, gynecomastia repair, and tummy tucks. The clinic coordinates travel logistics for international patients. Services include VIP airport transfers and 5-star hotel stays. Interpreters offer support in 26 languages.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":3397,"alias":"sona-health-clinic","name":"Sona Health Turkey","short_description":"Sona Health Turkey is a multispecialty health center in Sisli, Istanbul. The team specializes in plastic surgery, weight loss procedures, and IVF care. Major operations take place at the partner facility, Acibadem Hospital Istanbul. The clinic opened in 2024. It holds official approval from the Turkish Ministry of Health and Tourism.
Obesity treatments include laparoscopic sleeve gastrectomy and gastric bypass. Non-surgical options like the Allurion swallowable gastric balloon are available. Plastic surgery services cover rhinoplasty, gynecomastia repair, and tummy tucks. The clinic coordinates travel logistics for international patients. Services include VIP airport transfers and 5-star hotel stays. Interpreters offer support in 26 languages.
","images":[{"base_url":"clinic/6a768af67810a","title":"Acibadem clinic building exterior in Turkey with modern architecture"},{"base_url":"clinic/6a768af8574d5","title":"Modern waiting area at Sona Health Turkey clinic with curved seating and reception desk"},{"base_url":"clinic/6a768afa25276","title":"Patient room at Sona Health Turkey with modern hospital bed and private bathroom"},{"base_url":"clinic/6a768afc13ee0","title":"Modern reception area at Acibadem clinic in Turkey with spiral staircase and stylish decor"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Fulya Mahallesi Ortaklar Caddesi No:2 Kat:7 Şişli, Istanbul, Turkey, 34100"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3,"year_foundation":2024},"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/6123a854d92d1.jpeg","name":"Quality Star","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dbc254d2b0b5.jpeg","name":"Medical Travel Quality Alliance","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb723fd74b2.jpeg","name":"Best pediatrician","country_code":"UA"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"FidelClinic is an ISAPS-accredited medical center in Istanbul serving around 300 patients each year. Its core specialties are plastic surgery and dental treatment. The clinic holds an International Health Tourism Authorization Certificate from the Turkish government.
FidelClinic is an ISAPS-accredited medical center in Istanbul serving around 300 patients each year. Its core specialties are plastic surgery and dental treatment. The clinic holds an International Health Tourism Authorization Certificate from the Turkish government.
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.
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.
Dr. Asif Ahmedov has performed 900+ rhinoplasties over _doctor_7060_years_, specializing in aesthetic nose reconstruction with Piezo ultrasonic technology. The procedure typically costs around $3,100, covering surgery, 1-2 nights hospital stay, transfers, and follow-up care. Liv Bona Dea Hospital holds JCI accreditation, ensuring international safety standards. Dr. Ahmedov's expertise includes endoscopic nasal surgery and precise bone reshaping techniques.
Liv Bona Dea Hospital Baku is a JCI-accredited hospital with 100% compliance. It is part of the Turkish Liv Hospital brand. The hospital specializes in heart surgery, plastic surgery, transplantology, and medical check-ups.
Optimed International Hospital is an AACI-accredited multi-specialty hospital in Tekirdag, Turkey. It treats over 200,000 patients each year. Its strongest specialties include neurosurgery, oncology, and nuclear medicine.
Optimed International Hospital is an AACI-accredited multi-specialty hospital in Tekirdag, Turkey. It treats over 200,000 patients each year. Its strongest specialties include neurosurgery, oncology, and nuclear medicine.
Dr. Tezcan specializes in plastic and aesthetic surgery, with training at Ankara Keçiören Training and Research Hospital.
The doctor completed medical education at Gülhane Military Medical Faculty and pursued specialty training in Plastic, Reconstructive, and Aesthetic Surgery at Ankara Keçiören Training and Research Hospital.
With extensive clinical experience as a specialist physician at Yozgat City Hospital and Ümraniye Training and Research Hospital, the doctor maintains a strong commitment to academic advancement. This includes active participation in professional congresses, conferences, and presentations within the field of plastic surgery. Furthermore, the doctor has contributed to the medical community through the publication of research articles in both national and international peer-reviewed journals.
","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38},{"id":"pls.002","name":"Facial plastic surgeon","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":3237,"alias":"happy-esthetic","name":"Happy Esthetic Clinic","short_description":"Happy Esthetic Clinic is an ISAPS-accredited private medical center in Istanbul. It specializes in plastic surgery, aesthetic medicine, and cosmetology. The clinic treats both adults and children from multiple countries.
Dr. Kemal Celikkaya is a plastic and hair transplant surgeon at Celikkaya Clinic in Cyprus. He founded the clinic for aesthetic treatments. The facility treats 7,000 patients annually and is accredited by the German Society for Estetic Surgery, meeting European quality and safety standards.
Dr. Celikkaya conducts online consultations for international patients. He performs hair restoration and plastic surgery procedures. The clinic has a team of five doctors to manage patient volume.
","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":3355,"alias":"celikkaya-clinic","name":"Celikkaya Clinic","short_description":"Celikkaya Clinic is a private multi-specialty medical center in Cyprus. It specializes in plastic surgery, dental treatment, and aesthetic medicine. The clinic is co-founded by a German board-certified and UK GMC-registered plastic surgeon.
Dr. Gokhan Semerci is a plastic surgeon at Happy Esthetic Clinic in Istanbul. He completed microsurgery training in Switzerland to enhance his reconstructive skills. Dr. Semerci graduated from the Istanbul University Cerrahpaşa Faculty of Medicine. He treats patients at an ISAPS and IPRAS-accredited medical center.
Happy Esthetic Clinic is an ISAPS-accredited private medical center in Istanbul. It specializes in plastic surgery, aesthetic medicine, and cosmetology. The clinic treats both adults and children from multiple countries.
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":{"UA":true,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":true,"PL":true,"KR":true,"CZ":false,"AT":false,"ES":false,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"CY":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"},"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":"general","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":2},"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":"Desk-type work; longer for manual work or friction-prone clothing."},"complication_rate_pct":{"min":3,"max":15,"unit":"percent","qualifier":"Any minor complication within 3 months: delayed healing, infection, hematoma, scarring, sensation change; serious ones rare."},"contraindications":["Active local infection or skin disease of the nipple-areola region","Uncontrolled systemic illness or unfitness for minor surgery","Poor wound-healing tendency or history of problematic scarring (relative)","Pregnancy, breastfeeding, or planned breastfeeding soon (relative; may affect lactation)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"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":"Strenuous upper-body exercise and activities causing nipple friction resume after wound healing."},"final_result_months":{"min":2,"max":6,"unit":"months","qualifier":"Swelling resolves and scars mature; scar maturation may take longer."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After wound check and suture removal; short-haul flights possible earlier once the wound is stable."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"From surgery; often coincides with suture removal if non-absorbable sutures are used."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"From surgery."}}],"indications":["Enlarged or elongated nipples (nipple hypertrophy) causing aesthetic concern","Nipple prominence visible through clothing causing self-consciousness","Discomfort or irritation from nipple size","Asymmetry of nipple size","Congenital or post-nursing nipple enlargement"],"main_risks":["Bleeding or hematoma","Infection","Visible or hypertrophic scarring","Altered or reduced nipple sensation","Reduced or lost ability to breastfeed (lactiferous duct injury)","Partial nipple necrosis (rare)","Asymmetry or under/over-correction","Delayed wound healing","Possible need for revision"],"pain":"Usually mild to moderate discomfort for a few days, controlled with simple analgesics; local anesthesia is used during surgery.","preparation":["Surgical consultation with examination and discussion of breastfeeding plans","Review of medical history and current medications with the surgeon","Avoid smoking and nicotine before and after surgery as advised","Arrange transport home after surgery"],"recovery_timeline":[{"phase":"First days","description":"Dressing in place, mild swelling, bruising and tenderness; sensitivity common.","restrictions":["Avoid touching or pressure on nipples","Keep dressings clean and dry"]},{"phase":"Weeks 1-2","description":"Swelling subsides; sutures removed or dissolve; return to light daily activities.","restrictions":["Avoid friction and tight bras as advised","No heavy lifting"]},{"phase":"Weeks 2-4","description":"Gradual return to exercise as comfort allows.","restrictions":["Avoid strenuous upper-body exercise until cleared"]},{"phase":"Months 2-6","description":"Scars mature and final shape settles.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery for daily activities."},"result_longevity":"Generally long-lasting as surgical size reduction is permanent, though natural changes with age, pregnancy or weight change may alter appearance.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Patients needing revision for asymmetry, under/over-correction or scarring within 1 year."},"scars":"Small scars on the nipple, often placed at the base or within natural nipple texture and usually inconspicuous once matured; hypertrophic scarring is possible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure."},"stages":[{"code":"surgery","label":"Nipple reduction surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Standalone procedure; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patients satisfied with nipple size reduction","value":90,"unit":"percent","horizon":"6 months after surgery","population":"Adults with nipple hypertrophy undergoing standalone reduction under local anesthesia","evidence_status":"limited"},"techniques":[{"name":"Wedge or distal (tip) amputation reduction","suits_whom":"Mainly elongated nipples needing length reduction.","recovery":"Dressing for several days; light activity within days."},{"name":"Circumferential (width) reduction with skin excision","suits_whom":"Nipples wide in diameter needing width reduction.","recovery":"Similar short recovery; friction avoidance for a couple of weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Both nipples, standalone procedure."},"initial_assessment_documents":["Front close-up photos of both nipples","Side-profile photos of both nipples","Summary of medical history and past surgeries","Current medication list"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage same-day surgery; stay about 5-10 days until the wound check and suture removal, if needed."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the practitioner has the right training, skills and insurance to carry out the procedure safely","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":"They should have the right training, skills and insurance to safely carry out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Book a consultation with the person who will operate before deciding, so the decision is informed","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":"C3","text":"Check the surgeon explains how likely the risks are and how complications would be treated","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/breast-reduction/","host":"nhs.uk","quote":"Your surgeon should explain how likely these risks and complications are, and how they'd be treated if you have them.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask to see before and after pictures of the surgeon's work","scope":"treatment_abroad","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":"Ask what complications are most common with the procedure","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":"about the most common complications of the procedure","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":"No appointment is offered to meet the surgeon before the 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websites selling cosmetic surgery as part of a holiday.","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":"Pus leaking from the incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.healthline.com/health/areola-reduction","host":"healthline.com","quote":"pus leaking from your incision site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Severe redness or 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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":"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":"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":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"technique_details":{"status":"ok","items":[{"id":"wedge","name":"Wedge or distal (tip) amputation 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