El Dr. Roger Domingos realiza cirugías de reducción mamaria en hospitales de primer nivel de Río, como el Hospital Copa D'Or. Es miembro de la Sociedad Brasileña de Cirugía Plástica y de ISAPS. El Dr. Domingos supervisa personalmente cada etapa de la atención, en lugar de delegar los casos en sus colaboradores. Utiliza técnicas como la incisión vertical o en forma de «piruleta» para minimizar las cicatrices visibles. Los pacientes internacionales se benefician de las consultas por video y de un plan de recuperación claro. La mayoría de las personas vuelve al trabajo en un plazo de 7 a 14 días y retoma el ejercicio después de 6 semanas.
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El Dr. Roger Domingos es especialista de la Sociedad Brasileña de Cirugía Plástica. Completó sus residencias en el Hospital Federal de Ipanema y el Hospital Federal do Andaraí. La consulta utiliza liposucción asistida por ultrasonido y vibración. Cada plan se adapta a la anatomía y los objetivos del paciente. Los pacientes internacionales pueden reservar consultas por video y seguimientos a distancia.
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Las cirugías se realizan en el Hospital Glória D'Or, acreditado por la JCI. El Dr. Charão es miembro asociado de la Sociedad Brasileña de Cirugía Plástica. La clínica utiliza tecnología ultrasónica VASER y el sistema de selección de implantes High Five. Los pacientes siguen un protocolo de preparación metabólica para mejorar los resultados quirúrgicos. El personal brinda asistencia a los visitantes internacionales en portugués, inglés y español.
","text_type":"short_description","reviews":[],"clinic":{"id":8845,"alias":"cpa-plastic-surgery-avancada","name":"CPA – plastic surgery Avançada","short_description":"CPA - Plastic Surgery Avançada es una clínica especializada en cirugía plástica en Río de Janeiro, Brasil. El centro se enfoca en el contorno corporal, los procedimientos mamarios y la remodelación corporal después de la cirugía bariátrica. El Dr. Alexandre Charão la fundó en 2004. Desde su apertura, su equipo ha realizado más de 6.000 operaciones. Los datos de referencia muestran una tasa de reingreso no planificado de solo el 0,34 %.
Las cirugías se realizan en el Hospital Glória D'Or, acreditado por la JCI. El Dr. Charão es miembro asociado de la Sociedad Brasileña de Cirugía Plástica. La clínica utiliza tecnología ultrasónica VASER y el sistema de selección de implantes High Five. Los pacientes siguen un protocolo de preparación metabólica para mejorar los resultados quirúrgicos. El personal brinda asistencia a los visitantes internacionales en portugués, inglés y español.
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La Dra. Cavalcante ha realizado más de 3.000 cirugías y cuenta con alrededor de 24 años de experiencia. Su clínica cuenta con las acreditaciones de la SBCP y TEMOS. La recuperación incluye terapia láser de baja potencia para los cuidados posoperatorios. Este protocolo de atención linfática comienza el cuarto día después de la cirugía.
","text_type":"short_description","reviews":[],"clinic":{"id":9996,"alias":"dr-delane-cavalcante","name":"Dr. Delane Cavalcante","short_description":"Dr. Delane Cavalcante es una clínica de cirugía plástica en Río de Janeiro, Brasil. Está especializada en contorno corporal, cirugía mamaria y procedimientos reconstructivos. Durante la abdominoplastia, un método distintivo trata la diástasis y busca lograr un aspecto natural del ombligo. El equipo también realiza liposucción de alta definición y aumento mamario.
La Dra. Cavalcante ha realizado más de 3.000 cirugías y cuenta con alrededor de 24 años de experiencia. Su clínica cuenta con las acreditaciones de la SBCP y TEMOS. La recuperación incluye terapia láser de baja potencia para los cuidados posoperatorios. Este protocolo de atención linfática comienza el cuarto día después de la cirugía.
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de glúteos","alias":"buttock-implants"},{"name":"Levantamiento de glúteos","alias":"buttock-lift"},{"name":"Vaginoplastia","alias":"vaginoplasty"},{"name":"Liposucción de cuello","alias":"neck-liposuction"},{"name":"Afeitado traqueal","alias":"tracheal-shave"},{"name":"Rinoplastia ultrasónica","alias":"ultrasonic-rhinoplasty"},{"name":"Contouring facial","alias":"face-contouring"},{"name":"Cirugía de feminización facial","alias":"facial-feminization-surgery"},{"name":"Rinoplastia de la punta nasal","alias":"tip-rhinoplasty"},{"name":"Rinoplastia abierta","alias":"open-rhinoplasty"},{"name":"Liposucción de michelines","alias":"love-handles-liposuction"},{"name":"Liposucción de rodillas","alias":"knee-liposuction"},{"name":"Liposucción de la parte superior del brazo","alias":"upper-arm-liposuction"},{"name":"Liposucción Vaser","alias":"vaser-liposuction"},{"name":"Lifting de espalda","alias":"back-lift"}],"diagnostics":[{"name":"Hemograma completo","alias":"total-blood"},{"name":"Consulta de Cirugía Plástica","alias":"plastic-surgery-consultation"},{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan"},{"name":"Mamografía","alias":"mammography"}],"illnesses":[{"name":"Ginecomastia","alias":"gynaecomastia"},{"name":"Non-surgical slimming program","alias":"non-surgical-slimming-program"}],"illnessKinds":[{"name":"Cirugía plástica","alias":"plastic-surgery"}],"illness_kinds":[{"name":"Cirugía plástica","alias":"plastic-surgery"}]},"popularSearches":[{"name":"Rinoplastia","alias":"rhinoplasty-nose-job","type":"operation","id":22},{"name":"Agrandamiento del pene","alias":"penis-enlargement","type":"operation","id":850},{"name":"Lifting facial","alias":"tightening-of-facial-skin-facelift","type":"operation","id":21},{"name":"Liposucción","alias":"liposuction","type":"operation","id":23},{"name":"Aumento de pecho","alias":"breast-augmentation","type":"operation","id":650},{"name":"Consulta de Cirugía Plástica","alias":"plastic-surgery-consultation","type":"diagnostic","id":340},{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Hemograma completo","alias":"total-blood","type":"diagnostic","id":83},{"name":"Mamografía","alias":"mammography","type":"diagnostic","id":20},{"name":"Consulta con un cirujano maxilofacial","alias":"consultation-of-a-maxillofacial-surgeon","type":"diagnostic","id":431},{"name":"Ginecomastia","alias":"gynaecomastia","type":"illness","id":204},{"name":"Non-surgical slimming program","alias":"non-surgical-slimming-program","type":"illness","id":3569}],"operationPrices":{"operation_prices":{"20":{"operation":{"name":"Levantamiento de senos","alias":"mastopexy-breast-lift-contour-plastics","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":12000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":2400,"max_amount":4000,"currency":"USD","clinic_count":23,"price_kind":"from_range","price_source":"mixed","scope":"country"},"ES":{"amount":4000,"max_amount":6000,"currency":"USD","clinic_count":11,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":4800,"max_amount":6000,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"TH":true,"ES":true,"BR":true},"description":"El procedimiento mejora los senos caídos alterando el tamaño, elevando la posición y mejorando la forma, brindando una apariencia juvenil y autoestima.
"},"649":{"operation":{"name":"Reducción de senos","alias":"breast-reduction","use_for_listing":true},"country_price":{"US":{"amount":6000,"max_amount":14000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":2900,"max_amount":4400,"currency":"USD","clinic_count":18,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":4300,"max_amount":5500,"currency":"USD","clinic_count":10,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":4700,"max_amount":6200,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":true,"US":true,"IL":false,"TR":true,"MX":true,"DE":true,"CA":false,"AE":true,"TH":true,"PL":true,"KR":true,"CZ":true,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":true,"MY":true,"VN":true,"BR":true,"AZ":true,"CO":true,"CP":true,"CY":true,"DO":true,"EG":true,"HU":true,"LT":true},"description":"La operación minimiza los senos grandes, mejorando la comodidad y las proporciones corporales. Se trata de eliminar el exceso de tejido y remodelar.
"},"872":{"operation":{"name":"Implantes mamarios con levantamiento de senos","alias":"breast-implants-with-breast-lift","use_for_listing":true},"country_price":{"US":{"amount":9500,"max_amount":17500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":3300,"max_amount":5400,"currency":"USD","clinic_count":10,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":6500,"max_amount":8200,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":5500,"max_amount":7700,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TH":true,"ES":true,"BR":true},"description":"El procedimiento consiste en aumentar el tamaño de los senos y combatir la flacidez mediante la inserción de implantes y el levantamiento de tejido para una apariencia juvenil.
"},"897":{"operation":{"name":"Levantamiento de senos con implantes redondos","alias":"breast-lift-with-implants-round","use_for_listing":true},"country_price":{"US":{"amount":9500,"max_amount":16500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":3200,"max_amount":5000,"currency":"USD","clinic_count":9,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":5000,"max_amount":8600,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":4000,"max_amount":7800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TH":true,"ES":true,"BR":true},"description":"El procedimiento levanta los senos caídos, mejorando la forma y el tamaño con implantes redondos, brindando resultados predecibles y estéticamente agradables.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":8,"rehabilitation_days":30,"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":"El Dr. Ergin Er es cirujano plástico, reconstructivo y estético con más de 10,000 procedimientos estéticos. Ha sido galardonado en múltiples ocasiones en los Congresos Nacionales Turcos de Cirugía Plástica y realizó estudios avanzados en el Baylor College of Medicine de Houston, Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Cirujano plástico","illness_kind_id":38}]},"direction":{"id":38,"name":"Cirugía plástica","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk work usually possible in 7-14 days; physically demanding work needs about 4-6 weeks."},"complication_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation or readmission within about 90 days after pedicled reduction; higher with smoking, high BMI, large resections."},"contraindications":["Pregnancy or current breastfeeding (usually deferred)","Uncontrolled medical conditions (e.g., cardiovascular disease, diabetes)","Smoking or nicotine use (relative; raises necrosis risk)","Active breast infection or untreated breast malignancy","Significant bleeding or clotting disorders","Plans for future pregnancy/breastfeeding (relative precaution)","Unstable weight or very high BMI (relative precaution)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Day case under general anesthesia; same-day discharge with an adult escort and help at home overnight."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking earlier; strenuous exercise and upper-body training after surgeon clearance."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Swelling resolves and breasts settle gradually; scars continue to mature longer."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Short flights only after a postoperative check confirms stable healing; arrange any pending suture or drain removal beforehand."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check; dressing change and drain removal if used."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":14,"unit":"days","qualifier":"Only if non-absorbable sutures were used; done before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":60,"unit":"days","qualifier":"Review of healing, shape and activity clearance."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Later review of final shape and scars."}}],"indications":["Symptomatic macromastia with neck, shoulder or back pain","Skin irritation or rashes under the breasts","Bra-strap grooving","Limitation of physical activity due to breast size","Breast asymmetry with a larger breast"],"main_risks":["Bleeding or hematoma","Infection or delayed wound healing","Visible or hypertrophic scarring","Nipple-areola sensation changes or loss","Nipple-areola or skin necrosis","Asymmetry or contour irregularities","Fat necrosis or seroma","Reduced or lost ability to breastfeed","Anesthesia-related risks and venous thromboembolism","Need for revision surgery"],"pain":"Moderate soreness, tightness and pulling for the first several days, usually controlled with oral analgesics; improves markedly by 1–2 weeks.","preparation":["Preoperative consultation with medical history review and examination","Mammography or ultrasound as indicated by age and risk","Routine blood tests and anesthetic assessment","Stop smoking/nicotine in advance","Review medications and supplements with surgeon","Stable weight before surgery","Fasting before general anesthesia","Arrange transport home and help during first days","Obtain a supportive surgical bra"],"recovery_timeline":[{"phase":"Day of surgery (day case)","description":"Surgery takes about 2.5-4 hours under general anesthesia. Same-day discharge after assessment in a surgical bra with dressings; drains only if used.","restrictions":["Adult escort and help overnight","No driving","Rest with head elevated"]},{"phase":"Days 1-7","description":"Soreness, tightness, swelling and bruising are expected. Short indoor walks several times daily reduce clot risk.","restrictions":["No lifting or pushing","Avoid overhead reaching","Keep dressings dry as instructed"]},{"phase":"Days 7-14","description":"Light daily activities resume around days 7-10. Desk work usually resumes around days 7-14 once pain is controlled. Short flights possible if cleared.","restrictions":["No heavy lifting","No driving until comfortable and off strong analgesics","Continue supportive bra"]},{"phase":"Weeks 3-6","description":"Swelling and bruising subside; activity increases gradually. Strenuous exercise and demanding work resume at about 4-6 weeks with surgeon clearance.","restrictions":["No strenuous exercise before about 4 weeks and clearance","Continue supportive bra"]},{"phase":"Months 2-12","description":"Breasts settle into final shape over about 3-12 months and scars mature.","restrictions":["Protect scars from sun"]},{"phase":"At any time","description":"Seek urgent care for rapid one-sided swelling, heavy bleeding, fever, spreading redness, pus, wound opening, dusky nipple, chest pain, breathlessness or calf pain.","restrictions":["Do not wait for a scheduled review"]}],"rehabilitation_days":{"min":5,"max":10,"unit":"days","qualifier":"Light self-care within 5-10 days; soreness eases over 1-2 weeks; no strenuous exercise or heavy lifting for 4-6 weeks."},"result_longevity":"Long-lasting, but breasts can change with aging, pregnancy, hormonal changes and weight fluctuation; regrowth is possible.","revision_rate_pct":{"min":3,"max":8,"unit":"percent","qualifier":"Unplanned corrective surgery within about 1-5 years after primary pedicled reduction; higher with smoking, high BMI or very large resections."},"scars":"Permanent scars around the areola, vertically down to the breast crease and often along the inframammary fold (anchor pattern); they fade over 6–18 months but remain visible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Reduction mammaplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Typically one surgery; routine follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patients reporting satisfaction with the overall breast-reduction result (binary yes/no response)","value":85,"unit":"percent of patients","horizon":"About 12 months after surgery","population":"Adults after primary bilateral inverted-T inferior-pedicle reduction for symptomatic macromastia, including those with complications.","evidence_status":"limited"},"techniques":[{"name":"Inverted-T (Wise pattern) inferior pedicle reduction, bilateral","suits_whom":"Most adults with moderate to large reductions.","recovery":"Desk work about 7-14 days, ordinary function 5-10 days, strenuous exercise about 4-6 weeks."},{"name":"Vertical short-scar reduction (superior or medial pedicle)","suits_whom":"Mild to moderate reductions with good skin elasticity.","recovery":"Often similar recovery; usually no horizontal inframammary scar."},{"name":"Liposuction-assisted reduction","suits_whom":"Small reductions in fattier, less glandular breasts.","recovery":"Often quicker with minimal scarring."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2.5,"max":4,"unit":"hours","qualifier":"Both breasts, standard pedicled reduction under general anesthesia."},"initial_assessment_documents":["Front, side and oblique breast photos","Recent mammogram or breast ultrasound report","Recent blood test results","Medication list including blood thinners","Medical records of chronic conditions and prior surgeries"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days for postoperative check and drain or suture issues. Later reviews remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgeon was trained specifically in plastic surgery","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/questions","host":"plasticsurgery.org","quote":"Were you trained specifically in the field of plastic surgery?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check whether the surgeon has hospital privileges to perform this procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/questions","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":"C3","text":"Check where and how the breast reduction surgery will be performed","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/questions","host":"plasticsurgery.org","quote":"Where and how will you perform my procedure?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check for before-and-after photos of this procedure to judge which results are realistic for you","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/questions","host":"plasticsurgery.org","quote":"Do you have before-and-after photos I can look at for this procedure and what results are reasonable for me?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that a named doctor is available to deal with complications, not only a helpline","scope":"treatment_abroad","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Make sure you have the contact details of a named doctor who can deal with any complications rather than a helpline.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C6","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","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":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe pain after breast reduction","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/breast-reduction/","host":"nhs.uk","quote":"Contact the clinic where you had the operation as soon as possible if you have severe pain or any unexpected symptoms, such as a burning feeling, unusual swelling on or around your breast or changes in the colour of your skin.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Unusual swelling on or around the breast","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/breast-reduction/","host":"nhs.uk","quote":"Contact the clinic where you had the operation as soon as possible if you have severe pain or any unexpected symptoms, such as a burning feeling, unusual swelling on or around your breast or changes in the colour of your skin.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Breast enlargement with pain and pressure","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/11025-breast-reduction","host":"my.clevelandclinic.org","quote":"Enlargement on one or both breasts associated with pain and pressure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W4","text":"Unusual discharge from the incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/11025-breast-reduction","host":"my.clevelandclinic.org","quote":"Unusual discharge from the incision site, including pus.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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":"T2","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":"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}},{"id":"T5","text":"Written drain-care guide given before going home, if a drain was fitted","document":"drain care resource","source":{"url":"https://www.mskcc.org/cancer-care/patient-education/caring-yourself-after-breast-reduction-surgery","host":"mskcc.org","quote":"They’ll also teach you how to care for it before you go home and give you the resource Caring for Your Jackson-Pratt Drain.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want to try reducing breast 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