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follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-12","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}},"parsed_details":{"procedure_type":"non_surgical","fields":{"anesthesia":["topical","local"],"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"Most people return to work immediately or within a day or two; mild swelling or bruising may last longer."},"complication_rate_pct":{"min":5,"max":30,"unit":"percent","qualifier":"Any adverse event, mostly transient swelling, bruising or lumps; serious events such as vascular occlusion under 0.1%."},"contraindications":["Pregnancy and breastfeeding","Active skin infection or inflammation at the injection site","Known allergy to filler components (e.g., lidocaine, hyaluronic acid)","Active autoimmune disease flare or untreated severe systemic illness (relative)","Bleeding disorders or anticoagulant therapy (relative precaution)","History of severe allergic reactions or anaphylaxis (relative)","Body dysmorphic disorder"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient in-office injection; no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Avoid strenuous exercise for 24-48 hours; up to 1 week after lip, tear trough or large-volume sessions."},"final_result_months":{"min":0.5,"max":1,"unit":"months","qualifier":"Swelling settles within 1-2 weeks; final shape is usually judged at 2-4 weeks for hyaluronic acid fillers."},"fly_home_after_days":{"min":0,"max":2,"unit":"days","qualifier":"Outpatient injection with no wounds or dressings, so same-day travel is possible. Wait 1-2 days if swelling is notable."},"follow_up_visits":[{"purpose":"assessment","requirement":"conditional","after":{"min":14,"max":28,"unit":"days","qualifier":"Optional review and possible touch-up after swelling has settled."}}],"indications":["Volume loss in cheeks, midface or temples","Nasolabial folds and marionette lines","Lip augmentation or definition","Chin or jawline contouring","Fine lines and static wrinkles","Tear trough hollows","Mild facial asymmetry or contour refinement","Perioral lines and loss of lip/perioral support","Hand rejuvenation (volume loss in dorsum of hands)","Nasal contouring (non-surgical rhinoplasty)"],"main_risks":["Swelling, redness, bruising and tenderness","Lumps, asymmetry or contour irregularities","Infection or herpes simplex reactivation","Delayed inflammatory nodules or granulomas","Allergic reaction","Vascular occlusion with skin necrosis (rare, emergency)","Vision loss (very rare, after periorbital or glabellar injection)","Tyndall effect (bluish discoloration) with superficial placement"],"pain":"Mild to moderate discomfort during injection, reduced by topical anesthetic or lidocaine in the product; soreness for a day or two afterward.","preparation":["Consultation with medical history and facial assessment","Discussion of goals, expected result and risks","Avoid alcohol and, if advised, bruising-promoting products","Postpone if cold sore, infection or acne is present","Photographs and skin cleansing before injection"],"recovery_timeline":[{"phase":"Day 0-2","description":"Possible redness, swelling, tenderness and small bruises at injection points.","restrictions":["Avoid strenuous exercise","Avoid heat exposure such as sauna","Avoid massaging the area unless instructed","Limit alcohol"]},{"phase":"Day 3-14","description":"Swelling and bruising resolve; filler settles and integrates.","restrictions":["Avoid facial treatments and dental work where advised"]},{"phase":"Weeks 2-4","description":"Final result assessed; touch-up if needed.","restrictions":[]}],"rehabilitation_days":{"min":0,"max":3,"unit":"days","qualifier":"Time for ordinary activities to be unaffected by swelling or tenderness after a standard session."},"result_longevity":"Varies by product, area and individual; hyaluronic acid fillers typically last roughly 6-18 months, with maintenance injections needed to sustain the result.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Patients needing touch-up, correction or dissolving with hyaluronidase within about 3 months of the initial session."},"scars":"No scarring expected; tiny needle or cannula entry marks fade quickly. Scarring is possible only after rare complications such as tissue necrosis.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One treatment session is typical, with an optional touch-up session."},"stages":[{"code":"injection","label":"Filler injection session","after":{"min":0,"max":0,"unit":"days","qualifier":"Initial session."}},{"code":"touch_up","label":"Optional touch-up injection","after":{"min":14,"max":28,"unit":"days","qualifier":"Only if refinement is needed."}}],"qualifier":"Typical hyaluronic acid filler treatment of one or a few facial areas."},"success":{"metric":"Share of patients with improvement on the Global Aesthetic Improvement Scale (GAIS responders)","value":80,"unit":"percent","horizon":"3 months after injection","evidence_status":"limited","population":"Adults receiving hyaluronic acid fillers for facial volume or wrinkle correction"},"techniques":[{"name":"Needle injection (hyaluronic acid filler)","suits_whom":"Precise placement for lips, folds and fine lines.","recovery":"Minimal downtime; mild swelling or bruising for a few days; reversible with hyaluronidase."},{"name":"Cannula injection (hyaluronic acid filler)","suits_whom":"Broader areas such as cheeks and midface with fewer entry points.","recovery":"Fewer puncture points; mild swelling or bruising for a few days."},{"name":"Deep volumizing injection (calcium hydroxylapatite)","suits_whom":"Deeper volume restoration of cheeks and jawline.","recovery":"Minimal downtime; swelling for several days."},{"name":"Biostimulatory injection (poly-L-lactic acid)","suits_whom":"Gradual volume restoration in facial volume loss.","recovery":"Minimal downtime; gradual result over several sessions."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Per session for one or a few facial areas, including numbing time."},"initial_assessment_documents":["Front and side photos of the face","Photos of the area to be treated","List of previous filler treatments and products","List of blood thinners and supplements","Allergy history including hyaluronic acid or lidocaine"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single in-office session; same-day or next-day travel possible. Optional touch-up at 2-4 weeks is usually done locally or skipped."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask to see before-and-after photos or speak with patients treated with this filler","scope":"procedure","source":{"url":"https://www.aad.org/cosmetic/wrinkles/fillers-preparation","host":"aad.org","quote":"May I see before-and-after photos or speak with patients who have been treated with this filler?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the 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":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask how many patients the doctor has treated with fillers","scope":"procedure","source":{"url":"https://www.aad.org/cosmetic/wrinkles/fillers-preparation","host":"aad.org","quote":"How many patients have you treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask how long the doctor has used the specific filler","scope":"procedure","source":{"url":"https://www.aad.org/cosmetic/wrinkles/fillers-preparation","host":"aad.org","quote":"How long have you used this filler?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Ask about the risks and complications of dermal filler treatment","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/dermal-fillers/questions","host":"plasticsurgery.org","quote":"What are the risks and complications associated with dermal fillers?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Cosmetic treatment offered as part of a holiday, sold on a website","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Clinic cannot show before-and-after pictures of its work","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/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":"2026-11-12","http_status":200}},{"id":"F3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Vision changes or visual disturbances after treatment","urgency":"emergency","general":false,"source":{"url":"https://healthline.com/health/dermal-fillers","host":"healthline.com","quote":"Get emergency medical care if you experience visual disturbances or weakness on one side of your body as you recover.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Weakness on one side of the body","urgency":"emergency","general":false,"source":{"url":"https://healthline.com/health/dermal-fillers","host":"healthline.com","quote":"Get emergency medical care if you experience visual disturbances or weakness on one side of your body as you recover.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Skin color changes at the injection site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/24682-vascular-occlusion","host":"my.clevelandclinic.org","quote":"Contact your provider if you experience pain or skin color changes at the site of your dermal filler.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever or signs of infection after treatment","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22667-dermal-fillers","host":"my.clevelandclinic.org","quote":"Signs of infection, including fever or redness and swelling at the injection site.","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":"Gives the home doctor follow-up recommendations and what was done","document":"written discharge summary in english","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":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription 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cheekbones or chin","name":"Fat transfer to face","source":{"url":"https://www.isaps.org/discover/patients-home/procedures/face-head-procedures/fat-transfer-facial","host":"isaps.org","quote":"Fat transfer provides correction of wrinkles, dents, and volume loss in areas such as the cheeks, cheekbones, and chin.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"A surgical lift may suit you better than injections","name":"Facelift","source":{"url":"https://plasticsurgery.org/cosmetic-procedures/dermal-fillers","host":"plasticsurgery.org","quote":"For some patients, surgery such as a facelift, brow lift or eye lift may be the best approach.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":21}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"needle-injection","name":"Needle injection (hyaluronic acid 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type of filler that consists of a substance you have in your bones.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":1,"unit":"days","label":"0–1 days","source":{"url":"https://www.isaps.org/discover/patients-home/procedures/non-surgical-procedures/body-fillers/","host":"isaps.org","quote":"Patients can return to their normal activities immediately or the next day of injection.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"biostimulatory-injection","name":"Biostimulatory injection (poly-L-lactic acid)","how_it_works":{"text":"Injection prompts the body to build its own collagen","source":{"url":"https://my.clevelandclinic.org/health/treatments/22667-dermal-fillers","host":"my.clevelandclinic.org","quote":"Poly-L-lactic acid (PLLA) is a substance that helps your body create its own collagen.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"techniques":[{"id":"needle-injection","name":"Needle injection (hyaluronic acid filler)","how_it_works":{"id":"H1","text":"A sharp needle places filler directly into the target tissue","source":{"url":"https://www.theaestheticsociety.org/injectables/articles/micro-cannula-better-bet-injecting-dermal-filler","host":"theaestheticsociety.org","quote":"certain fillers will also be better injected through a direct dermal injection via a needle","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://healthline.com/health/dermal-fillers","host":"healthline.com","quote":"In general, you can resume your usual activities 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general, you can resume your usual activities immediately.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Broader areas such as cheeks and midface with fewer entry points.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Fewer puncture points; mild swelling or bruising for a few days."},{"id":"deep-volumizing-injection","name":"Deep volumizing injection (calcium hydroxylapatite)","how_it_works":{"id":"H1","text":"Deep volumizing injection places a bone-like substance to add volume","source":{"url":"https://my.clevelandclinic.org/health/treatments/22667-dermal-fillers","host":"my.clevelandclinic.org","quote":"Calcium hydroxylapatite (CaHA) is a type of filler that consists of a substance you have in your bones.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":1,"unit":"days","label":"0–1 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days.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"A visa is required for visits longer than 30 days","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Required for visits longer than 30 days.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A valid travel document is required to enter Dominican Republic; a passport reported lost or stolen results in denied entry","source":{"url":"https://www.gov.uk/foreign-travel-advice/dominican-republic/entry-requirements","host":"gov.uk","quote":"You will be denied entry if you do not have a valid travel document or try to use a passport that has been reported lost or 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