A InSense Clinic dispõe da única sala de operações com endoscopia dupla da região do Báltico, para uma precisão cirúrgica avançada. O Dr. Ernest Zacharevskij é especialista em cirurgia plástica facial e membro da Sociedade Internacional de Cirurgia Plástica Estética (ISAPS). A clínica dedica-se à rinoplastia funcional, conciliando objetivos médicos e estéticos. Após a cirurgia, os pacientes ficam em enfermarias especializadas com aquecimento autónomo e dietas específicas para a recuperação. O Dr. Justinas Grašys traz experiência adicional do seu trabalho no Hospital Universitário RWTH Aachen.
","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"A sala cirúrgica com endoscopia dupla, a única na região do Báltico, oferece controle preciso para a rinoplastia aberta. Cirurgião membro da ISAPS concentra-se em objetivos funcionais e estéticos."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":3562,"alias":"sv-plastic-surgery-clinic","name":"Clínica de cirurgia plástica InSense (SV Plastic Surgery Clinic)","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/3562-6ac3a2df3ccbd.png","short_description":"Clínica de Cirurgia Plástica SV — é uma clínica privada especializada, localizada em Kaunas, Lituânia. Sua principal especialização é a cirurgia plástica.
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","images":[{"base_url":"clinic/6ac644085fc01","title":"Modern exterior of InSense Clinic building with glass facade"},{"base_url":"clinic/6ac64553b24e3","title":"Reception desk at InSense Clinic with modern lighting and marble accents"},{"base_url":"clinic/6ac64447156e9","title":"Doctor's consultation room at InSense Clinic with modern furniture and computer"},{"base_url":"clinic/6ac6449a0b239","title":"Modern waiting area at InSense Clinic with red chairs and stylish decor"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Lituânia","id":215,"alias":"lithuania","iso_code":"LT"},"city":{"name":"Kaunas","id":402,"alias":"kaunas"},"address":"Savanorių pr. 75, 44208 Kaunas, Lithuania"},"rating":{"rating":5,"google":4.4,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":2,"doctors_number":10,"year_foundation":2002},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"A Fi Clinica é especializada em rinoplastia aberta com planeamento 3D para resultados precisos. O procedimento custa normalmente cerca de 3.200–3.400 $. O Dr. Donatas Samsanavičius, um cirurgião plástico com formação extensiva em rinoplastia, participou em conferências internacionais, incluindo a Rhinoplasty Conference em Dallas. A clínica atende um grande volume de pacientes internacionais e funciona como o maior centro de cirurgia plástica nos países bálticos.
Fi Clinica — o maior centro de cirurgia plástica nos países Bálticos.
\n\nOs médicos são especializados em cirurgia de mama, rosto, abdominoplastia, lipoaspiração e procedimento Mommy Makeover (transformação da mamãe).
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\n\n50% de todos os procedimentos aqui são realizados para clientes do exterior: Dinamarca, Alemanha, Noruega, Suécia, Reino Unido, Irlanda, EUA.
","images":[{"base_url":"clinic/5d8dc2a737aac","title":"Modern glass facade of Fi Clinica in Lithuania surrounded by autumn trees"},{"base_url":"clinic/5d8dc2a71c2ad","title":"Reception desk at Fi Clinica, modern medical center in Lithuania"},{"base_url":"clinic/5d8dc2a6a3b32","title":"Surgeon performing operation at Fi Clinica operating room"},{"base_url":"clinic/5d8dc2a71689d","title":"Sterile surgical instruments prepared in Fi Clinica operating room"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Lituânia","id":215,"alias":"lithuania","iso_code":"LT"},"city":{"name":"Kaunas","id":402,"alias":"kaunas"},"address":"Č. Sasnauskas st. 19, Kaunas, LT-44149 "},"rating":{"rating":4.7,"google":4.8,"percent_of_satisfied_clients":90},"statistics":{"number_of_reviews":11,"doctors_number":5,"year_foundation":0},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"O Dr. Saulius Vikšraitis realizou mais de 8.000 cirurgias plásticas ao longo de mais de 40 anos de prática. Como secretário nacional da ISAPS, ele dirige esta clínica acreditada, fundada em 1992. A rinoplastia aberta costuma custar cerca de US$ 4.800, geralmente incluindo anestesia e cuidados de enfermagem. O Dr. Vikšraitis utiliza simulações computadorizadas e tecnologia endoscópica para um planejamento preciso. A clínica oferece análise de fotos on-line em até 24 horas. Os pacientes geralmente voltam ao trabalho após 10 dias, quando a tala é removida.
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Graduado com um Mestrado em Medicina pela Universidade Lituana de Ciências da Saúde em 2006, o médico completou uma residência em Cirurgia Plástica e Reconstrutiva no Hospital das Clínicas da Universidade Lituana de Ciências da Saúde em Kaunas em 2012. O médico é membro de várias sociedades profissionais, incluindo a Sociedade Internacional de Cirurgia Plástica Estética.<\\/p>
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Com uma carreira profissional que se estende por mais de uma década, o médico trabalhou na clínica Grožio chirurgija e atualmente pratica na fi Clinica. O médico participa ativamente do desenvolvimento profissional internacional, participando de conferências e cursos de formação em toda a Europa e nos EUA.<\\/p>
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\n\nAqui, está disponível o método de planejamento 3D, que permite avaliar o resultado do procedimento antes de sua realização.
\n\n50% de todos os procedimentos aqui são realizados para clientes do exterior: Dinamarca, Alemanha, Noruega, Suécia, Reino Unido, Irlanda, EUA.
","images":[{"base_url":"clinic/5d8dc2a737aac","title":"Modern glass facade of Fi Clinica in Lithuania surrounded by autumn trees"},{"base_url":"clinic/5d8dc2a71c2ad","title":"Reception desk at Fi Clinica, modern medical center in Lithuania"},{"base_url":"clinic/5d8dc2a6a3b32","title":"Surgeon performing operation at Fi Clinica operating room"},{"base_url":"clinic/5d8dc2a71689d","title":"Sterile surgical instruments prepared in Fi Clinica operating room"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Lituânia","id":215,"alias":"lithuania","iso_code":"LT"},"city":{"name":"Kaunas","id":402,"alias":"kaunas"},"address":"Č. 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"},"806":{"operation":{"name":"Rinoplastia fechada","alias":"closed-rhinoplasty","use_for_listing":true},"country_price":{"US":{"amount":6000,"max_amount":11500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":2000,"max_amount":3700,"currency":"USD","clinic_count":40,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1400,"max_amount":2000,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"TR":true,"TH":true},"description":"A operação remodela o nariz internamente, garantindo um melhor perfil com cicatrização mínima e recuperação mais rápida.
"},"807":{"operation":{"name":"Rinoplastia aberta","alias":"open-rhinoplasty","use_for_listing":true},"country_price":{"US":{"amount":8000,"max_amount":13000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":2000,"max_amount":3600,"currency":"USD","clinic_count":50,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":2700,"max_amount":3500,"currency":"USD","clinic_count":10,"price_kind":"from_range","price_source":"tariff","scope":"country"},"LT":{"amount":2900,"max_amount":4200,"currency":"USD","clinic_count":1,"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":false,"CA":false,"AE":true,"TH":true,"PL":true,"KR":true,"CZ":true,"AT":false,"ES":false,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":true,"AZ":true,"CP":true,"LT":true},"description":"A remodelação nasal através de incisões no exterior para alcançar um maior controlo e visibilidade cirúrgica.
"},"808":{"operation":{"name":"Rinoplastia de revisão","alias":"revision-rhinoplasty","use_for_listing":true},"country_price":{"US":{"amount":8000,"max_amount":30000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":2500,"max_amount":4700,"currency":"USD","clinic_count":67,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":3200,"max_amount":6500,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"LT":{"amount":3800,"max_amount":4100,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"TR":true,"TH":true,"LT":true},"description":"O procedimento corrige os resultados de cirurgias nasais anteriores para melhorar a função e a aparência do nariz através de técnicas reconstrutivas precisas.
"},"905":{"operation":{"name":"Remoção de gibosidade nasal","alias":"nasal-hump-removal","use_for_listing":true},"country_price":{"US":{"amount":5000,"max_amount":11000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":1800,"max_amount":2500,"currency":"USD","clinic_count":13,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":2400,"max_amount":4600,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"TR":true,"TH":true},"description":"O procedimento suaviza a forma do nariz, removendo o excesso de osso e cartilagem, melhorando a harmonia facial.
"},"1060":{"operation":{"name":"Prótese nasal","alias":"prosthetic-nose","use_for_listing":true},"country_price":{"US":{"amount":5000,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3300,"max_amount":5200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":3200,"max_amount":6000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false}},"1125":{"operation":{"name":"Rinoplastia 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Bulboso","alias":"bulbous-nose-rhinoplasty","use_for_listing":true},"country_price":{"US":{"amount":7800,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3000,"max_amount":4900,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":5800,"max_amount":6000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true},"description":"Remodelação de uma ponta nasal arredondada através do refinamento da cartilagem e do tecido, melhorando a harmonia facial, com a recuperação geralmente envolvendo um inchaço leve e tempo de inatividade."},"1284":{"operation":{"name":"Rinoplastia com 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"},"1397":{"operation":{"name":"Rinoplastia ultrassónica","alias":"ultrasonic-rhinoplasty","use_for_listing":true},"country_price":{"US":{"amount":8500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2700,"max_amount":4200,"currency":"USD","clinic_count":11,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3300,"max_amount":5800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false}},"1517":{"operation":{"name":"Rinoplastia Masculina","alias":"male-rhinoplasty","use_for_listing":true},"country_price":{"US":{"amount":7800,"max_amount":11800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3800,"max_amount":5500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3000,"max_amount":5800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true},"description":"Redefinição do nariz de um homem para melhorar a aparência ou a função, envolvendo ajustes no osso e na cartilagem com um período de recuperação de várias semanas."},"1537":{"operation":{"name":"Rinoplastia de Nariz Largo","alias":"wide-nose-rhinoplasty","use_for_listing":true},"country_price":{"US":{"amount":8000,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5000,"max_amount":7500,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":2500,"max_amount":4000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true},"description":"Este procedimento cirúrgico remodela o nariz ao estreitar e refinar a estrutura nasal, melhorando a harmonia facial e muitas vezes levando a uma respiração melhorada e maior autoconfiança."}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":7,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Ergin Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"O Dr. Ergin Er é um cirurgião plástico, reconstrutivo e estético que já realizou mais de 10.000 procedimentos estéticos. Ele recebeu diversos prêmios nos Congressos Nacionais de Cirurgia Plástica da Turquia e concluiu treinamento avançado no Baylor College of Medicine em Houston, Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}]},"direction":{"id":38,"name":"Cirurgia 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 or non-physical work after primary open rhinoplasty; visible swelling and bruising may persist longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any early or late complication after primary open rhinoplasty, including bleeding, infection, asymmetry; serious ones are rare."},"contraindications":["Active nasal or facial skin infection","Untreated body dysmorphic disorder","Uncontrolled systemic disease or unfitness for general anesthesia","Active smoking or nicotine use (relative)","Bleeding disorders or inability to pause anticoagulants","Pregnancy","Ongoing cocaine or intranasal drug use (relative)","Incomplete facial growth in adolescents (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; occasionally one night of observation."},"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 contact sports typically delayed until surgeon clearance, contact sports often longer."},"final_result_months":{"min":12,"max":18,"unit":"months","qualifier":"Complete resolution of swelling, especially nasal tip, in primary rhinoplasty; thick skin may take longer."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"Usually cleared at first review, when splint and columellar sutures are removed. Complications may delay travel."},"follow_up_visits":[{"purpose":"splint_removal","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Removal of external splint and any sutures, counted from surgery."}},{"purpose":"wound_check","requirement":"routine","after":{"min":14,"max":30,"unit":"days","qualifier":"Check of healing and swelling, counted from surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":365,"unit":"days","qualifier":"Later reviews at roughly 3, 6 and 12 months, counted from surgery."}}],"indications":["Aesthetic reshaping of nasal size, profile, tip or proportions","Nasal asymmetry or deviation","Structural nasal obstruction from septal or valve problems","Post-traumatic nasal deformity","Complex tip deformity needing structural correction"],"main_risks":["Bleeding and nosebleeds","Infection","Prolonged swelling and bruising","Persistent numbness of nasal tip","Asymmetry or unsatisfactory aesthetic result","Breathing difficulty","Visible columellar scar or poor scarring","Skin or tip tissue compromise (rare)","Septal perforation (rare)","Need for revision surgery","Anesthesia-related complications","Nasal valve collapse or contour irregularities"],"pain":"Usually mild to moderate; mostly pressure, congestion and a stuffy feeling rather than sharp pain, controlled with oral analgesics for the first several days.","preparation":["Surgical consultation with goal discussion and photographs","Preoperative medical assessment and routine blood tests as indicated","Review medications and supplements that raise bleeding risk","Stop smoking and nicotine before and after surgery","Fasting before general anesthesia","Arrange transport and help at home for the first days"],"recovery_timeline":[{"phase":"Days 0-7","description":"Nasal splint and possible internal packing or splints; swelling, bruising and congestion peak early.","restrictions":["Keep head elevated","No nose blowing","Avoid strenuous activity"]},{"phase":"Weeks 1-2","description":"Splint and sutures removed; bruising fades and most people resume desk work.","restrictions":["Avoid bumping the nose","No glasses resting on the nose unless supported"]},{"phase":"Weeks 3-6","description":"Visible swelling decreases; return to gradual exercise after clearance.","restrictions":["No contact sports","Avoid heavy strenuous exertion until cleared"]},{"phase":"Months 3-12+","description":"Gradual refinement as residual swelling, especially of the tip, resolves.","restrictions":["Sun protection for the nose"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after primary open rhinoplasty; full healing takes much longer."},"result_longevity":"Structural changes are generally long-lasting, though the nose continues to age and minor changes can occur over time.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Revision after primary rhinoplasty, judged once final result is visible at 12–18 months. Mostly aesthetic."},"scars":"Small transcolumellar incision across the columella plus hidden internal incisions; the external scar is typically fine and inconspicuous once matured, though it can occasionally remain visible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary rhinoplasty."},"stages":[{"code":"surgery","label":"Open rhinoplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient satisfaction with nasal appearance and function","value":85,"unit":"percent satisfied","horizon":"12 months after surgery","population":"Adults after primary open rhinoplasty for aesthetic or functional concerns","evidence_status":"limited"},"techniques":[{"name":"Open approach with transcolumellar incision and structural grafting","suits_whom":"Patients needing tip refinement, complex deformities or grafting with full visualization.","recovery":"Slightly more tip swelling and a small columellar scar compared with closed approach."},{"name":"Open approach with septorhinoplasty","suits_whom":"Patients with both aesthetic concerns and septal deviation causing obstruction.","recovery":"Similar to standard open rhinoplasty with some added internal congestion."},{"name":"Open approach with ultrasonic piezo osteotomies","suits_whom":"Patients needing controlled bony reshaping.","recovery":"May reduce bruising in some patients; overall timeline similar."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for primary open rhinoplasty; longer with grafting or septal work."},"initial_assessment_documents":["Front, side and base-view photos of the nose","List of previous nasal surgeries or injuries","List of blood thinners and supplements","Recent CT scan of sinuses and nose (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days until splint and suture removal. Later reviews can be done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgeon specializes in rhinoplasty or regularly performs it","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-the-nose","host":"plasticsurgery.org","quote":"After reviewing qualifications, look for a plastic surgeon that either specializes in rhinoplasty or one who regularly performs rhinoplasty.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check how many rhinoplasties the surgeon performs each year, since expertise differs significantly with volume","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-the-nose","host":"plasticsurgery.org","quote":"There is a significant difference in the expertise of someone who performs 9 versus 90 rhinoplasties annually.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you have had two to three consultations before making the final decision on surgery","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-the-nose","host":"plasticsurgery.org","quote":"I would recommend 2-3 consultations before making your final decision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask the surgeon what training and qualifications they have","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"You should always ask a surgeon what training and qualifications they have and what organisations they belong to.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check whether a body regulates the clinic to ensure it meets minimum standards of care","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there a body that regulates the clinic or practice to ensure that it meets minimum standards of care and treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check the arrangements for follow-up care with the surgeon after the operation","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Once you have had your surgery what are the arrangements for follow-up care with the surgeon?","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":"Advert or website sells the surgery as part of a holiday package","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":"You are asked to pay before meeting the surgeon who will operate","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Do not pay to see a surgeon you have not met.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Medical advice on the call or in the offer comes from a sales or travel agent rather than a doctor","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives your home doctor the medication details and any changes to continue care","document":"written discharge summary","source":{"url":"https://midyorks.nhs.uk/hospital-discharge","host":"midyorks.nhs.uk","quote":"You will be given a written discharge summary which includes details of your medication and any changes.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Lets your home doctor review imaging taken during treatment abroad","document":"copies of x-rays and scans","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Travellers should ensure they have copies of all overseas medical records, including x-rays and scans, before departure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Sets out the surgeon's specific aftercare steps your home doctor can follow","document":"written post-operative instructions","source":{"url":"https://www.plasticsurgery.org/news/blog/what-to-expect-during-your-rhinoplasty-recovery","host":"plasticsurgery.org","quote":"In addition, your surgeon will give you specific and detailed post-operative instructions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure 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