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revision surgery","Rare: septal perforation, visible bony step-offs"],"pain":"Mild to moderate discomfort and pressure for the first few days, usually controlled with oral analgesics; congestion is often more bothersome than pain.","preparation":["Preoperative consultation with nasal examination and photographs","Medical assessment and fitness review for general anesthesia","Surgeon's instructions on medications and supplements that raise bleeding risk","Stop smoking before and after surgery","Fasting before general anesthesia","Arrange transport and help at home"],"recovery_timeline":[{"phase":"First week","description":"Swelling and bruising peak early; external splint and possibly internal packing or splints in place.","restrictions":["Keep head elevated","Avoid nose blowing","Avoid strenuous activity"]},{"phase":"Weeks 1-2","description":"Splint removed; bruising fades; return to desk work.","restrictions":["Avoid pressure on nose such as glasses","Avoid contact"]},{"phase":"Weeks 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operation as part of rhinoplasty."},"stages":[{"code":"surgery","label":"Rhinoplasty with nasal osteotomies","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial surgery."}}],"qualifier":"Single-stage procedure; follow-up checks are listed separately."},"success":{"metric":"Patient satisfaction with nasal appearance and breathing","value":85,"unit":"percent satisfied","horizon":"12 months after surgery","population":"Adults undergoing primary rhinoplasty with nasal osteotomies","evidence_status":"limited"},"techniques":[{"name":"Lateral osteotomy (low-to-low, low-to-high)","suits_whom":"Narrowing a wide bony base or closing an open roof after hump removal.","recovery":"Bruising and swelling around the eyes for about 1-2 weeks."},{"name":"Medial (oblique) osteotomy","suits_whom":"Narrowing the nasal bones or correcting a crooked nasal pyramid, often with lateral cuts.","recovery":"Similar to the standard rhinoplasty course."},{"name":"Transverse and intermediate osteotomy","suits_whom":"Correction of asymmetric or deviated nasal bones.","recovery":"Splinting for about one week."},{"name":"Piezoelectric (ultrasonic) osteotomy","suits_whom":"Patients needing precise bone cuts with less soft-tissue trauma.","recovery":"Similar course; bruising may be milder in some patients."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Primary rhinoplasty including osteotomies, standalone, adult."},"initial_assessment_documents":["Front, side, and base photos of the nose","Oblique nose photos from both sides","Previous nasal surgery or trauma report (if available)","CT scan of the nose (if available)","List of blood thinners and nasal sprays"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 7-10 days until splint removal and wound check. Later reviews can be done remotely."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=curitiba/procedure=osteotomiya-pri-rinoplastike/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":54030},"manualSeo":[],"updatedAt":"2026-11-01T21:20:10.738Z","activeCountries":["BR","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}