Dr. Alfonso Riascos runs a plastic surgery practice in Cali, Colombia. The focus is facial rejuvenation, body contouring, and breast surgery. Dr. Riascos pioneered facial rejuvenation with non-visible scarring. He is a board-certified plastic surgeon at Imbanaco Medical Center. The clinic also specializes in profiloplasty and procedures for men.
The practice opened in 2015. Dr. Riascos trained for five years in Brazil. The clinic is JCI-accredited and follows international safety protocols. He holds certifications from ISAPS, ASPS, and the SCCP. He is also a medical consultant for national television.
The clinic uses the FDA-authorized SkinPen Precision microneedling device. It treats acne scars, pigmentation, and fine lines. For profiloplasty, the team uses computer simulations to plan facial harmony. Most profiloplasty patients return to work within two days. International patients get dedicated support and English-language resources.
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The practice opened in 2015. Dr. Riascos trained for five years in Brazil. The clinic is JCI-accredited and follows international safety protocols. He holds certifications from ISAPS, ASPS, and the SCCP. He is also a medical consultant for national television.
The clinic uses the FDA-authorized SkinPen Precision microneedling device. It treats acne scars, pigmentation, and fine lines. For profiloplasty, the team uses computer simulations to plan facial harmony. Most profiloplasty patients return to work within two days. International patients get dedicated support and English-language resources.
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All procedures take place in certified operating rooms under strict health regulations. The clinic offers virtual assessments and results simulations. International patients get help with transport and optional recovery lodging. Follow-up continues through virtual check-ups for up to one year after surgery. Many patients travel from the United States for treatment.
","text_type":"short_description","reviews":[],"clinic":{"id":9831,"alias":"dr-carlos-gamboa-otorrinolaringologia-rhinoplasty","name":"Dr. Carlos Gamboa – Otorrinolaringología & rhinoplasty","short_description":"Dr. Carlos Gamboa is an ENT and facial plastic surgery clinic in Cali, Colombia. The practice focuses only on aesthetic and functional rhinoplasty for adults. Dr. Gamboa is a Harvard Medical School Fellow. He is President of the Colombian Society of Facial Plastic Surgery and Rhinology. His team uses high-power motorized instruments to reshape nasal structures with precision. This approach is less traumatic than classic osteotomy.
All procedures take place in certified operating rooms under strict health regulations. The clinic offers virtual assessments and results simulations. International patients get help with transport and optional recovery lodging. Follow-up continues through virtual check-ups for up to one year after surgery. Many patients travel from the United States for treatment.
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الأسبوع 3-4 بعد العملية
يرجى ملاحظة أن تجربة كل مريض قد تختلف بناءً على العوامل الفردية ومدى تعقيد الإجراء.
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contact sports after about 6 weeks."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling resolves gradually; tip swelling may take up to a year or longer."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"Usually after splint removal and wound check; surgeon clearance, swelling, and bleeding or packing status move timing."},"follow_up_visits":[{"purpose":"splint_removal","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"External splint removal and wound check, usually day 5 to 7."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"Early healing check."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Longer-term result review."}}],"indications":["Crooked or deviated nasal bones after trauma or congenital asymmetry","Wide nasal bridge or wide bony base","Open roof deformity after hump reduction","Wide nasal pyramid requiring bony narrowing","Functional airway improvement when bony deformity contributes to obstruction"],"main_risks":["Bruising and swelling around the eyes and nose","Bleeding or nosebleeds","Infection","Asymmetry, irregularity or residual deformity","Nasal obstruction or breathing difficulty","Numbness","Anesthesia-related risks","Need for 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 4-6","description":"Most visible swelling decreases; gradual return to exercise.","restrictions":["No contact sports until cleared"]},{"phase":"6-12 months","description":"Residual swelling resolves and final shape settles.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal rehabilitation program."},"result_longevity":"Bony repositioning is generally long-lasting, though aging and trauma may alter nasal appearance over time.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Revision surgery for primary rhinoplasty within 1-2 years, mainly for contour irregularity, asymmetry or airway issues."},"scars":"Osteotomies are performed through small intranasal or tiny percutaneous incisions, so scars are minimal or hidden; any open-approach columellar scar relates to the wider rhinoplasty.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single 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=kolumbiya/city=kali/procedure=osteotomiya-pri-rinoplastike/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}