Dr. Julio Sicard Cerda runs a plastic surgery practice in Santiago, Dominican Republic. The clinic focuses on facial rejuvenation, body contouring, and breast reconstruction. It operates inside Hospital Metropolitano de Santiago (HOMS). Dr. Sicard Cerda also directs IRECMA, a unit for natural-looking breast reconstruction after tumor removal.
He is a professor of plastic surgery at PUCMM university. He trained at Hospital Felicio Rocho in Brazil and did rotations at Saint Barnabas Hospital in the US. The practice is endorsed by the Dominican Society of Plastic Surgery (SODOCIPRE). The team handles post-bariatric procedures, breast augmentation, rhinoplasty, and liposculpture.
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He is a professor of plastic surgery at PUCMM university. He trained at Hospital Felicio Rocho in Brazil and did rotations at Saint Barnabas Hospital in the US. The practice is endorsed by the Dominican Society of Plastic Surgery (SODOCIPRE). The team handles post-bariatric procedures, breast augmentation, rhinoplasty, and liposculpture.
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اليوم الثاني
يوم 3
يوم 4-6
اليوم السابع
الأسبوع 1-2 بعد العملية
الأسبوع 3-4 بعد العملية
يرجى ملاحظة أن تجربة كل مريض قد تختلف بناءً على العوامل الفردية ومدى تعقيد الإجراء.
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bruising and swelling may linger, and the splint stays about one week."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication within first year, mostly minor such as asymmetry, bleeding or irregularity; serious ones under 2%."},"contraindications":["Unstable medical conditions or unfitness for general anesthesia","Active infection of the nose or face","Untreated body dysmorphic disorder","Active smoking or nicotine use (relative; impairs healing)","Bleeding disorders or uncorrected anticoagulation (relative)","Pregnancy","Skeletal immaturity (nasal growth incomplete) in adolescents (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; occasional overnight 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 around 4 weeks; 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=dominikanskaya-respublika/city=santiago-de-caballeros/procedure=osteotomiya-pri-rinoplastike/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}