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displacement or visible contour irregularities","Asymmetry or unsatisfactory aesthetic result, possibly needing revision","Breathing difficulty from nasal obstruction or valve collapse","Numbness and temporary changes in smell","Thick or hypertrophic scarring at the columellar incision (open approach)","Skin necrosis in rare cases","Anesthesia-related risks"],"pain":"Mild to moderate discomfort and nasal congestion for the first few days, usually managed with oral analgesics; pressure and stuffiness rather than severe pain.","preparation":["Consultation with photographs and discussion of goals that respect ethnic features","Preoperative medical assessment and any laboratory tests required for general anesthesia","Surgeon's guidance on medications and supplements that raise bleeding risk","Stop smoking and nicotine before and after surgery as advised","Fasting before general anesthesia as instructed","Arrange transport home and help during the first 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Alar base reduction leaves tiny scars in the nostril sill/alar crease. Donor-site scars apply if rib or ear cartilage is used.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation in the usual primary case."},"stages":[{"code":"surgery","label":"Single-stage rhinoplasty surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Primary single-stage rhinoplasty; follow-up checks are not counted as sessions."},"success":null,"techniques":[{"name":"Open approach with cartilage grafting (septal, ear or rib) for dorsal augmentation and tip refinement","suits_whom":"Patients needing substantial tip definition or projection, or dorsal augmentation, often with thicker skin and weaker cartilage.","recovery":"Splint about 1 week; swelling, especially of the tip, may last many months."},{"name":"Alloplastic implant augmentation (e.g., silicone or ePTFE) for dorsum","suits_whom":"Selected patients wanting dorsal augmentation, commonly in Asian rhinoplasty, when autologous material is not preferred.","recovery":"Similar to open or closed rhinoplasty; long-term implant-related risks apply."},{"name":"Alar base reduction (alar wedge/sill excision)","suits_whom":"Patients with wide alar base or flared nostrils, usually combined with other nasal work.","recovery":"Small sutures removed about 1 week; faint scars heal over months."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for primary ethnic rhinoplasty with grafts or implant; longer if rib cartilage harvest is needed."},"initial_assessment_documents":["Front, side and base photos of the nose","Three-quarter and profile photos of both sides","Previous nasal surgery reports (if available)","List of blood thinners","Nasal injury or breathing problem summary"],"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 checks are usually done remotely or locally."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=etnicheskaya-rinoplastika/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}