Massiel Guzmán Plastic & Reconstructive Surgery is a specialized practice in Santo Domingo, Dominican Republic. The clinic focuses on body contouring, rhinoplasty, and advanced breast surgery. Dr. Massiel Guzmán trained in Brazil at Hospital Santa Casa da Misericórdia. She also holds a degree from Universidad Iberoamericana.
The practice has reshaped over 1,000 bodies in more than 10 years. One signature technique is a breast lift using an internal bra, without implants. The team also performs complex breast reconstructions and mommy makeovers. J-Plasma technology is used for skin tightening during liposuction.
The clinic is accredited by the American Society of Plastic Surgeons. It is also affiliated with SODOCIPRE and FILACP. International patients can book virtual or in-person consultations. Follow-up plans are tailored to each surgery and skin type.
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The practice has reshaped over 1,000 bodies in more than 10 years. One signature technique is a breast lift using an internal bra, without implants. The team also performs complex breast reconstructions and mommy makeovers. J-Plasma technology is used for skin tightening during liposuction.
The clinic is accredited by the American Society of Plastic Surgeons. It is also affiliated with SODOCIPRE and FILACP. International patients can book virtual or in-person consultations. Follow-up plans are tailored to each surgery and skin type.
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Tip refinement may take longer."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"Usually after splint removal and surgeon clearance; longer if swelling, bleeding or septal work complicate early healing."},"follow_up_visits":[{"purpose":"splint_removal","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"External splint removal, and suture removal if non-dissolving sutures were used."}},{"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":"Later review of the evolving result."}}],"indications":["Refine hump, length, tip or proportions, keeping a masculine look","Nasal asymmetry or deviation, including after trauma","Nasal obstruction from structural problems, often combined with septoplasty"],"main_risks":["Bleeding, hematoma and infection","Prolonged swelling, bruising and numbness","Breathing difficulty, for example from valve collapse or scarring","Contour irregularities, asymmetry or an unsatisfactory aesthetic result","Over-resection, giving a feminized or 'overdone' look","Septal perforation","Need for revision surgery","Anesthesia-related risks"],"pain":"Mild to moderate discomfort, pressure and nasal congestion for the first few days, usually controlled with oral analgesics. Severe pain is uncommon.","preparation":["Surgeon consultation: goals, realistic outcomes, photographs, nasal examination","Preoperative medical assessment and tests as indicated for general anesthesia","Review medications and supplements; follow surgeon's individual instructions","Stop smoking and nicotine in the weeks around surgery","Fast before general anesthesia as instructed by the anesthesia team","Arrange transport home and help during the first days"],"recovery_timeline":[{"phase":"Days 0-7","description":"Swelling, bruising and congestion are at their peak. The external splint is in place, and some nasal packing or internal splints may be used.","restrictions":["Keep the head elevated","Avoid blowing the nose","Avoid strenuous activity","Keep the splint dry"]},{"phase":"Weeks 1-2","description":"The splint is removed, and bruising fades. Most patients return to desk work.","restrictions":["No heavy lifting","No contact activities","Avoid pressure on the nose, including glasses"]},{"phase":"Weeks 3-6","description":"Swelling decreases and light exercise is gradually reintroduced.","restrictions":["No contact sports","No strenuous exertion until cleared by the surgeon"]},{"phase":"Months 3-12 and beyond","description":"Residual swelling resolves slowly and the final shape emerges, especially at the tip.","restrictions":["Protect the nose from trauma","Use sun protection"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities. It does not include full resolution of swelling. No formal physiotherapy is required."},"result_longevity":"The structural change is generally permanent. The nose can still change slowly with aging, and trauma or healing variation may alter it.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Secondary surgery for aesthetic or functional reasons, usually after 12 months, following primary rhinoplasty."},"scars":"Closed (endonasal) rhinoplasty leaves no visible external scar. Open rhinoplasty leaves a small scar across the columella, which usually fades to be barely noticeable.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary rhinoplasty."},"stages":[{"code":"surgery","label":"Primary rhinoplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Primary rhinoplasty is usually a single-stage procedure. 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":"Adult men after primary rhinoplasty","evidence_status":"limited"},"techniques":[{"name":"Open (external) rhinoplasty","suits_whom":"Complex tip or structural work, or when a cartilage graft is needed. It gives wide exposure.","recovery":"Slightly more swelling at the tip and a small columellar scar. Typical recovery is as described in the main profile."},{"name":"Closed (endonasal) rhinoplasty","suits_whom":"Limited changes such as modest hump reduction, with less need for tip work.","recovery":"No external scar and often less early swelling. Overall recovery is similar."},{"name":"Preservation rhinoplasty","suits_whom":"Selected patients with a suitable dorsal hump and nasal anatomy, chosen by the surgeon.","recovery":"Similar to standard rhinoplasty. Individual outcomes and healing vary."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operative time for primary rhinoplasty. It varies with complexity and any septal or graft work."},"initial_assessment_documents":["Front, side, and angled photos of the nose","Short description of desired nose changes","List of previous nasal surgeries or injuries","List of blood thinners","Recent CT scan of sinuses (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 7-10 days until splint removal. Later reviews are usually done remotely with photos."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=muzhskaya-rinoplastika/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}