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or flared nostrils","Thick skin with weak or poorly defined tip cartilage","Nasal obstruction from septal deviation or valve collapse"],"main_risks":["Bleeding, bruising and prolonged swelling","Infection, including of implant or graft material","Implant or graft extrusion, 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 photos; goals respecting ethnic features","Preoperative medical assessment and labs for general anesthesia","Surgeon's guidance on medications and supplements raising bleeding risk","Stop smoking and nicotine before and after surgery","Fasting before general anesthesia","Arrange transport home and help during first days"],"recovery_timeline":[{"phase":"Days 0-7","description":"Swelling, bruising and congestion; splint in place.","restrictions":["Keep head elevated","Avoid nose blowing","Avoid glasses resting on the nose","No strenuous activity"]},{"phase":"Weeks 1-2","description":"Splint removed; bruising fades; return to desk work.","restrictions":["Avoid heavy lifting and exercise","Protect nose from impact","Sun protection"]},{"phase":"Weeks 3-6","description":"Most visible swelling subsides; gradual return to exercise.","restrictions":["Avoid contact sports","Avoid pressure on the nose"]},{"phase":"Months 3-12+","description":"Gradual refinement as residual swelling resolves, especially at the tip.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; 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Open approach: small, usually inconspicuous columellar scar. Alar base reduction leaves tiny nostril sill/alar crease scars; rib or ear cartilage adds donor-site scars.","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":{"metric":"Patient satisfaction with nasal appearance","value":80,"unit":"percent satisfied","horizon":"12 months after surgery","population":"Adults after primary ethnic rhinoplasty with grafts or implant","evidence_status":"limited"},"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."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's specialty and experience within that specialty","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-the-nose","host":"plasticsurgery.org","quote":"Your plastic surgeon should be upfront and honest with what their specialty is and what their experience is within that specialty.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Discuss the surgeon's personal revision rate and how many corrective revisions they do","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-the-nose","host":"plasticsurgery.org","quote":"Rhinoplasty revision is not uncommon and you should discuss with your plastic surgeon their personal revision rate as well as how many corrective revisions they do from other surgeons' work.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check before-and-after photos taken more than one year after surgery","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/articles/how-to-find-the-right-plastic-surgeon-to-perform-a-corrective-rhinoplasty","host":"plasticsurgery.org","quote":"Look for long-term photos that are from more than one year post-surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check the surgeon's own before-and-after photos, not only 3D simulations","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/articles/six-things-to-know-before-booking-a-rhinoplasty","host":"plasticsurgery.org","quote":"Although many board-certified, reputable surgeons use 3D imaging as a tool to simulate a good outcome, what's even better is to look at your surgeon's own before and after photos.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask how the surgeon will communicate before and after surgery and how available they are","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/articles/how-to-find-the-right-plastic-surgeon-to-perform-a-corrective-rhinoplasty","host":"plasticsurgery.org","quote":"Ask a surgeon how they will communicate with you pre- and post-surgery and how available they will be if an issue arises.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that the surgeon discusses which technique suits your goals","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-the-nose","host":"plasticsurgery.org","quote":"Your plastic surgeon will evaluate your nose, your desires and will discuss which technique is most appropriate for your goals.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Compare two or three consultations before choosing a surgeon","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-the-nose","host":"plasticsurgery.org","quote":"I would recommend 2-3 consultations before making your final decision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Surgeon's gallery shows only on-table photos","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/articles/how-to-find-the-right-plastic-surgeon-to-perform-a-corrective-rhinoplasty","host":"plasticsurgery.org","quote":"If a surgeon has only on-table photos, that is an immediate red flag.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Surgeon claims to be great at everything","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/articles/how-to-find-the-right-plastic-surgeon-to-perform-a-corrective-rhinoplasty","host":"plasticsurgery.org","quote":"A surgeon can't just say that they're great at everything – it just doesn't work for rhinoplasty.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise 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