El Dr. Rubem Lang Stümpfle ha realizado más de 20.000 cirugías y desarrollado una técnica propia publicada a nivel internacional. La clínica cuenta con la acreditación TEMOS y el Dr. Lang es miembro de la Sociedad Brasileña de Cirugía Plástica (SBCP). La rinoplastia puede realizarse mediante un abordaje abierto o cerrado, con anestesia local y sedación o anestesia general. La cirugía se lleva a cabo en el Hospital Blanc, con estancias de hasta 24 horas.
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Surgeries take place at Blanc Hospital, an elective surgery center in the same complex. This facility has 34 recovery beds, 9 operating rooms, and 2 ICU beds. The surgical team uses Morpheus and Ignite RF technologies for tissue retraction. Dr. Lang is a member of the Brazilian Society of Laser in Medicine. International patients often travel from abroad for treatment here.
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Dr. Hartmann completed his medical training in 1988. He is board-certified by the Brazilian Society of Plastic Surgery. A physiotherapist offers manual lymphatic drainage after surgery. This care reduces bruising and speeds up healing.
The clinic uses the Manthus system for non-invasive fat reduction. It combines ultrasound and electrical currents to treat cellulite. Patients see a 3-5 cm reduction in circumference after 10 sessions. Staff speak Portuguese, English, and Spanish.
","text_type":"short_description","reviews":[],"clinic":{"id":9247,"alias":"clinic-hartmann","name":"clinic Hartmann","short_description":"Clinic Hartmann is a private plastic surgery center in Porto Alegre, Brazil. It focuses on aesthetic procedures and dermatofunctional physiotherapy. Founder Dr. Harry Hartmann leads the team. He specializes in breast augmentation, abdominoplasty, and rhinoplasty. The clinic also treats children who need corrective plastic surgery.
Dr. Hartmann completed his medical training in 1988. He is board-certified by the Brazilian Society of Plastic Surgery. A physiotherapist offers manual lymphatic drainage after surgery. This care reduces bruising and speeds up healing.
The clinic uses the Manthus system for non-invasive fat reduction. It combines ultrasound and electrical currents to treat cellulite. Patients see a 3-5 cm reduction in circumference after 10 sessions. Staff speak Portuguese, English, and Spanish.
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The practice has around 10 years of clinical experience and holds international TEMOS accreditation. Major procedures include facelifts, abdominoplasty, and rhinoplasty. The clinic also offers minimally invasive treatments like Botox and collagen biostimulators. Most surgical patients go home the same day.
","text_type":"short_description","reviews":[],"clinic":{"id":9255,"alias":"dr-karoline-dalla-rosa-plastic-surgery","name":"Dr. Karoline Dalla Rosa – plastic surgery","short_description":"Dr. Karoline Dalla Rosa is a plastic surgery clinic in Porto Alegre, Brazil. It focuses on facial rejuvenation, body contouring, and aesthetic medicine. Dr. Karoline Dalla Rosa founded the practice in 2016. She trained at the Federal University of Rio Grande do Sul. The medical team has performed over 3,000 aesthetic procedures.
The practice has around 10 years of clinical experience and holds international TEMOS accreditation. Major procedures include facelifts, abdominoplasty, and rhinoplasty. The clinic also offers minimally invasive treatments like Botox and collagen biostimulators. Most surgical patients go home the same day.
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visible bruising and swelling may persist longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication within 90 days, mostly minor such as prolonged swelling or asymmetry; serious ones under 2%."},"contraindications":["Untreated body dysmorphic disorder","Active nasal or facial infection","Uncontrolled systemic disease making general anesthesia unsafe","Active cocaine or intranasal drug use","Ongoing smoking or nicotine use (relative; impairs healing)","Bleeding disorders or unmanageable anticoagulant therapy","Pregnancy (elective surgery usually deferred)","Skeletal immaturity (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; an overnight stay is occasionally used."},"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 activity earlier; contact sports and nasal-impact activities usually delayed longer."},"final_result_months":{"min":12,"max":18,"unit":"months","qualifier":"Tip swelling can take 12-18 months to settle fully."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"Usually after splint and suture removal; depends on surgeon clearance, swelling, and any added alar base work."},"follow_up_visits":[{"purpose":"splint_removal","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Removal of external splint and any sutures."}},{"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 healed result."}}],"indications":["Wide nasal dorsum, bony base or tip","Wide alar base or flared nostrils adding nasal width","Facial disharmony due to nasal width","Wide nose with coexisting nasal airway obstruction"],"main_risks":["Bleeding and hematoma","Infection","Persistent swelling and bruising","Asymmetry or unsatisfactory aesthetic result","Nasal obstruction or breathing problems","Over-narrowing or collapse of the nasal valve","Altered nasal sensation or numbness","Septal perforation (rare)","Anesthesia-related risks","Need for revision surgery"],"pain":"Usually mild to moderate discomfort, pressure and congestion in the first days, controlled with oral analgesics.","preparation":["Surgeon consultation with nasal examination and photographs","Pre-anesthesia assessment and routine tests as indicated","Stop smoking and nicotine before and after surgery as advised","Review of medications and supplements with the surgeon","Fasting before general anesthesia per anesthesia team","Arrange an adult escort and home support after discharge"],"recovery_timeline":[{"phase":"Days 0-7","description":"Swelling, bruising and congestion; splint in place.","restrictions":["Keep the head elevated","Do not blow the nose","Avoid strenuous activity"]},{"phase":"Weeks 1-2","description":"Splint removed; bruising fades; return to desk work.","restrictions":["Avoid pressure on the nose, including glasses","Avoid exertion"]},{"phase":"Weeks 3-6","description":"Most visible swelling subsides; gradual return to exercise.","restrictions":["No contact sports","Protect the nose from trauma"]},{"phase":"Months 3-12","description":"Residual swelling resolves and the nasal shape refines.","restrictions":["Avoid trauma to the nose"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal rehabilitation program is needed."},"result_longevity":"Permanent structural changes; natural aging continues to alter the nose over time.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Secondary surgery for aesthetic or functional reasons, usually after 12 months; higher with wide, thick-skinned noses."},"scars":"Closed technique leaves no external scar. Open technique leaves a small columellar scar that usually fades well. Alar base reduction leaves fine scars in the nostril sill or alar crease.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical procedure for primary rhinoplasty."},"stages":[{"code":"surgery","label":"Single-stage rhinoplasty with nasal narrowing","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Primary single-stage surgery; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient satisfaction with nasal appearance","value":85,"unit":"percent satisfied","horizon":"12 months after surgery","population":"Adults undergoing primary rhinoplasty with nasal narrowing","evidence_status":"limited"},"techniques":[{"name":"Open rhinoplasty with osteotomies and tip suturing","suits_whom":"Wide bony base or dorsum with a broad tip needing structural reshaping.","recovery":"Swelling and bruising for 1-2 weeks; splint about one week."},{"name":"Alar base resection (Weir excision)","suits_whom":"Flared nostrils or wide alar base; often combined with other steps.","recovery":"Fine sutures removed after about 1 week."},{"name":"Closed rhinoplasty with lateral osteotomies","suits_whom":"Mainly bony width with limited tip changes.","recovery":"Similar recovery, with no external scar."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operative time for primary rhinoplasty with nasal narrowing; varies with the extent of work and added alar base resection."},"initial_assessment_documents":["Front view photo of the nose","Side profile photos of the nose","Oblique nose photos from both sides","Base view photo showing nostrils","Previous nose surgery or injury report (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 7-10 days until splint and suture removal. Later checks can be done remotely with photos."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=rinoplastika-shirokogo-nosa/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}