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Tenga miedo me hablaron también como si yo fuera parte de Su familia  en ese momento me sentí segura quedé satisfecha cuando los llamabas y venían sin ningún problema siempre atento","en":"When I was scared and worried about my surgery and they encouraged me not to be afraid. They also talked to me as if I was part of their family and at that moment I felt safe. 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Preserva mejor la estructura nasal que la alarplastia.</span></div><div>[icon-cons]<b>Desventajas:</b><span> Acceso limitado a las estructuras nasales, lo que dificulta revisiones complejas. No es adecuada para la precisión de la rinoplastia ultrasónica.</span></div><div>[icon-effect]<b>Efectividad:</b><span> Tasa de éxito del 85-90% en lograr los resultados estéticos deseados.</span></div><div>[icon-clock]<b>Duración:</b><span> 1-2 horas</span></div><div>[icon-run]<b>Recuperación:</b><span> 1-2 semanas</span></div><div>[icon-thumbs]<b>Mejor para:</b><span> Ajustes menores de la punta nasal y reducción de jorobas dorsales. 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Definitions vary."},"contraindications":["Active infection in the nasal area or upper respiratory tract","Uncontrolled systemic disease or unfitness for general anesthesia","Bleeding disorders or anticoagulant therapy that cannot be safely managed","Pregnancy","Untreated body dysmorphic disorder","Active cocaine use or intranasal drug use","Relative: smoking or nicotine use, which impairs healing"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; one night occasionally for observation or travel convenience."},"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; strenuous exercise about 4-6 weeks; contact sports later."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Most swelling resolves by 6-12 months; tip refinement may take longer."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"Flying follows splint removal, the first surgical check and surgeon clearance."},"follow_up_visits":[{"purpose":"splint_removal","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Removal of external nasal splint and any internal packing or splints."}},{"purpose":"wound_check","requirement":"routine","after":{"min":14,"max":30,"unit":"days","qualifier":"Check of healing and swelling."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":365,"unit":"days","qualifier":"Later review of shape and breathing; timing varies by surgeon."}}],"indications":["Dorsal hump reduction","Nasal bridge or tip refinement requiring limited reshaping","Mild to moderate nasal asymmetry or deviation","Nasal width prominence with adequate tip support","Functional airway improvement (deviated septum, valve collapse)","Post-traumatic nasal deformity"],"main_risks":["Bleeding and nosebleeds","Infection","Prolonged swelling or bruising","Asymmetry or dissatisfaction with aesthetic result","Nasal obstruction or breathing difficulty","Numbness of nasal skin","Septal perforation","Need for revision surgery","Anesthesia-related risks","Contour irregularities, e.g., pollybeak or dorsal irregularities"],"pain":"Mild to moderate discomfort, pressure and nasal congestion for the first few days, usually controlled with oral analgesics; pain is typically less than the sense of blockage.","preparation":["Pre-operative consultation with nasal examination and photographs","Medical history review and pre-operative blood tests as required","Stop smoking and nicotine before surgery","Review bleeding-risk medications and supplements (aspirin, NSAIDs, blood thinners, herbals)","Fast before general anesthesia","Arrange transport and adult support for first days"],"recovery_timeline":[{"phase":"Days 0-7","description":"Swelling, bruising around the eyes and nasal congestion; splint in place.","restrictions":["Rest with head elevated","No nose blowing","Avoid bending and heavy lifting"]},{"phase":"Days 7-14","description":"Splint removed; bruising fades and many return to desk work.","restrictions":["No glasses resting on the nose as advised","Avoid strenuous activity","Avoid sun exposure on the nose"]},{"phase":"Weeks 2-6","description":"Visible swelling decreases; breathing improves.","restrictions":["No heavy exercise until cleared","No contact sports"]},{"phase":"Months 3-12","description":"Gradual resolution of residual swelling and refinement of shape.","restrictions":["Avoid trauma to the nose"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after primary closed rhinoplasty; no formal physiotherapy typically needed."},"result_longevity":"Structural changes are generally long-lasting, though the nose continues to age naturally and minor changes may occur over time.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Share needing secondary rhinoplasty over long-term follow-up of about 1–5 years or more. Closed and open similar."},"scars":"Incisions are made inside the nostrils, so there is no external scar; minor internal scarring can occur.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session for primary closed rhinoplasty."},"stages":[{"code":"surgery","label":"Closed rhinoplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Follow-up checks and splint removal are routine aftercare, not treatment stages."},"success":{"metric":"Patient satisfaction with nasal appearance after primary rhinoplasty","value":85,"unit":"percent satisfied","horizon":"12 months","population":"Adults undergoing primary closed rhinoplasty for cosmetic or functional reasons","evidence_status":"limited"},"techniques":[{"name":"Closed (endonasal) rhinoplasty with reduction","suits_whom":"Patients needing hump reduction or limited tip and bridge refinement with good tip support.","recovery":"Splint for about 1 week; swelling usually less visible than with open approaches in the early weeks."},{"name":"Closed rhinoplasty with cartilage grafting","suits_whom":"Patients needing modest structural support or contour augmentation.","recovery":"Similar to standard closed approach; slightly longer swelling is possible."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operative time for primary closed rhinoplasty, depending on extent of reshaping."},"initial_assessment_documents":["Front, side and base photos of the nose","Three-quarter and profile photos of the nose","Photos from previous nasal injury (if available)","Previous nasal surgery operative report (if available)","List of blood thinners and nasal sprays"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days until splint removal and first 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=zakrytaa-rinoplastika/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}