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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 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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."},"clinic_checks":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=rinoplastika-shirokogo-nosa/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53804},"manualSeo":[],"updatedAt":"2026-11-11T20:13:28.000Z","activeCountries":["DO","ES","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}