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manual work needs longer and surgeon clearance."},"complication_rate_pct":{"min":1,"max":3,"unit":"percent","qualifier":"Up to about 3% for primary rhinoplasty; counts hematoma, infection, septal and airway problems, excluding expected swelling."},"contraindications":["Pregnancy","Active nasal or facial skin infection","Uncontrolled systemic disease (e.g., cardiovascular, diabetes, bleeding disorders)","Active cocaine or intranasal drug use","Untreated body dysmorphic disorder","Active smoking or nicotine use (relative; impairs healing)","Incomplete nasal growth in adolescents (relative)","Severe untreated psychiatric disorders such as severe depression","Anticoagulants or antiplatelet drugs that cannot be stopped (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typically same-day discharge or one overnight stay for primary ultrasonic rhinoplasty."},"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 or contact exercise typically after surgeon clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Most of the shape settles by 6–12 months; residual tip swelling can persist beyond a year."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Usually cleared after splint removal and the first check at about 1 week; surgeon clearance required."},"follow_up_visits":[{"purpose":"splint_removal","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Removal of external splint and any nasal packing or internal splints, counted from surgery."}},{"purpose":"wound_check","requirement":"routine","after":{"min":14,"max":30,"unit":"days","qualifier":"Early healing check, counted from surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":365,"unit":"days","qualifier":"Later review of the shape of the nose, counted from surgery."}}],"indications":["Dorsal hump reduction","Nasal bridge or dorsal irregularities","Aesthetic reshaping of the nasal bones and profile","Nasal asymmetry or deviation involving the bony vault","Wide nasal bones or a broad nasal dorsum","Nasal trauma with bony deformity (post-traumatic deformity)","Open roof deformity correction or secondary refinement after previous rhinoplasty"],"main_risks":["Bleeding and nosebleed","Infection","Prolonged swelling and bruising","Asymmetry or unsatisfactory aesthetic result","Nasal obstruction or breathing difficulty","Numbness of the nasal skin","Need for revision surgery","Anesthesia-related risks"],"pain":"Mild to moderate pain and facial pressure for the first few days, usually controlled with oral analgesics.","preparation":["Preoperative consultation with photographs and planning","Medical history review and fitness assessment for general anesthesia","Routine preoperative blood tests","Stop smoking and nicotine at least 4 weeks before surgery","Review medications; stop blood thinners and NSAIDs as advised","Fasting before general anesthesia","Arrange transport home and help during the first days","Nasal exam and planning, including septum and airway assessment"],"recovery_timeline":[{"phase":"Days 0-7","description":"Swelling, bruising and congestion; external splint in place.","restrictions":["Keep head elevated","Avoid blowing the nose","Avoid strenuous activity"]},{"phase":"Weeks 1-2","description":"Splint removed; bruising fades and most social downtime ends.","restrictions":["No glasses resting on the nose","Avoid contact and heavy exertion"]},{"phase":"Weeks 3-6","description":"Swelling gradually decreases; return to regular activity and gradual exercise.","restrictions":["Avoid contact sports","Protect the nose from trauma"]},{"phase":"Months 3-12","description":"Gradual refinement as residual swelling resolves and the final shape emerges.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Light activities resume after splint removal at about 1 week; strenuous exercise restricted for 4–6 weeks."},"result_longevity":"Structural changes are generally long-lasting, though the nose continues to age naturally and results can vary between individuals.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Up to 15% after primary rhinoplasty within 1–2 years; ultrasonic series report about 6%."},"scars":"Typically minimal; incisions are inside the nose (closed approach) or a small columellar scar if an open approach is used, which usually fades well.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary rhinoplasty."},"stages":[{"code":"surgery","label":"Ultrasonic rhinoplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"One surgical session; follow-up checks are not counted as treatment stages."},"success":{"metric":"Patient satisfaction with nasal appearance","value":85,"unit":"percent","horizon":"12 months after surgery","population":"Adults undergoing primary ultrasonic rhinoplasty for aesthetic reshaping","evidence_status":"limited"},"techniques":[{"name":"Piezo (ultrasonic) osteotomy and bone reshaping with closed approach","suits_whom":"Patients needing hump reduction or bony vault reshaping with limited tip work.","recovery":"Typically relatively gentle on soft tissue; bruising and swelling often subside within 1-2 weeks."},{"name":"Piezo (ultrasonic) rhinoplasty with open approach","suits_whom":"Patients needing complex tip or structural work alongside bone reshaping.","recovery":"Slightly longer swelling, especially of the tip, with a small columellar incision."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for primary ultrasonic rhinoplasty; varies with complexity."},"initial_assessment_documents":["Front, side and three-quarter photos of the nose","Base-view and top-view nose photos","Previous nasal surgery or injury report (if available)","List of blood thinners and nasal sprays","Recent CT scan of the sinuses (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 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=spain/city=madrid/procedure=ultrazvukovaya-rinoplastika/"}],"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":46},"manualSeo":[],"updatedAt":"2026-10-30T17:52:41.000Z","activeCountries":["ES","US","MX","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}