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Longer with bruising, open approach, extensive grafting or physical work."},"complication_rate_pct":{"min":1,"max":3,"unit":"percent","qualifier":"Major complications only, such as hematoma, infection, septal perforation or necrosis, after primary adult rhinoplasty. Minor swelling and bruising excluded."},"contraindications":["Active nasal or facial skin infection or acute sinus infection","Uncontrolled systemic disease or unfitness for general anesthesia","Pregnancy","Untreated body dysmorphic disorder","Active cocaine use or intranasal drug use (relative)","Unmanageable bleeding disorders or anticoagulant therapy (relative)","Active smoking or nicotine use (relative; impairs healing)","Skeletal immaturity, as facial growth is not complete (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typical primary rhinoplasty is discharged the same day; one night's observation is sometimes 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 walking early; strenuous exercise waits for surgeon clearance. Contact sports and glasses pressure often need longer."},"final_result_months":{"min":12,"max":24,"unit":"months","qualifier":"Most swelling settles within weeks; thick skin or tip work prolongs it. Refinement continues 1–2 years; photos at 12 months."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"Cleared after splint removal and first check, about 7–10 days. Delay after bleeding or marked swelling."},"follow_up_visits":[{"purpose":"splint_removal","requirement":"routine","after":{"min":7,"max":7,"unit":"days","qualifier":"Cast and suture removal at about 7 days, counted from surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":42,"unit":"days","qualifier":"Wound and healing assessment at about 6 weeks."}},{"purpose":"assessment","requirement":"routine","after":{"min":180,"max":180,"unit":"days","qualifier":"Further assessment at about 6 months."}},{"purpose":"result_review","requirement":"routine","after":{"min":365,"max":365,"unit":"days","qualifier":"Photographic documentation and result review at about 12 months."}}],"indications":["Cosmetic nasal deformity of hump, tip, size or shape","Nasal asymmetry or deviation","Post-traumatic nasal deformity","Nasal obstruction from structural problems combined with shape correction (functional-aesthetic)","Congenital nasal deformity"],"main_risks":["Bleeding and nosebleeds (epistaxis)","Septal hematoma","Infection","Prolonged swelling and bruising, especially with thick skin","Asymmetry or unsatisfactory aesthetic or functional result","Nasal obstruction or breathing difficulty","Numbness of the nasal skin or tip","Septal perforation","Contour deformities: inverted-V, polly beak, saddle nose, graft visibility","Need for revision surgery","Anesthesia-related risks and venous thromboembolism or pulmonary complications (rare)","Scarring (visible columellar scar after open approach)","Rare skin necrosis or loss of smell"],"pain":"Usually mild pain, reported by patients for about 3 days after surgery, with pressure and congestion. It is generally controlled with prescribed oral analgesics.","preparation":["Surgical consultation with photographs and nasal examination","Pre-operative medical assessment and blood tests as required","Stop smoking and nicotine products before surgery","Stop blood-thinning medications and supplements only on clinician instruction","Fasting before general anesthesia","Arrange transport and help at home after surgery"],"recovery_timeline":[{"phase":"Days 0-7","description":"Nasal cast and tape, possibly septal splints. Swelling and bruising peak early. Cold compresses in first 24 hours.","restrictions":["Sleep with the head elevated for about 1 week","Avoid nose blowing","Avoid strenuous activity, heavy lifting and bending over"]},{"phase":"Day 7 to week 2","description":"Cast and sutures removed at about 7 days. Nasal massage and taping may continue. Bruising fades.","restrictions":["Avoid rigorous activity"]},{"phase":"Weeks 2-26","description":"Swelling gradually reduces. 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Later reviews can be done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon is upfront about their specialty","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/guide-to-surgical-rhinoplasty","host":"plasticsurgery.org","quote":"Your plastic surgeon should be upfront and honest with what their specialty is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask how many rhinoplasties the surgeon performs each year. Expertise differs greatly between surgeons doing 9 and 90 a year","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/guide-to-surgical-rhinoplasty","host":"plasticsurgery.org","quote":"There is a significant difference in the expertise of someone who performs 9 versus 90 rhinoplasties annually.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Ask the surgeon how likely each nose reshaping risk is and how it would be treated","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/nose-reshaping-rhinoplasty/","host":"nhs.uk","quote":"Your surgeon should explain how likely these risks and complications are, and how they would be treated if you have them.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Have two consultations with the surgeon who will operate before any surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check the qualifications of the clinician who will perform the procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C6","text":"Check that the surgeon is fully insured to carry out the procedure","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"The surgeon should also be fully insured to carry out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Cosmetic surgery is marketed as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Beware of any hospital which markets cosmetic surgery as part of a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Pressure to agree to surgery before meeting the operating surgeon","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Do not agree to cosmetic surgery before meeting the surgeon carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Surgeon or hospital refuses to discuss the details of the surgery","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Be wary of surgeons and hospitals that do not want to discuss the details of surgery with you.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Nosebleed lasting 10 minutes","urgency":"contact_clinic","general":false,"source":{"url":"https://www.umc.edu/Healthcare/ENT/Patient-Handouts/Adult/PSCSC/Rhinoplasty.html","host":"umc.edu","quote":"If bleeding continues for 10 minutes, call the doctor.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Continuous clear watery nasal leak","urgency":"contact_clinic","general":false,"source":{"url":"https://www.pah.nhs.uk/resources/after-nasal-surgery/","host":"pah.nhs.uk","quote":"A continuous clear, watery fluid leaking from your nose.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Fever or yellow discharge","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/11011-rhinoplasty","host":"my.clevelandclinic.org","quote":"Signs of infection, such as fever or yellow discharge.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your nose has dips or irregularities and you prefer no surgery","name":"Nose dermal filler","source":{"url":"https://my.clevelandclinic.org/health/treatments/11011-rhinoplasty","host":"my.clevelandclinic.org","quote":"This is a type of cosmetic 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