チャオ・ベラ美容外科では、切開を行う前に患者様が術後の仕上がりを確認できるよう、VECTRA 3Dシミュレーションを導入しています。完全認定を受けたこの外科センターでは、安全性の向上を目的として、専門医資格を持つ2名の外科医が連携して治療にあたる場合があります。エドガルド・サバラ医師とそのチームは、3つの先進的な手術室で、呼吸の問題や鼻の左右非対称に対応しています。クリニックでは、個別相談の際に追加料金のない明確な料金体系を提示しています。複数の外科医が連携するこのアプローチでは、一人ひとりに合わせた手術計画を通じて、顔全体の調和を実現することを目指しています。
","text_type":"mt_wow_description","best_texts":{"good_fit_for":"非外科的鼻形成術（ダーマルフィラー）","why_its_ranked":"VECTRA 3Dシミュレーションを使用して、手術前に鼻の整形結果のシミュレーションを行います。審美的な懸念と呼吸の問題の両方を一度の手術で改善します。"},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":8661,"alias":"ciao-bella-cosmetic-surgery","name":"Ciao Bella Cosmetic Surgery","short_description":"Ciao Bella Cosmetic Surgeryは、アリゾナ州にある美容外科および静脈ケア専門クリニックです。チャンドラーとスコッツデールの2拠点にクリニックを構えています。2007年にエドガルド・ザバラ医師によって設立され、4名の専門医認定を受けた外科医が在籍しています。当クリニックの最大の特徴は、複数の外科医が連携する診療体制です。処置やカウンセリングの際、経験豊富な2名の外科医が立ち会うことが可能です。
チャンドラーの施設は、3つの最新鋭の手術室を備えた認定外科センターです。主な施術には、Lipo 360（広範囲脂肪吸引）、タミータック（腹部形成術）、マミーメイクオーバーがあります。また、フェイスリフトや男性の女性化乳房手術も行っています。治療計画の策定にはVECTRA 3Dシミュレーションを使用しているほか、SmartXideレーザー照射やVenus Freezeなどの治療オプションも提供しています。遠方からお越しの患者様向けには、オンラインカウンセリングも実施しております。
","images":[{"base_url":"clinic/6ab4b2428dd89","title":"Medical staff team at Ciao Bella Cosmetic Surgery clinic smiling in staff area"},{"base_url":"clinic/6ab4b26b6cad7","title":"Doctor's office at Ciao Bella Cosmetic Surgery with certificates and classic decor"},{"base_url":"clinic/6ab4b2e7bdfd3","title":"Doctor consulting with colleague in Ciao Bella Cosmetic Surgery office"},{"base_url":"clinic/6ab4b35cbfcee","title":"Ciao Bella Cosmetic Surgery waiting room with leather sofas and warm decor"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_parsed_from_docs","value":true},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"アメリカ合衆国","id":44,"alias":"united-states","iso_code":"US"},"city":{"name":"United States","id":2742,"alias":"united-states"},"address":"2310 W. Ray Rd., Chandler, AZ 85224, United States"},"rating":{"rating":0,"google":4.7,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":4,"year_foundation":2007},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":958},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[{"image_count":7,"images":[{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/68a82f56aae18.jpeg","seo_alt":"Septoplasty before and after results at Dr. MED – improved nasal profile and breathing function","operation":{"id":264},"operation_id":264,"doctor_id":5954},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/68f8a86dd627b.jpeg","seo_alt":"Before and after septoplasty at Dr. MED, improved nose shape and breathing result","operation":{"id":264},"operation_id":264,"doctor_id":9439},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/68a82f56aae18.jpeg","seo_alt":"Septoplasty before and after results at Dr. MED – improved nasal profile and breathing function","operation":{"id":264},"operation_id":264,"doctor_id":5954},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/68f8a86be733f.jpeg","seo_alt":"Before and after septoplasty results at Dr. MED, improved nasal profile after surgery","operation":{"id":264},"operation_id":264,"doctor_id":9439}],"offer":{"id":"63305bf6276df1c4e004c6d2","name":"鼻中隔矯正術・鼻形成術（術前シミュレーション付き） — 4つ星ホテル5泊・VIP送迎","type":"procedure","tags":[],"for_who":"This package leverages advanced Piezo ultrasonic technology for septum correction — minimizing tissue trauma during the septoplasty. Dr. Ibrahim Altoparlak, with dual ENT and plastic surgery specialization, performs the combined open technique rhinoplasty at Dr. MED. The clinic's detailed preoperative plan utilizes videomicroscope nasal assessment and 3D modeling. Priced at approximately _offer_price_, the all-inclusive fee covers consultation, surgery with anesthesia, a 7-night stay (1 night hospital, 6 nights hotel), VIP transfers, and follow-up care for complete recovery.
","clinic_entity_text":"当クリニックでは、鼻中隔矯正術に高度なピエゾ技術を使用しており、最小限の外傷で正確な骨切断を実現しています。夏のオールインクルーシブキャンペーンは約3,990ユーロで、通常、手術、検査、病院での1泊、ホテルでの5〜6泊、VIP送迎が含まれます。クリニックは4.9/5の評価を得ており、タンポンなしの内部縫合鼻形成術などの特許技術を使用しています。
","package_price":5193,"actual_price":5193,"calculated_price":{"from":0,"to":0},"currency":{"code":"USD","symbol":"$","name":"Доллар","rate":1},"doctors":[{"id":5954,"name":"Ibrahim Altoparlak","alias":"ibrahim-altoparlak","photo":"doctor/6474ab2524b1f","first_year_working":2010,"short_description":"イブラヒム・アルトパルラク医師は、イスタンブールのDr. MEDに勤務する耳鼻咽喉科医兼形成外科医です。鼻形成術、修正手術、耳の再建を専門としています。アンカラ大学で医学の学位と専門資格を取得しました。アルトパルラク医師は、顔の美しさと呼吸機能の改善を両立させることに重点を置いています。
Dr. MED Clinicは、トルコのイスタンブールに位置する民間の多専門医療センターであり、形成外科、美容医療、コスメトロジー、および減量手術を専門としています。当クリニックは、フェイスリフト手術97%、脂肪吸引99.5%、マミーメイクオーバー98.5%など、高い成功率を報告しています。
\n\n医療チームは、ディーププレーンフェイスリフト、無瘢痕フェイスリフト、乳房再建術、およびVASER脂肪吸引形成術などの高度な技術を駆使しています。成人患者のみを対象とし、当クリニックには年間4,500人以上の患者が来院しており、主にヨーロッパ、英連邦諸国、米国、カナダ、オーストラリア、およびCIS諸国から訪れています。
","images":[{"base_url":"clinic/6311fa5f15ecf","title":"Reception desk at Dr. MED clinic with modern decor and logo sign"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"トルコ","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"イスタンブール","id":107,"alias":"istanbul"},"address":"Halasgargazi, Halasgargazi Cad. No:38-66, 34371, 34100 Şişli/İstanbul, Türkiye"},"rating":{"rating":4.9,"google":4.9,"percent_of_satisfied_clients":97},"statistics":{"number_of_reviews":221},"accreditations":[]}}},{"image_count":20,"images":[{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/64d4dd179b572.jpeg","seo_alt":"Before and after rhinoplasty results at Lokman Hekim Istanbul Hospital, nose reshaping","operation":{"id":22},"operation_id":22},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/60992156ae6a0.jpeg","seo_alt":"Before and after rhinoplasty result at Lokman Hekim Istanbul Hospital, improved nose profile","operation":{"id":22},"operation_id":22},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/6a8c140d4a914.jpeg","seo_alt":"Before and after rhinoplasty results at Lokman Hekim Istanbul Hospital, nose reshaping","operation":{"id":22},"operation_id":22},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/6800db0d273bd.jpeg","seo_alt":"Before and after rhinoplasty results at Lokman Hekim Istanbul Hospital, nose reshaping outcome","operation":{"id":22},"operation_id":22}],"offer":{"id":"69e777ee5ccf39b671069692","name":"Premium Rhinoplasty (nose job) All Included","type":"procedure","is_advertising":true,"tags":[],"for_who":"トルコのLokman Hekim Istanbul Hospitalでの鼻形成術（鼻の整形）は、約2600ユーロです。この手術は、_doctor_4682_years_の経験を持ち、900件以上の鼻の手術実績がある耳鼻咽喉科医、Emre Gunbey医師によって行われます。JCI認定を受けた当病院は、送迎、宿泊、通訳サービスを含む完全なパッケージを提供しています。
\n\nEmre Gunbey医師は、鼻形成術を専門とする耳鼻咽喉科の助教授です。メイヨークリニックで研修を受け、900件以上の鼻の手術を行ってきました。欧州耳鼻咽喉科学会の会員でもあります。
\n\n標準的な鼻形成術は全身麻酔を使用し、1日間の入院が必要です。患者様は付き添いの方と共にホテルでさらに5日間滞在します。パッケージには以下が含まれます：
\nSalim Yuce教授（_doctor_4682_years_の経験）による一次鼻形成術は約2500ユーロです。修正手術は3500ユーロかかる場合があります。必要に応じて肋軟骨移植を行う場合、1000ユーロが追加されます。
\n\n当病院はJCIおよびISO 9001認証を取得しています。153件のレビューで4.8/5の評価を得ています。オールインクルーシブパッケージには、医療および旅行のニーズが含まれています。
\n\nクリニックに連絡して、鼻形成術のオプションについて話し合い、個別のお見積もりを取得してください。
","package_price":3500,"actual_price":3150,"calculated_price":{"from":0,"to":0},"special_price":{"expires":"2026-12-30T21:00:00.000+00:00","price_usd":3150},"currency":{"code":"USD","symbol":"$","name":"Доллар","rate":1},"doctors":[{"id":10211,"name":"Dr Emre Gunbey","alias":"dr-emre-gunbey","photo":"doctor/686d19ecd2fb1","first_year_working":2013,"short_description":"エムレ・グンベイ医師は、イスタンブールのロクマン・ヘキム病院の耳鼻咽喉科専門医です。3,000件以上の鼻形成術を行ってきました。グンベイ医師は、欧州耳鼻咽喉科専門医認定を受けています。また、米国メイヨークリニックでオブザーバーとして国際的な経験を積みました。
ロクマン・ヘキム・イスタンブール病院（旧アダティップ国際病院）は、トルコのイスタンブールに位置する民間の総合専門医療センターです。主要な専門診療科は、脳神経外科、整形外科、脊椎外科、および肥満外科です。ロクマン・ヘキムは成人および小児の両方を対象としています。CIS諸国、アフリカ、アラブ連盟諸国からの患者が最も多く来院しています。
","images":[{"base_url":"clinic/62d55e98bfd79","title":"Modern facade of Lokman Hekim Istanbul Hospital, Turkey"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"トルコ","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"イスタンブール","id":107,"alias":"istanbul"},"address":"Yenişehir, Kardelen Sk. No:2, 34912 Pendik/İstanbul, Turkey"},"rating":{"rating":4.8,"google":4.2,"percent_of_satisfied_clients":95},"statistics":{"number_of_reviews":302},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725522d15.jpeg","name":"TÜV NORD CERTによるDIN EN ISO 9001認証","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"}]}}},{"image_count":16,"images":[{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/664db21fb7e44.jpeg","seo_alt":"Before and after rhinoplasty results at The Nose Clinic, nose reshaping with natural contour","operation":{"id":22},"operation_id":22,"doctor_id":4732},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/664c7d1b7fc63.jpeg","seo_alt":"Before and after rhinoplasty results at The Nose Clinic, improved nose shape and profile","operation":{"id":22},"operation_id":22,"doctor_id":4732},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/664c7cc3ed560.jpeg","seo_alt":"Before and after rhinoplasty results at The Nose Clinic, nose reshaping for improved profile","operation":{"id":22},"operation_id":22,"doctor_id":4732},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/664c7c2f866c1.jpeg","seo_alt":"Before and after rhinoplasty results at The Nose Clinic, nose reshaping with natural look","operation":{"id":22},"operation_id":22,"doctor_id":4732}],"offer":{"id":"6824580a77702ae66c06efa2","name":"ヨーロッパ鼻形成学会（European Rhinoplasty Society）認定外科医による鼻形成術（施術実績5,000件以上）— 術前検査・薬剤費込み","type":"procedure","tags":[],"for_who":"Open rhinoplasty with internal dissolvable stitches minimizes scarring for natural results. Dr. Cem Altindag, a European Rhinoplasty Society member who trained in the USA and UK, performs over 5,000 procedures annually at The Nose Clinic. He uses soft silastic splints instead of tampons for more comfortable breathing during recovery. This package costs around _offer_price_ and includes the surgery, 1 night in hospital, and all pre-op tests. The facility, internationally accredited by Turkish health authorities, has a 4.8/5 rating with 93% of patients recommending it.
","clinic_entity_text":"ジェム・アルティンダグ医師は、5,000件以上の手術実績を持つ_doctor_4732_years_の鼻形成術の専門知識を提供します。オールインワンパッケージの費用は約4,000ドルで、手術、1泊の入院、5泊のホテル宿泊、VIP送迎、フォローアップコンサルテーションが含まれます。欧州鼻形成術学会の会員であるアルティンダグ医師は、米国と英国で国際的なトレーニングを受けています。クリニックはトルコ医師会の認定を受けており、93%の患者推奨率で4.8/5の評価を維持しています。
ジェム・アルトゥンダグ医師は形成外科医、耳鼻咽喉科外科医であり、頭頸部手術の専門家です。欧州鼻形成術学会会員。
","specialities":[{"id":"oto.001","name":"ENT doctor","illness_kind_id":6},{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}],"statistics":{"review_count":24,"review_score":4,"operations_performed_count":5000},"certificates":[{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659e91c62e149.jpeg","name":"European Rhinoplasty Society"}]}],"clinic":{"id":3015,"alias":"the-nose-aesthetic-clinic","name":"The Nose Clinic ","short_description":"The Nose Aesthetic Clinicは、トルコのイスタンブールに位置する私立医療施設であり、耳鼻咽喉科、形成外科、および美容医療を専門としています。当クリニックは、鼻中隔鼻形成術および修正鼻中隔鼻形成術に特化しており、欧州鼻形成術学会会員であり25年以上の経験を持つ鼻形成術専門医、Opr. Dr. Cem Altındağ, MDが主導しています。
\n\nトルコ保健省より医療観光施設として認定を受けた当クリニックは、成人患者のみを対象としています。毎年約500名の患者がThe Nose Aesthetic Clinicでの医療を選択しています。当クリニックは、CIS諸国、欧州、英連邦、米国、カナダ、およびオーストラリアからの患者に広く利用されています。
","images":[{"base_url":"clinic/632343d660b54","title":"Hallway at The Nose Clinic with modern decor and artwork"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"トルコ","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"イスタンブール","id":107,"alias":"istanbul"},"address":"Teşvikiye, Şakayık Sk. NO:40, 34365 Şişli/İstanbul, Turkey"},"rating":{"rating":4.8,"google":4.7,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":90},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d48fc833289.jpeg","name":"トルコ医師会","country_code":"TR"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/62e2ea948b5d5.jpeg","name":"国際医療観光認可証明書","country_code":"TR"}]}}},{"image_count":20,"images":[{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/634e8e260e3b7.jpeg","seo_alt":"Before and after rhinoplasty result at Hisar Hospital Intercontinental, improved nose shape","operation":{"id":22},"operation_id":22,"doctor_id":2371},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/62c6d7e7904b1.jpeg","seo_alt":"Before and after rhinoplasty results at Hisar Hospital Intercontinental, improved nose shape","operation":{"id":22},"operation_id":22,"doctor_id":2371},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/676fb4ec6a38e.jpeg","seo_alt":"Before and after rhinoplasty results at Hisar Hospital Intercontinental, nose reshaping outcome","operation":{"id":22},"operation_id":22,"doctor_id":2390},{"image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/634d4a0f66b77.jpeg","seo_alt":"Before and after rhinoplasty results at Hisar Hospital Intercontinental, nose reshaping outcome","operation":{"id":22},"operation_id":22,"doctor_id":1924}],"offer":{"id":"6acf7f7b4a831f90ae0a2143","name":"Premium Rhinoplasty (nose job) All Included","type":"procedure","tags":[],"for_who":"Yavuz Selim Yildirim教授は、_doctor_1924_years_にわたりピエゾ技術を用いて900件以上の鼻形成術を行っており、ジョンズ・ホプキンス大学とハーバード大学でトレーニングを受けています。オールインクルーシブパッケージは約5,170ドルで、手術、病院での1泊、DoubleTreeでのホテル6泊、送迎、フォローアップケアが含まれます。FEBORL-HNSおよびFACS認定外科医として、JCI認定のHisar Hospitalで手術を行っています。
ハサン・サヒン医師は、イスタンブールのJCI認定病院であるヒサール・ホスピタル・インターコンチネンタルの形成外科医です。世界中で5,000人以上の患者に対し、12,000件以上の手術を行ってきました。サヒン医師はトルコ形成外科医協会の認定を受けています。顔や体の複雑な一次および二次再建手術を専門としています。
Hisar Hospital Intercontinentalは、イスタンブール（トルコ）に位置する多診療科医療センターであり、治療の質と安全性の高い基準を満たすとして国際医療機能評価機構（JCI）の認定を受けています。
\n\n同院は、腫瘍科、血液科、心臓血管外科、整形外科、ならびに胃スリーブ切除術・バイパス術・バルーン療法を含む肥満外科手術を専門としており、総合的な健康診断も提供しています。
\n\n毎年50万人を超える患者がHisar Hospital Intercontinentalで医療を受けています。ヨーロッパ、アメリカ、アフリカ、独立国家共同体（CIS）、およびバルカン諸国からの患者が、専門的かつ高水準の治療を求めて同院を選択しています。
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","clinic_entity_text":"メフメット・メリフ・チチェク医師は、_doctor_7303_years_にわたり1,100件以上の鼻形成術を行い、鼻の手術を専門としています。メモリアル・バフチェリエヴレルでの手術費用は約4,200ドルで、手術、1泊の入院、5つ星ホテルでの7泊、VIP送迎、1年間のフォローアップが含まれます。トルコ初のJCI認証病院として、メモリアルは厳格な国際基準を維持しています。チチェク医師は、各セプト・リノプラスティにおいて機能的アプローチと美容的アプローチを組み合わせています。
Can Ilker Demir医師は、メモリアル・バフチェリエヴレル病院の形成外科・再建外科医です。顔の美容、ボディコントゥアリング、乳房外科を専門としています。デミル医師は、トルコ有数の医療機関であるコジャエリ大学で研修を受けました。患者に自然で長持ちする結果をもたらすことで知られています。
メモリアル・バフチェリエヴレル病院（Memorial Bahçelievler Hastanesi）は、イスタンブールに位置する環境に配慮した設計の多診療科医療センターです。病院敷地内には多くの緑地が整備されており、患者様の心理的な快適性と早期回復に寄与しています。
\n\n当医療施設は、腫瘍治療、心臓血管外科、整形外科、脳神経外科、泌尿器科、婦人科、一般外科およびロボット手術を専門としています。
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Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"エルギン・エル医師は、形成外科・再建外科・美容外科専門医であり、10,000件以上の美容的処置を執刀してきた経験を有する。トルコ国内形成外科学会議において複数回にわたり受賞歴を持ち、テキサス州ヒューストンのベイラー医科大学にて高度な専門研修を修了している。","linkedin":"","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}]},"direction":{"id":38,"name":"形成外科","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk work, after splint removal at about one week. 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. Wound assessment at about 6 weeks.","restrictions":["Avoid strenuous exercise and contact sports until about 4-6 weeks","Avoid bridge pressure, such as glasses, until about 6 weeks"]},{"phase":"Months 6-24","description":"Review at about 6 months, photos at about 12 months. Refinement continues up to 1–2 years as edema resolves.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated primary rhinoplasty; no formal physiotherapy needed; consistent with return to desk work."},"result_longevity":"Structural changes are generally long-lasting, though the nose continues to age naturally and rare late changes can occur.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Secondary rhinoplasty after primary surgery, assessed long term, typically 1 year or more after surgery."},"scars":"Closed approach leaves no visible external scar; open approach leaves a small, usually inconspicuous scar across the columella that typically fades.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation; follow-up checks are not counted as treatment sessions."},"stages":[{"code":"surgery","label":"Rhinoplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Single-stage primary rhinoplasty."},"success":{"metric":"Rhinoplasty Outcome Evaluation (ROE) mean score, validated patient-reported scale","value":80,"unit":"points on a 0–100 scale (higher is better)","horizon":"12 months","population":"Adults after rhinoplasty or septorhinoplasty","evidence_status":"limited"},"techniques":[{"name":"Open (external) rhinoplasty","suits_whom":"Complex deformities, tip work, grafting, and most primary and revision cases needing wide exposure.","recovery":"Slightly more tip swelling and a small columellar scar; similar overall recovery timeline."},{"name":"Closed (endonasal) rhinoplasty","suits_whom":"Limited corrections such as dorsal hump reduction with modest tip changes.","recovery":"Often less swelling, no external scar; similar overall recovery."},{"name":"Ultrasonic (piezo) rhinoplasty","suits_whom":"Patients needing precise bone work, often with less bruising.","recovery":"May reduce bruising; overall timeline comparable."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for a standard primary rhinoplasty; complex cases with grafting can be longer."},"initial_assessment_documents":["Front and side nose photos","Angled and base-view nose photos","Previous nasal surgery or trauma records (if available)","List of blood thinners and medications","CT scan of sinuses (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days until splint removal and surgeon clearance to fly. 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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