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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. 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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 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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 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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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