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refines.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; residual swelling continues longer."},"result_longevity":"Generally long-lasting once healed, as bone and cartilage removal is permanent; the nose still undergoes normal aging changes.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Revision rhinoplasty for residual hump, asymmetry or breathing problems, usually after 12 months."},"scars":"With the usual closed (endonasal) approach incisions are inside the nostrils and no visible scar; an open approach leaves a small, usually inconspicuous columellar scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary uncomplicated hump reduction."},"stages":[{"code":"surgery","label":"Hump reduction rhinoplasty with osteotomies as needed","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of procedure."}}],"qualifier":"Standalone primary procedure; follow-up visits are not treatment stages."},"success":{"metric":"Patient satisfaction with nasal profile","value":85,"unit":"percent satisfied","horizon":"12 months after surgery","population":"Adults after primary hump reduction rhinoplasty","evidence_status":"limited"},"techniques":[{"name":"Closed (endonasal) hump reduction with rasp or osteotome, with osteotomies and dorsal reshaping","suits_whom":"Moderate hump, limited need for tip work.","recovery":"Typically less swelling; splint about 1 week."},{"name":"Open (external) approach hump reduction with spreader grafts or dorsal reconstruction as needed","suits_whom":"Larger humps or cases needing precise dorsal reconstruction and valve support.","recovery":"Slightly more swelling, particularly of the tip; small columellar scar."},{"name":"Ultrasonic piezo-assisted hump reduction","suits_whom":"Patients where precise bone contouring is desired.","recovery":"Similar recovery with often less bruising."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for primary hump reduction rhinoplasty with osteotomies; excludes anesthesia and recovery time."},"initial_assessment_documents":["Front, side and three-quarter photos of the nose","Top-down and base-view nose photos","Photos from any previous nose surgery (if available)","List of blood thinners","Previous rhinoplasty or nasal trauma report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days until splint removal. Later reviews are done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check you have a consultation with the surgeon before the procedure","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/nose-reshaping-rhinoplasty/","host":"nhs.uk","quote":"Book an appointment with the surgeon before the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the surgeon explains how likely the risks are and how complications would be treated, so you know how problems are handled","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":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the practitioner is trained and experienced in the procedure","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/before-you-have-a-cosmetic-procedure/","host":"nhs.uk","quote":"They should be trained and experienced in the procedure you're having and have the right insurance to correct anything that goes wrong.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask how many nose-reshaping operations the surgeon has performed","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/nose-reshaping-rhinoplasty/","host":"nhs.uk","quote":"how many nose reshaping operations they've performed","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask what follow-up is available if something goes wrong","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/nose-reshaping-rhinoplasty/","host":"nhs.uk","quote":"what sort of follow-up you should expect if things go wrong","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check you are given time to decide after the consultation","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/before-you-have-a-cosmetic-procedure/","host":"nhs.uk","quote":"You should be offered a cooling-off period after any consultation with a practitioner.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Social media influencers promote the clinic's service, usually as paid 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