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Rhinoplasty Surgery: Diagnosis, Procedure & Recovery

Want to change the shape of your nose? Rhinoplasty, also known as a nose job, is the best option for people to enhance their nose and reshape it as desired. If you have a nose deformity or you are simply unhappy with the nose shape, get in touch with Pristyn Care and consult our expert rhinoplasty surgeons to plan the surgery. Book a consultation today.

Want to change the shape of your nose? Rhinoplasty, also known as a ... Read More

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  • What is Rhinoplasty?

    Rhinoplasty, commonly called nose job or nose plastic surgery, is a procedure that alters or modifies the shape of the nose for medical or cosmetic reasons. Due to the extent of modifications that can be done during rhinoplasty, the surgery is also referred to as nasal reconstruction. The modifications can be done to the bone, cartilage, skin, or all three as required. 

    Depending on the requirements, rhinoplasty is classified as functional rhinoplasty or cosmetic rhinoplasty. A cosmetic rhinoplasty focuses on the aesthetics of the nose and emphasizes changing its shape and size. Unlike this, functional rhinoplasty is reconstructive and addresses functional problems with the nose, such as breathing issues, deviated nasal septum, birth defects, nose injuries, etc. 

    It should be noted that rhinoplasty is a complex surgery. Therefore, when an individual considers a nose job, he/she should get in touch with an expert plastic/cosmetic surgeon who is well-trained and has ample experience in performing the procedure and delivering the best outcomes

    • Disease name

    Nose Reshaping Requirement

    • Surgery name

    Rhinoplasty

    • Duration

    1.5- 3 Hours

    • Treated by

    Plastic surgeon or cosmetic surgeon

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    Types of Rhinoplasty Surgery

    Rhinoplasty can be divided into two types based on the technique used- open and closed. These two types are explained below:

    Open Rhinoplasty

    Also known as external rhinoplasty, this procedure involves making a small incision in the columella to separate the nostrils. Then the doctor gets access to the underlying bone and cartilage. As the entire structure is exposed during the procedure, the surgeon can reshape the framework with higher precision. 

    The open technique is usually preferred when the patient’s nose is crooked or a marked reduction or enhancement needs to be done in the nasal tip. This approach may leave a scar behind, but it usually fades away with time and becomes barely noticeable. 

    Closed Rhinoplasty

    Also known as endonasal rhinoplasty, this surgery is more intricate as it is performed by making incisions inside the nostrils so that they are completely hidden. An incision is made in both the left and right nostrils, and the changes in shape and size are made with minimal complications. The closed technique is less invasive and causes no visible scarring. 

    Besides the above-mentioned types, rhinoplasty surgery is also classified based on aesthetic and functional concerns. Based on this classification, rhinoplasty can be divided into the following types:

    • Reduction rhinoplasty is performed to reduce the size of the nose to achieve a more proportionate and balanced appearance. 
    • Augmentation rhinoplasty aims to augment or increase the size or projection of the nose with the help of implants or grafts. 
    • Post-traumatic rhinoplasty is performed to address nasal deformities resulting from trauma or injury. It can be done to correct nasal fractures, reposition the displaced bones or cartilage, and restore the overall nose symmetry. 
    • Ethnic rhinoplasty is tailored to address the aesthetic concerns of individuals from diverse ethnic backgrounds. It takes into account specific nasal characteristics and features of the individual to achieve desired natural-looking results. 
    • Revision rhinoplasty is performed to correct or improve the results of a previous nose job. It addresses complications, functional issues, and dissatisfaction with the initial outcome. 

    The above categories are generalized, and the specific techniques or approaches used for rhinoplasty will vary depending on the individual’s needs and the surgeon’s expertise. 

    Are you going through any of these symptoms?

    Who Can Consider Rhinoplasty Operation?

    Both men and women can consider rhinoplasty surgery as required. It can be considered to address any of the following:

    • Change the nose size to make it proportionate to the facial features 
    • Remove the hump on the nose
    • Straighten the nose bridge 
    • Reshape the nasal tip or projection 
    • Increase or decrease the size of nostrils 
    • Correct a birth defect or deformity 
    • Repair the nose after an injury 
    • Resolve breathing issues and open the nasal passage 

    If an individual is worried that his/her nose looks bulbous, upturned, too round, too large, too small, or droopy, rhinoplasty would be the most effective option to address all their concerns. 

    Ideal Candidate for Rhinoplasty

    Though rhinoplasty is one of the most commonly performed plastic surgeries, not every individual can undergo it. Doctors follow specific eligibility criteria to determine the ideal candidate for nose plastic surgery. The criteria include the following:

    • Aesthetics Concerns: The individual is unhappy with the shape, size, symmetry, and overall appearance of the nose. 
    • Physical Maturity: Before considering rhinoplasty, the individual has to ensure that his/her nose is fully grown. The maturity age for males is 17, whereas for females, the age is 15. The facial growth is typically complete at this age. Thus, the potential candidate should be older than the specified age. 
    • Good General Health: The individual should be in optimal health to undergo surgery. Individuals with severe medical conditions or illnesses, such as diabetes, heart conditions, bleeding disorders, high blood pressure, etc., are not considered good candidates for rhinoplasty. 
    • Non-Smoker: A good candidate for nose surgery should be a non-smoker or someone willing to quit smoking entirely for 12 to 18 weeks at most. Smoking can impair the body’s healing process, lead to complications, and compromise the surgery outcome. 
    • Realistic Expectations: The individual should have realistic expectations from the nose job and keep a positive outlook. He/she should understand that the surgery has its limitations. 

    The doctor analyzes these aspects during the initial consultations to determine if an individual is suitable for rhinoplasty surgery.

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    Diagnosis Before Nose Job

    Before rhinoplasty surgery, a comprehensive evaluation and diagnosis is done to ensure that the individual is considering surgery for the right reasons and the procedure can address his/her specific concerns. The rhinoplasty surgeon will discuss the individual’s goals, expectations, and all other concerns regarding his/her nose. Along with this, he/she will evaluate the individual’s nasal anatomy, including the shape, size, symmetry, and structural characteristics. 

    Other evaluations will include the following:

    • Medical History: The surgeon will review the patient’s medical history, including any previous surgeries, current medications, allergies, and existing medical conditions, 
    • Physical Exam: A thorough physical exam is conducted to assess the internal structures, including the septum, turbinates, nasal passages, and the external appearance of the nose. The nasal proportions, symmetry, skin thickness, existing deformities, and other functional issues are also identified during the evaluation. 
    • Imaging Test: In some cases, the surgeon may recommend imaging tests, such as CT (computerized tomography) scans or 3D imaging tests, to assess the nasal structure more accurately. These tests help to visualize the internal structure of the nose and aid in pre-operative planning. 

    While planning the surgery, the surgeon will discuss the potential risks and complications associated with the procedure and the individual’s expectations. Based on the diagnosis and evaluations, the surgeon will develop a personalized surgical plan tailored to the individual’s needs and goals and also take images from different angles to record the before and after changes. 

    Rhinoplasty Surgery

    Each rhinoplasty is unique in its own way, as the procedure is customized according to the patient’s requirements. Being a complex procedure, the surgery may take around 1 to 3 hours approximately, depending on the extent of modifications. The various aspects of the surgery are explained below in detail.

    Benefits of Rhinoplasty

    Rhinoplasty, or nose reshaping surgery, offers several potential benefits to individuals who choose to undergo the procedure. Here are some of the common benefits associated with rhinoplasty:

    • Enhanced Facial Harmony: Rhinoplasty can improve the overall balance and proportion of the face by bringing the nose into better alignment with other facial features. It can create a more harmonious appearance, improving the overall aesthetic balance of the face.
    • Improved Self-Confidence: Many individuals who are dissatisfied with the shape or size of their noses may feel self-conscious or have lower self-esteem. Rhinoplasty can help address these concerns and improve self-confidence by creating a nose that aligns with their desired aesthetic goals.
    • Correcting Nasal Deformities: Rhinoplasty can correct various nasal deformities, such as a crooked or deviated nose, a hump on the bridge, a bulbous or drooping tip, or asymmetry. By addressing these issues, rhinoplasty can help create a more symmetrical and pleasing nasal appearance.
    • Functional Improvements: In some cases, rhinoplasty can improve nasal function and alleviate breathing difficulties. The procedure can correct structural abnormalities like a deviated septum or nasal valve collapse, allowing for better airflow and improved breathing.
    • Correction of Birth Defects or Trauma: Rhinoplasty can help correct nasal abnormalities caused by birth defects or injuries. It can restore the shape, structure, and function of the nose, improving both appearance and function.
    • Ethnic and Cultural Preservation: Ethnic rhinoplasty techniques allow for the preservation of ethnic or cultural characteristics while enhancing the nose’s appearance. It respects the unique features and cultural identities of individuals while addressing specific aesthetic concerns.
    • Rejuvenation and Aging: Rhinoplasty can also be performed as part of facial rejuvenation procedures. It can help restore a more youthful and refreshed appearance by addressing changes in the nose that occur with aging, such as drooping or sagging of nasal tissues.

    The benefits of rhinoplasty will vary for each patient, and it’s important to openly have a discussion with the surgeon to have realistic expectations

    How to Prepare for Rhinoplasty?

    The rhinoplasty surgeon will provide clear and detailed instructions to prepare the individual for rhinoplasty surgery. The general guidelines include the following:

    • Get the recommended tests done and keep the reports in hand during admission. 
    • Avoid certain medications and supplements that can increase the risk of bleeding during or after the surgery or can interfere with anesthesia. Such medicines include blood thinners, non-steroidal anti-inflammatory drugs, aspirin, and herbal supplements. 
    • The surgeon may advise the patient to quit smoking at least 2-3 weeks before the surgery to reduce smoking-related complications during and after the surgery. 
    • Avoid drinking alcohol 2 days before the surgery as it can cause severe dehydration and also react with anesthesia. 
    • Refrain from eating or drinking anything 6 to 8 hours before the surgery. Fasting is recommended before surgery to reduce the risk of aspiration. 
    • Arrange for transportation and assistance after the surgery. It’ll be best to ask a responsible adult to accompany you to the surgical facility who can take you back home. 
    • Take a proper bath on the day of surgery before getting admitted to the center, and avoid applying any skincare products. 

    It’ll also be helpful to take time off work or school as recommended by the surgeon. On the day of surgery, the patient is also asked to sign a consent form before proceeding. 

    Rhinoplasty Procedure

    During a rhinoplasty, several steps are involved to reshape and enhance the nose. Here’s a general overview of what happens during a typical rhinoplasty procedure:

    • Before the surgery begins, the patient is given anesthesia to ensure comfort throughout the procedure. It can be either general anesthesia, where you are asleep, or local anesthesia with sedation, where you are relaxed but still conscious. In most cases, general anesthesia is used for rhinoplasty. 
    • Depending on the surgical approach (open or closed), the surgeon will make incisions either inside the nostrils (closed rhinoplasty) or across the columella (the strip of tissue between the nostrils) with additional internal incisions (open rhinoplasty). The choice of approach depends on the specific goals of the surgery and the surgeon’s preference. 
    • After making the incisions, the surgeon will access the underlying nasal structures, including the bones, cartilage, and soft tissues. Through meticulous techniques, the surgeon will reshape and modify these structures according to the predetermined surgical plan. The changes may involve reducing or augmenting the size, refining the nasal tip, removing a nasal hump, adjusting the nostril size, or improving the overall symmetry and proportion.
    • In some cases, additional tissue(grafts) or implants may be required to achieve the desired results. Cartilage grafts, often taken from the septum (the partition inside the nose), ear, or rib, can be used to augment or support specific areas of the nose. 
    • Once the desired reshaping and modifications are completed, the incisions are carefully closed using sutures. If dissolvable sutures are used, they will dissolve over time. If non-dissolvable sutures are used, they will be removed during a follow-up appointment.
    • The surgeon may place nasal packing or splints inside the nose to support the newly shaped nose and help reduce swelling and bleeding. These are typically removed within a few days after the surgery.

    After the surgery, the patient is transferred to a recovery room where his/her vitals are monitored for the next few hours. The patient is usually discharged from the facility on the same day

    What to Expect After Rhinoplasty?

    Immediately after the surgery, the patient can expect significant swelling and bruising in the treated area, including around the eyes. In the first few days, the swelling will be maximum and will start to subside gradually as the nose heals. Besides this, there will be serious nasal congestion and stuffiness due to post-operative swelling and nasal splints. Due to this, the patient will have to breathe through the mouth. 

    Some discomfort or mild pain around the nose and face is also expected following rhinoplasty. The surgeon will prescribe pain medication to help manage any discomfort during the initial recovery period. The patient may also experience nasal drainage and breathing issues for the first few days.  

    The surgeon will provide a detailed guide consisting of dos and don’ts and a proper diet for a smooth and successful recovery. 

    Rhinoplasty Recovery Timeline & Results

    The final results of rhinoplasty can take around 6 to 12 months to become apparent. The individual should understand this and be patient during the recovery to achieve the desired results. 

    The initial recovery time after rhinoplasty is 4 to 6 weeks, during which the swelling, bruising, redness, and other side effects will dissipate, and the patient will be able to resume normal activities. The general rhinoplasty recovery timeline will be as below. 

    First Week After Rhinoplasty: 

    In the first week, the swelling and bruising will be at their peak and gradually improve as the day progresses. The surgeon will monitor the patient’s recovery and remove external dressings or splints, if any. In the initial days, the patient will be advised to sleep with his/her head elevated and avoid certain activities that can increase the blood flow or strain the nose. 

    2-3 Weeks After Rhinoplasty: 

    In the second and third weeks, the swelling and bruising will continue to subside. It should be kept in mind that minor swelling will persist for several weeks to months. The nasal congestion and breathing issues will also start to improve as the swelling subsides and internal splints are also removed. The patient needs to continue to avoid strenuous activities, heavy lifting, and exercises that can impact the nose. Protect the nose from accidental trauma and avoid even blowing the nose forcefully. 

    1-3 Months After Rhinoplasty:

    While most of the visible swelling resolves within 2-4 weeks, it may take several months for the final results to manifest as the nose fully settles into its new shape. As the healing progresses, the nasal contours refine, and the appearance becomes more refined and natural. The patient will still have to make follow-up appointments with the surgeon to monitor his/her progress. 

    As mentioned above, the final results of rhinoplasty can take longer to appear, usually a year or so. Throughout the recovery process, the patient will have to take several precautions and follow the surgeon’s instructions strictly to get the desired results. 

    Rhinoplasty Side Effects & Potential Complications

    Being a complex procedure, rhinoplasty carries certain risks. Typically, the patient experiences side effects, such as swelling, bruising, redness, and drainage in the treated area. These side effects are temporary and often resolve on their own after some time. However, there are chances of developing potential complications that may require intervention from the doctor. These complications may include the following:

    • Infection: Although rare, there is a risk of infection following rhinoplasty. Signs of infection may include increased pain, swelling, redness, or drainage from the incision site. Antibiotics may be prescribed to prevent or treat an infection if it occurs. 
    • Bleeding: Some bleeding is expected during and immediately after the surgery. However, excessive bleeding can occur, either internally or externally. In rare cases, it may require medical intervention, such as nasal packing or, in severe cases, additional surgery to control the bleeding. 
    • Poor Wound Healing or Scarring: Some individuals may have a predisposition to poor wound healing or excessive scarring. While efforts are made to minimize visible scars, there is a small risk of unfavorable scarring, especially with open rhinoplasty where there is an external incision.
    • Nasal Obstruction or Breathing Difficulties: Rhinoplasty can potentially affect the nasal airflow and, in rare cases, lead to breathing difficulties or nasal obstruction. This may occur due to structural changes in the nasal passages, swelling, or scar tissue formation.
    • Altered Sensation: Temporary or permanent changes in sensation around the nose, including numbness or altered feeling, can occur after rhinoplasty. Most often, these changes are temporary, but in some cases, they may be permanent.
    • Nasal Asymmetry: Achieving perfect symmetry is challenging, and there is a possibility of slight asymmetry after rhinoplasty. To prevent this, it’s crucial to choose a skilled and experienced surgeon. 
    • Unsatisfactory Results: While rhinoplasty aims to improve the appearance of the nose, there is a possibility that the patient may not feel satisfied with the outcome. This may require revision rhinoplasty. 
    • Anesthesia Risks: General anesthesia or sedation carries its own set of risks, such as adverse reactions, respiratory problems, or medication-related complications. However, these risks are typically low and closely monitored by an experienced anesthesia team.

    To prevent these complications, the patient needs to diligently follow the surgeon’s advice and instructions for post-operative care. 

    Tips to Follow During Rhinoplasty Recovery

    After, the patient is advised to follow the tips below for optimal recovery and to reduce the risk of post-surgery complications:

    • Take prescribed medications as instructed by the surgeon. This may include pain medication, antibiotics (if prescribed), and any nasal sprays or ointments. Be consistent with the prescribed dosage and schedule. 
    • Apply cold compresses or ice packs gently to the nasal area as directed by your surgeon. This can help reduce swelling and bruising. Avoid applying ice directly to the skin to prevent cold burns. 
    • In the first two weeks, sleep with the head elevated to prevent fluid buildup in the nose. This will help to reduce the swelling and allow proper drainage. 
    • Follow the surgeon’s instructions for nasal care. This may involve using saline solutions or nasal sprays to clean the nostrils. 
    • Avoid blowing the nose forcefully and triggers that can cause sneezing. Coughing or sneezing can increase the pressure in the nasal passages, which should be avoided in the early recovery phase. 
    • Restrict physical activities, including heavy lifting, intense exercises, and activities that could increase blood pressure or strain on the nose. 
    • Take the necessary precautions to avoid accidental trauma to the nose during the recovery period. Avoid any or all activities where the nose may get injured. 
    • Avoid direct sun exposure to the treated area completely in the first month. After that, apply sunscreen and wear caps or scarves to protect the nose from sun damage. 
    • Consume a healthy and balanced diet composed of vitamins, minerals, and proteins that are essential to support the healing process. 
    • Maintain hydration by drinking plenty of water throughout the day. It’ll also help to flush out toxins from the body. 
    • Avoid eating spicy, oily, processed, and other fast foods as they are unhealthy. 
    • Refrain from smoking and drinking for as long as possible, as they can cause severe dehydration and delayed healing. 
    • Attend all the scheduled follow-up appointments with the surgeon. The surgeon will remove the splints and stitches and also provide further guidance for recovery. 

    Most of all, the patient needs to keep patience during the recovery period and manage their expectations. 

    Rhinoplasty Cost in India

    On average, Rhinoplasty Cost in India varies from Rs. 70,000 to Rs. 1,50,000. This is only an estimated price range, and the exact cost of rhinoplasty will vary due to the following factors:

    • The expertise and experience of the surgeon
    • Nature of surgery, i.e., cosmetic, functional, or both
    • The technique used for nose correction and reshaping 
    • Diagnostic tests and evaluations 
    • Choice of the hospital (private or government)
    • Hospital or clinic-related charges (admission, discharge, room rent, etc.)
    • Post-surgery care and follow-up consultations 

    To get an estimate of nose surgery costs in India, give us a call and talk to our experts.

    Alternatives to Rhinoplasty Surgery

    People who don’t wish to get rhinoplasty but still want to change the shape of their nose can consider the following alternatives. 

    Liquid Rhinoplasty 

    Also called non-surgical rhinoplasty, a liquid rhinoplasty involves using injectable dermal fillers to reshape and contour the nose. Typically, hyaluronic acid fillers, such as Restylane or Juvederm, are used to add volume, smooth out bumps, and correct minor imperfections in the nose. It is a less invasive procedure and has a shorter recovery time compared to surgery. Another thing to note is that the results of non-surgical rhinoplasty are temporary, and the patient will require maintenance treatments. 

    Thread Lift

    A thread lift is a non-surgical procedure that uses dissolvable sutures or threads to lift and reposition the tissues of the nose. It can help improve the shape and contour of the nose, particularly in cases where the tip is drooping or the bridge needs elevation. Similar to liquid rhinoplasty, thread lifts provide immediate results and have a shorter recovery time compared to surgery, but the effects are temporary, lasting up to a year or two.

    Besides these, an individual can also consider nasal sculpting with makeup or nose reshaping devices, such as nose clips that need to be worn for a specific duration each day to gradually mold the nasal cartilage. It should be noted that while these alternatives provide some improvements in the appearance of the nose, these options may not be suitable for everyone or provide the same level of correction as surgery. 

    FAQs around Rhinoplasty

    Where can I find the best rhinoplasty surgeon in India?

    You can find the best rhinoplasty surgeon in India at Pristyn Care. We have a dedicated team of plastic and cosmetic surgeons who have 10+ years of experience in performing rhinoplasty and other cosmetic surgeries with a success rate higher than 95%. You can rely on their expertise and consult them to plan the surgery.

    What are the common side effects after rhinoplasty?

    Some common side effects that people usually experience after rhinoplasty are- 

    • Difficulty in breathing through the nose
    • Persistent pain and discoloration of the skin 
    • Unwanted scarring 

    Is an overnight hospital stay needed after rhinoplasty surgery?

    No, an overnight stay is usually not required after rhinoplasty surgery. The procedure is carried out on an outpatient basis, and the patient is discharged a few hours later.

    What type of anesthesia is used for rhinoplasty?

    Typically, general anesthesia is used for rhinoplasty. Due to this, the patient is asleep during the entire procedure.

    Can I get a revision if I am not satisfied with the results of rhinoplasty?

    Yes, you can get a revision if you wish to make further changes to the shape of your nose. The plastic surgeon will look at your nose and determine whether or not the procedure will be safe for you.

    Is nose rhinoplasty surgery price in India covered by health insurance?

    In general, if nose rhinoplasty is performed for cosmetic reasons, it’s considered an elective procedure that is not covered by insurance under any circumstances. If the procedure is performed for functional or reconstructive, it’s considered medically necessary and can be covered by health insurance.

    Is rhinoplasty painful?

    As rhinoplasty is performed under general anesthesia, the patient will not feel any pain or discomfort during the procedure. However, after the surgery, once the anesthesia wears off, the patient may experience pain and discomfort. To manage the pain, the doctor will prescribe pain medications. 

    Is rhinoplasty nose surgery safe?

    Yes, rhinoplasty nose surgery is a safe procedure when performed by a qualified and experienced surgeon. Though it carries certain risks and complications, a skilled surgeon will be able to take the necessary measures to mitigate them and carry out the surgery successfully.

    How long do rhinoplasty results last?

    The results of rhinoplasty surgery last for a lifetime. Once the nasal bone, cartilage, and skin are modified, they will remain the same unless the nose gets damaged or the individual decides to get another nose surgery for some reason.

    Is rhinoplasty permanent?

    Rhinoplasty is intended to provide long-lasting results. However, it should be noted that the nose shape and appearance may change over time due to the aging process. The changes in the skin can impact the appearance of the nose significantly.

    Is rhinoplasty cosmetic or reconstructive surgery?

    Rhinoplasty is primarily a cosmetic procedure but also involves reconstruction. Changing the shape of the nose requires some reconstruction work which also provides relief from issues like breathing problems.

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    Content Reviewed By
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    Dr. Rohit Devdutt Bavdekar
    30 Years Experience Overall
    Last Updated : March 30, 2024

    Types of Rhinoplasty

    Open Rhinoplasty

    Also known as external rhinoplasty, this procedure involves making a small incision in the columella to separate the nostrils. Then the doctor gets access to the underlying bone and cartilage. As the entire structure is exposed during the procedure, the surgeon can reshape the framework with higher precision. The open technique is usually preferred when the patient’s nose is crooked or a marked reduction or enhancement needs to be done in the nasal tip. This approach may leave a scar behind but it usually fades away with time and becomes barely noticeable.

    Closed Rhinoplasty

    Also known as endonasal rhinoplasty, this surgery is more intricate as it is performed by making incisions inside the nostrils so that they are completely hidden. An incision is made in both left and right nostrils, and the changes in the shape and size are made with minimal complications. The closed technique is less invasive and causes no visible scarring.

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      Pristyn Care's care and expertise during my rhinoplasty surgery were beyond expectations. The doctors were professional and empathetic, taking the time to understand my concerns. They explained the procedure in detail and put my mind at ease. Pristyn Care's team provided attentive post-operative care, ensuring my well-being during recovery. They were always available to answer my questions and provided valuable advice. Thanks to Pristyn Care, my nose is now reshaped, and I feel more comfortable and satisfied. I highly recommend their services for rhinoplasty surgery.

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      Pristyn Care is the go-to place for rhinoplasty! I had my procedure done, and the results are spectacular. The staff made me feel comfortable and well-cared for, and expertise and attention to detail are commendable. I am incredibly happy with the outcome, and I can't thank Pristyn Care enough for their exceptional service.

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