Доктор Хоакин Айяла Дель Муро провел более 7 000 процедур за 33 года практики, специализируясь на этнической и африканской ринопластике. Стоимость пластики кончика носа составляет около 3 100 долларов США — обычно в эту сумму включены операция, 1–2 ночи в стационаре, предоперационные анализы, анестезия и трансфер от границы. Бутик-госпиталь, аккредитованный JCI, предлагает частные палаты рядом с границей США. Доктор Айяла обучался у Иво Питанги в Бразилии и сохраняет показатель нулевой смертности за все время работы.
Хоспитал де ла Фамилиа (Hospital de la Familia) — современное частное медицинское учреждение с 32 комфортабельными палатами, расположенное всего в нескольких шагах от границы между Калекси́ко (Калифорния, США) и Мехикали (Баха-Калифорния, Мексика). Госпиталь известен сочетанием доступных цен и высокого качества хирургических результатов. Здесь принимают международных пациентов, которым требуется передовое лечение в области гастроэнтерологии, кардиохирургии, нейрохирургии и других медицинских направлений.
\n","images":[{"base_url":"clinic/6422b9c98dc70","title":"Вид снаружи Hospital de la Familia в Мексике с современной архитектурой клиники"},{"base_url":"clinic/cb2858de1f4ee","title":"Внешний вид Hospital de la Familia с современным входом и центральным фонтаном"},{"base_url":"clinic/36f49149125cf","title":"Фасад клиники Hospital de la Familia в Мехикали, современное медицинское здание"},{"base_url":"clinic/5d1b47df1d3df","title":"Вид снаружи Hospital de la Familia в Мехикали, современное медучреждение"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Мексика","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Мехикали","id":437,"alias":"mexicali"},"address":"Cto Brasil 82 Parque Industrial El Alamo Mexicali, Mexico"},"rating":{"rating":4.2,"google":4.5,"percent_of_satisfied_clients":73},"statistics":{"number_of_reviews":45,"doctors_number":0,"year_foundation":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c6eed1267.jpeg","name":"Генеральный совет здравоохранения Мексики","country_code":"MX"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c8fb5f2bb.jpeg","name":"Мексиканский совет офтальмологии","country_code":"MX"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"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":366},"doctors":{"doctors":[{"doctor":{"id":8999,"alias":"joaquin-ayala-del-muro","name":"Joaquin Ayala Del Muro ","clinic_id":692,"photo":"doctor/674abb167c399","first_year_working":1993,"created_at":"2024-11-30T07:13:24.421+00:00","short_description":"Д-р Хоакин Айяла Дель Муро — сертифицированный пластический хирург в Hospital de la Familia. Он наиболее известен своими сложными процедурами по омоложению лица и контурированию тела. Д-р Айяла Дель Муро прошел стажировку в Бразилии под руководством покойного Иво Питанги. Его медицинская практика не имеет судебных исков или случаев смерти пациентов.
Хоспитал де ла Фамилиа (Hospital de la Familia) — современное частное медицинское учреждение с 32 комфортабельными палатами, расположенное всего в нескольких шагах от границы между Калекси́ко (Калифорния, США) и Мехикали (Баха-Калифорния, Мексика). Госпиталь известен сочетанием доступных цен и высокого качества хирургических результатов. Здесь принимают международных пациентов, которым требуется передовое лечение в области гастроэнтерологии, кардиохирургии, нейрохирургии и других медицинских направлений.
\n","images":[{"base_url":"clinic/6422b9c98dc70","title":"Вид снаружи Hospital de la Familia в Мексике с современной архитектурой клиники"},{"base_url":"clinic/cb2858de1f4ee","title":"Внешний вид Hospital de la Familia с современным входом и центральным фонтаном"},{"base_url":"clinic/36f49149125cf","title":"Фасад клиники Hospital de la Familia в Мехикали, современное медицинское здание"},{"base_url":"clinic/5d1b47df1d3df","title":"Вид снаружи Hospital de la Familia в Мехикали, современное медучреждение"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Мексика","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Мехикали","id":437,"alias":"mexicali"},"address":"Cto Brasil 82 Parque Industrial El Alamo Mexicali, Mexico"},"rating":{"rating":4.2,"google":4.5,"percent_of_satisfied_clients":73},"statistics":{"number_of_reviews":45,"doctors_number":0,"year_foundation":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c6eed1267.jpeg","name":"Генеральный совет здравоохранения Мексики","country_code":"MX"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c8fb5f2bb.jpeg","name":"Мексиканский совет офтальмологии","country_code":"MX"}]},"procedure_prices":[{"prices":{"price_from":2380,"price_to":2850,"currency":"USD","id":60785},"operation":{"id":803,"name":"Ринопластика кончика носа","alias":"rinoplastika-koncika-nosa"}}]},{"doctor":{"id":4218,"alias":"alfonso-ponce","name":"Алфонсе Понсе","clinic_id":692,"photo":"doctor/doctor/62b30db8edd2f","first_year_working":2014,"created_at":"2022-06-22T12:40:22.000+00:00","short_description":"С 1996 года врач специализируется на заболеваниях уха, горла и носа, а также на косметической хирургии лица. Врач признан за участие в международных конгрессах в этой области.<\\/p>
Врач получил медицинскую степень в Universidad Autonoma de Baja California и прошел резидентуру в Centro Medico de Especialidades #71 и Hospital de Especialidades #24 в Мексике. Сертификаты включают ЛОР от Escuela de Especialidades и эстетическую хирургию от Maestria de Especialidades.<\\/p>
Специализируется на процедурах, таких как ринопластика, типопластика, ЛОР-хирургия, удаление опухолей, операции на ухе и горле, а также подтяжка нитями.<\\/p>
","specialities":[{"id":"oto.001","name":"Оториноларинголог","illness_kind_id":6},{"id":"pls.001","name":"Пластический хирург","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":692,"alias":"hospital-de-la-familia","name":"Хоспитал де ла Фамилиа","short_description":"Хоспитал де ла Фамилиа (Hospital de la Familia) — современное частное медицинское учреждение с 32 комфортабельными палатами, расположенное всего в нескольких шагах от границы между Калекси́ко (Калифорния, США) и Мехикали (Баха-Калифорния, Мексика). Госпиталь известен сочетанием доступных цен и высокого качества хирургических результатов. Здесь принимают международных пациентов, которым требуется передовое лечение в области гастроэнтерологии, кардиохирургии, нейрохирургии и других медицинских направлений.
\n","images":[{"base_url":"clinic/6422b9c98dc70","title":"Вид снаружи Hospital de la Familia в Мексике с современной архитектурой клиники"},{"base_url":"clinic/cb2858de1f4ee","title":"Внешний вид Hospital de la Familia с современным входом и центральным фонтаном"},{"base_url":"clinic/36f49149125cf","title":"Фасад клиники Hospital de la Familia в Мехикали, современное медицинское здание"},{"base_url":"clinic/5d1b47df1d3df","title":"Вид снаружи Hospital de la Familia в Мехикали, современное медучреждение"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Мексика","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Мехикали","id":437,"alias":"mexicali"},"address":"Cto Brasil 82 Parque Industrial El Alamo Mexicali, Mexico"},"rating":{"rating":4.2,"google":4.5,"percent_of_satisfied_clients":73},"statistics":{"number_of_reviews":45,"doctors_number":0,"year_foundation":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c6eed1267.jpeg","name":"Генеральный совет здравоохранения Мексики","country_code":"MX"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c8fb5f2bb.jpeg","name":"Мексиканский совет офтальмологии","country_code":"MX"}]},"procedure_prices":[{"prices":{"price_from":2380,"price_to":2850,"currency":"USD","id":60785},"operation":{"id":803,"name":"Ринопластика кончика носа","alias":"rinoplastika-koncika-nosa"}}]},{"doctor":{"id":20948,"alias":"jose-luis-tamayo","name":"Jose Luis Tamayo","clinic_id":692,"photo":"doctor/6ad5632dae172","first_year_working":1999,"created_at":"2026-10-19T00:24:11.995+00:00","short_description":"Доктор Хосе Луис Тамайо — оториноларинголог и хирург. Имеет более 27 лет опыта в реконструктивной и эстетической хирургии носа.
\nСертифицирован Мексиканским советом по оториноларингологии и хирургии головы и шеи. Также является почётным членом Мексиканского совета по оториноларингологии и хирургии головы и шеи.
","specialities":[{"id":"pls.001","name":"Пластический хирург","illness_kind_id":38},{"id":"pls.002","name":"Специалист по пластической хирургии лица","illness_kind_id":38}],"statistics":{}},"clinic":{"id":692,"alias":"hospital-de-la-familia","name":"Хоспитал де ла Фамилиа","short_description":"Хоспитал де ла Фамилиа (Hospital de la Familia) — современное частное медицинское учреждение с 32 комфортабельными палатами, расположенное всего в нескольких шагах от границы между Калекси́ко (Калифорния, США) и Мехикали (Баха-Калифорния, Мексика). Госпиталь известен сочетанием доступных цен и высокого качества хирургических результатов. Здесь принимают международных пациентов, которым требуется передовое лечение в области гастроэнтерологии, кардиохирургии, нейрохирургии и других медицинских направлений.
\n","images":[{"base_url":"clinic/6422b9c98dc70","title":"Вид снаружи Hospital de la Familia в Мексике с современной архитектурой клиники"},{"base_url":"clinic/cb2858de1f4ee","title":"Внешний вид Hospital de la Familia с современным входом и центральным фонтаном"},{"base_url":"clinic/36f49149125cf","title":"Фасад клиники Hospital de la Familia в Мехикали, современное медицинское здание"},{"base_url":"clinic/5d1b47df1d3df","title":"Вид снаружи Hospital de la Familia в Мехикали, современное медучреждение"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Мексика","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Мехикали","id":437,"alias":"mexicali"},"address":"Cto Brasil 82 Parque Industrial El Alamo Mexicali, Mexico"},"rating":{"rating":4.2,"google":4.5,"percent_of_satisfied_clients":73},"statistics":{"number_of_reviews":45,"doctors_number":0,"year_foundation":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c6eed1267.jpeg","name":"Генеральный совет здравоохранения Мексики","country_code":"MX"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c8fb5f2bb.jpeg","name":"Мексиканский совет офтальмологии","country_code":"MX"}]},"procedure_prices":[{"prices":{"price_from":2380,"price_to":2850,"currency":"USD","id":60785},"operation":{"id":803,"name":"Ринопластика кончика носа","alias":"rinoplastika-koncika-nosa"}}]}],"meta":{"total_count":3,"total_pages":1}},"reviews":{"reviews":[{"id":26454,"user":{"id":893569,"name":"Denisia Jackson ","country_code":"US","country_name":{"ru":"Соединенные Штаты Америки","en":"United States of America"}},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"translation","value":5},{"name":"recommend","value":8}],"text":{"ru":"Если бы мой друг задумывался об этом, я бы рассказал ему, что мой опыт общения с хирургом, персоналом и клиникой был очень положительным. На данном этапе восстановления всё идёт примерно так, как и ожидалось. Команда клиники поддерживает со мной связь, и мне очень понравилось, что никаких дополнительных расходов, помимо первоначальной оплаты, не возникло. Это было большим облегчением. Мой главный совет — хорошо подготовиться к консультации. Я бы посоветовала попросить уделить вам больше времени перед операцией и принести фотографии того, что именно вы хотели бы изменить, чтобы убедиться, что ваши ожидания совпадают с представлениями врача.","en":"If a friend was considering this, I'd tell them my experience with the surgeon, staff, and clinic has been very positive. At this point in my recovery, everything is feeling about as expected. The clinic team has stayed in touch, and I really appreciated that there were no additional expenses on top of what I initially paid. That was a relief. My main piece of advice would be to prepare well for your consultation. I would suggest asking for more time with the doctor before surgery and to bring pictures of what you’d like done specifically to make sure you're aligned."},"order":{"operation":{"id":22,"name":{"ru":"Ринопластика (пластика носа)","en":"Rhinoplasty (nose job)"}}},"clinic_info":{"id":692,"name":"Хоспитал де ла Фамилиа","alias":"hospital-de-la-familia","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-07-23T17:10:49.425+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"coordinator_mentioned","value":false}],"client_response":{"what_like_text":{"ru":"Мне помогали с самого начала и до самого конца! Отличная цена и прекрасный, безопасный опыт.","en":"I was assisted from beginning to end! Great price with a great and safe experience."}},"summary":{"positive":{"ru":"Мои впечатления от общения с хирургом, персоналом и клиникой оказались весьма положительными.","en":"My experience with the surgeon, staff, and clinic has been very positive."}}},{"id":12696,"user":{"id":502302,"name":"Joy ","country_code":"US","country_name":{"ru":"Соединенные Штаты Америки","en":"United States of America"}},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":4},{"name":"comfort","value":4},{"name":"coordination","value":5},{"name":"translation","value":4},{"name":"relative_price","value":2},{"name":"nps","value":8},{"name":"manager","value":5}],"text":{"ru":"Мне очень понравилось общение с врачом и лечение здесь. Я хотела, чтобы нос выглядел очень естественно, а не как «кукольный» или как будто мне сделали ринопластику. То же самое и с филлером для губ. Я чувствовал, что оба были сделаны с учетом именно того, что я хотел, и общая симметрия на конце моих ноздрей была превосходной - мой нос был сломан, и до операции отсутствие симметрии было большой проблемой. Я считаю, что для каждой ноздри требовалась разная степень разреза, поэтому я очень впечатлен тем, что симметрия конечного результата отличается друг от друга менее чем на 1 мм, это огромное улучшение по сравнению с тем, что было раньше. Форма действительно красивая, и меня впечатлило то, что после операции тампон был сделан таким образом, что я мог все время дышать через нос, даже во время выздоровления.","en":"I had a really great experience with my doctor and care here. I wanted a very natural looking nose, not to look \"doll-like\" or like I had a rhinoplasty. Same for lip filler. I felt like both were done taking exactly what I wanted into account and the overall symmetry at the end for my nostrils was excellent - my nose had been broken and before surgery lack of symmetry was a big issue. I believe it required different degrees of cutting for each nostril so I'm very impressed that the end result's symmetry appears less than 1mm different from one another, that's a huge improvement from before. The shape is really nice and I was impressed that after surgery the packing was done in such a way that I was able to breathe through my nose the whole time, even during my recovery."},"order":{"operation":{"id":22,"name":{"ru":"Ринопластика (пластика носа)","en":"Rhinoplasty (nose job)"}}},"clinic_info":{"id":1418,"name":"Клиника пластической хирургии Marroquín & Sandoval","alias":"marroquin-sandoval-plastic-surgery","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2023-09-07T15:08:20.489+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"would_recommend","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"images":[{"full_url":"review/6525a90333d4b_b.jpeg","preview_url":"review/6525a90333d4b_s.jpeg"}],"summary":{"positive":{"ru":"Я чувствовал, что оба были сделаны с учетом именно того, что я хотел, и общая симметрия на конце моих ноздрей была превосходной - мой нос был сломан, и до операции отсутствие симметрии было большой проблемой. Я считаю, что для каждой ноздри требовалась разная степень разреза, поэтому я очень впечатлен тем, что симметрия конечного результата отличается друг от друга менее чем на 1 мм, это огромное ","en":"I felt like both were done taking exactly what I wanted into account and the overall symmetry at the end for my nostrils was excellent - my nose had been broken and before surgery lack of symmetry was a big issue. I believe it required different degrees of cutting for each nostril so I'm very impressed that the end result's symmetry appears less than 1mm different from one another, that's a huge i"}}},{"id":12445,"user":{"id":469561,"name":"Antoine Soucy-Fradette","country_code":"CA","country_name":{"ru":"Канада","en":"Canada"}},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":4},{"name":"relative_price","value":2},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"ru":"Доктор Кортес – настоящий профессионал. Он и его команда провели меня через этот процесс с высоким уровнем заботы. После операции прошло всего 12 дней, но я очень доволен результатами.","en":"Dr Cortes is a true professional. He and his team guided me through the process with a high level of care. I'm only 12 days out of the surgery but I am very happy with the results so far."},"order":{"operation":{"id":22,"name":{"ru":"Ринопластика (пластика носа)","en":"Rhinoplasty (nose job)"}}},"clinic_info":{"id":1323,"name":"Клиника эстетической медицины доктора Хосе Кортеса (Jose Cortes Aesthetic Clinic)","alias":"klinika-esteticeskoj-mediciny-doktora-hose-kortesa-jose-cortes-aesthetic-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2023-08-08T18:15:44.742+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"would_recommend","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ru":"Я очень доволен услугой, предоставляемой bookimed. Они очень помогли мне найти квалифицированного хирурга и предложили мне достаточно вариантов на выбор. Порекомендовал бы другу.","en":"I am very happy about the service provided by bookimed. They were really helpfull in finding a qualified surgeon, and offered me enough options to choose from. Would recommend to a friend."},"summary":{"positive":{"ru":"У меня только 12 дней после операции, но я очень доволен результатами до сих пор.","en":"I'm only 12 days out of the surgery but I am very happy with the results so far."}}},{"id":23421,"user":{"id":963177,"name":"Jonathan Pérez valencia ","country_code":"US","country_name":{"ru":"Соединенные Штаты Америки","en":"United States of America"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"ru":"Все было очень легко и быстро, именно то, что я искал.","en":"Everything was very easy and quick, which was what I was looking for."},"order":{"operation":{"id":22,"name":{"ru":"Ринопластика (пластика носа)","en":"Rhinoplasty (nose job)"}}},"clinic_info":{"id":1418,"name":"Клиника пластической хирургии Marroquín & Sandoval","alias":"marroquin-sandoval-plastic-surgery","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-01-17T17:03:38.040+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"ru":"Все было очень легко и быстро, именно то, что я искал.","en":"Everything was very easy and quick, which was what I was looking for."},"what_like_text":{"ru":"Было очень легко сделать все, чтобы пройти операцию.","en":"It was very easy to do everything to have the surgery."},"what_not_like_text":{"ru":"Еда","en":"The food"}},"comment_about_bookimed":{"ru":"Благодаря этому приложению я нашел хорошее место и быстро, что именно мне и нужно было.","en":"Thanks to this app, I found a good place quickly, which is what I needed."},"summary":{"positive":{"ru":"Все было очень легко и быстро, что я и искал.","en":"Everything was very easy and quick, which was what I was looking for."}}},{"id":18365,"user":{"id":570790,"name":"Roland August ","country_code":"US","country_name":{"ru":"Соединенные Штаты Америки","en":"United States of America"}},"ratings":[{"name":"main","value":3},{"name":"relative_price","value":2},{"name":"doctor","value":1},{"name":"personal","value":3},{"name":"comfort","value":4},{"name":"coordination","value":2},{"name":"translation","value":3},{"name":"nps","value":5},{"name":"manager","value":3}],"text":{"ru":"Мой опыт общения с доктором Айялой был очень неудачным... Он говорил со мной всего около 10 минут перед операцией, а после очень неохотно отвечал на вопросы, когда я сказала, что недовольна результатом операции на шее и ушах. Он сказал, что я могу вернуться через пару месяцев, чтобы все исправить. Когда я вернулась. Я решила сделать липосакцию в области живота в то же самое время, и опять то же самое, никаких последующих действий в отношении того, что я должна делать, носить или что-то еще... И снова одно из моих ушей не было исправлено и выглядело даже хуже, чем раньше. Когда я вернулась, чтобы снять швы, я указала на это, и он сказал, что это нормально, а я возразила, сказав, что мое другое ухо вышло нормально, а в этом году выглядело плохо. Он сказал, что не может сделать ничего другого, кроме как подождать еще пару месяцев и попросить меня прийти снова. В этот момент я показала ему свою липосакцию, которая тоже выглядела плохо, с большим количеством фиброза... Он не дал никаких рекомендаций, кроме ультразвукового лечения. Я заглянула в Интернет и обнаружила, что мне следует носить компрессионную одежду, а также ходить на массаж для лимфатической жидкости, которая скапливалась. Когда я пришла к массажистке, она рассказала мне обо всем, что нужно делать, но это также обошлось мне в дополнительную тысячу долларов. Весь опыт был очень разочаровывающим, и теперь мне нужно идти к другому хирургу, чтобы вылечить одно из ушей, надеюсь, в последний раз. Но все это началось 3 января, а сейчас уже май, а я все еще не избавился от проблемы! Мне очень понравились все, с кем я работала, но я не могу с чистой совестью рекомендовать их никому, потому что я знаю, что они работают в этой клинике. Рекомендовать их кому-либо еще, потому что я знаю, что они будут очень разочарованы!","en":"My experience with Dr. Ayala was quite unfortunate... He only spoke with me for about 10 minutes before the surgery and was very reluctant to answer questions afterward when I expressed dissatisfaction with the results of the neck and ear surgery. He mentioned that I could come back in a couple of months for corrections. When I returned, I decided to have an abdominal liposuction at the same time, and again there was a lack of follow-up regarding what I should do, wear, or any other post-operative instructions... Once more, one of my ears was not corrected and looked even worse than before. When I returned to have the sutures removed, I pointed this out, and he said it was normal, whereas I argued that my other ear looked fine, but this one did not. His only suggestion was to wait another couple of months and to return once more. At that point, I showed him my liposuction, which also looked poorly done, with a lot of fibrosis... He provided no advice other than recommending ultrasonic treatments. I looked online and found out I should be wearing compression garments and getting lymphatic drainage massages for the fluid buildup. When I visited a masseuse, she explained everything I needed to do, but it also cost me an additional thousand dollars. The entire experience was very disappointing, and now I have to see another surgeon to correct one of my ears, hopefully for the last time. It all started on January 3, and now it's already May, and I still haven’t resolved the problem! I really liked everyone I worked with, but I cannot, in good conscience, recommend them to anyone because I know they work at this clinic. I know others would be very disappointed as well!"},"order":{"operation":{"id":22,"name":{"ru":"Ринопластика (пластика носа)","en":"Rhinoplasty (nose job)"}}},"doctor_info":{"id":6904,"name":"Joaquin Ayala ","alias":"joaquin-ayala"},"clinic_info":{"id":5062,"name":"Клиника Alice Beauty","alias":"alice-beauty-clinic","flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}]},"created_at":"2025-01-14T19:32:15.637+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":false},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"ru":"Мой опыт общения с доктором Айялой был очень неудачным... Он говорил со мной всего около 10 минут перед операцией, а после очень неохотно отвечал на вопросы, когда я сказала, что недовольна результатом операции на шее и ушах. Он сказал, что я могу вернуться через пару месяцев, чтобы все исправить. Когда я вернулась. Я решила сделать липосакцию в области живота в то же самое время, и опять то же самое, никаких последующих действий в отношении того, что я должна делать, носить или что-то еще... И снова одно из моих ушей не было исправлено и выглядело даже хуже, чем раньше. Когда я вернулась, чтобы снять швы, я указала на это, и он сказал, что это нормально, а я возразила, сказав, что мое другое ухо вышло нормально, а в этом году выглядело плохо. Он сказал, что не может сделать ничего другого, кроме как подождать еще пару месяцев и попросить меня прийти снова. В этот момент я показала ему свою липосакцию, которая тоже выглядела плохо, с большим количеством фиброза... Он не дал никаких рекомендаций, кроме ультразвукового лечения. Я заглянула в Интернет и обнаружила, что мне следует носить компрессионную одежду, а также ходить на массаж для лимфатической жидкости, которая скапливалась. Когда я пришла к массажистке, она рассказала мне обо всем, что нужно делать, но это также обошлось мне в дополнительную тысячу долларов. Весь опыт был очень разочаровывающим, и теперь мне нужно идти к другому хирургу, чтобы вылечить одно из ушей, надеюсь, в последний раз. Но все это началось 3 января, а сейчас уже май, а я все еще не избавился от проблемы! Мне очень понравились все, с кем я работала, но я не могу с чистой совестью рекомендовать их никому, потому что я знаю, что они работают в этой клинике. Рекомендовать их кому-либо еще, потому что я знаю, что они будут очень разочарованы!","en":"My experience with Dr. Ayala was quite unsatisfactory... He spoke with me for only about 10 minutes before the procedure, and afterward, he was very reluctant to answer questions when I mentioned my dissatisfaction with the results of the neck and ear surgery. He said I could come back in a couple of months for corrections. When I returned, I decided to have liposuction on my abdomen at the same time, and again, there was a lack of follow-up on what I should do or wear... And once more, one of my ears was not corrected and looked even worse than before. When I returned to have the stitches removed, I pointed this out, and he said it was normal, to which I replied that my other ear turned out fine, but this one looked bad. He said there was nothing else he could do but wait another couple of months and asked me to return. At that point, I showed him my liposuction, which also looked poor, with a lot of fibrosis... He offered no advice other than ultrasound treatment. I researched online and found that I should be wearing compression garments and attending lymphatic drainage massages to address fluid buildup. When I went to the massage therapist, she informed me of everything I needed to do, but it also cost me an additional thousand dollars. The entire experience was very disappointing, and now I need to see another surgeon to fix one of my ears, hopefully for the last time. But this all started on January 3rd, and it's now May, and I still haven't resolved the issue! I really liked everyone I worked with, but I cannot, in good conscience, recommend them to anyone else because I know they will be very disappointed!"},"what_not_like_text":{"ru":"Передача информации об операции","en":"Communication of information regarding the surgery"}},"comment_about_bookimed":{"ru":"Ваша компания была очень внимательна до тех пор, пока не перенесла операцию, а затем меня передали в медицинский центр, и я не смог получить информацию из книги I med","en":"Your company was very attentive up until rescheduled the surgery and then I was passed off to Medical Center and I could not get information from book I med"}},{"id":8136,"user":{"id":280364,"name":"Diana ","country_code":"US","country_name":{"ru":"Соединенные Штаты Америки","en":"United States of America"}},"ratings":[{"name":"main","value":1},{"name":"comfort","value":1},{"name":"coordination","value":1},{"name":"doctor","value":1},{"name":"manager","value":1},{"name":"personal","value":1},{"name":"translation","value":1},{"name":"relative_price","value":3}],"text":{"ru":"Ужасный хирург. Не будет тратить время на то, чтобы поговорить с вами, когда он это делает, он плохо знает английский и очень торопится. В первый раз, когда он дал мне результаты, которые были настолько резкими, что я выглядел как свинья или кто-то из тех, кто живет в деревне. Мне пришлось заплатить за вторую операцию, чтобы он оставил мне мой старый нос, но еще хуже! (Опять супер поторопился, было ноль времени на принятие решения). Совершенно ужасный опыт. Страшный. Он отказывался даже пытаться исправить мой нос еще полгода. Хотя предлагал заплатить еще раз. Придется встречаться и видеть друзей, униженных с наполовину законченным лицом. Обратитесь к тому, кто талантлив и кому не все равно. Он этого не делает. Для тамошних хирургов вы просто номер.","en":"Terrible surgeon. Will not take the time to speak with you, when he does he knows limited English and is very very rushed. The first time me he gave me results that were so drastic I looked like a pig or someone from who-ville. I had to pay for a second surgery for him to give me my old nose but even worse! (Again super rushed, had zero time to make a decision). Absolutely awful experience. Scary. He refused to even try to fix my nose now for another 6 months. Even though I offered to pay again. Have to date and see friends humiliated with a half finished face. Go to someone with talent and who actually cares. He doesn’t. You are just a number to the surgeons there."},"order":{"operation":{"id":22,"name":{"ru":"Ринопластика (пластика носа)","en":"Rhinoplasty (nose job)"}}},"clinic_info":{"id":692,"name":"Хоспитал де ла Фамилиа","alias":"hospital-de-la-familia","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2021-11-09T18:18:08.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"images":[{"full_url":"review/61b307d37a2a5_b.jpeg","preview_url":"review/61b307d37a2a5_s.jpeg"},{"full_url":"review/61b307d8affa5_b.jpeg","preview_url":"review/61b307d8affa5_s.jpeg"}],"comment_about_bookimed":{"ru":"Ужасный хирург. Не найдет времени поговорить с вами, когда он это сделает, он плохо знает английский и очень-очень торопится. В первый раз он дал мне настолько радикальные результаты, что я выглядел как свинья или кто-то из кого-вилля. Мне пришлось заплатить за повторную операцию, чтобы вернуть мне мой старый нос, но еще хуже! (Опять очень спешил, времени на принятие решения не было). Абсолютно ужасный опыт. Страшный. Он отказывался даже пытаться вылечить мой нос в течение следующих 6 месяцев. Хотя я предложил заплатить еще раз. Приходится встречаться и видеть униженных друзей с полуотрешенным лицом. Обратитесь к тому, у кого есть талант и кому это действительно небезразлично. Он этого не делает. Для тамошних хирургов вы просто номер. Я так долго копил на эту операцию и ничего не получил. Мне просто так грустно.","en":"Terrible surgeon. Will not take the time to speak with you, when he does he knows limited English and is very very rushed. The first time me he gave me results that were so drastic I looked like a pig or someone from who-ville. I had to pay for a second surgery for him to give me my old nose but even worse! (Again super rushed, had zero time to make a decision). Absolutely awful experience. Scary. He refused to even try to fix my nose now for another 6 months. Even though I offered to pay again. Have to date and see friends humiliated with a half finished face. Go to someone with talent and who actually cares. He doesn’t. You are just a number to the surgeons there. I saved for so long for this surgery and got nothing. I’m just so sad."}}],"meta":{"total_count":9,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"1 день
День 2
День 3
День 4
1 неделя
2-3 неделя
Неделя 4-6
Обратите внимание, что выздоровление каждого пациента может варьироваться, и этот график является общим ориентиром. Всегда следуйте личным советам вашего хирурга для достижения наилучшего результата.
"},"overview":{"text":"Эта процедура сосредоточена на изменении формы кончика носа для улучшения эстетики или функционирования.
Процедура изменяет форму или размер носа, улучшая гармонию лица и устраняя проблемы с дыханием.
"},"803":{"operation":{"name":"Ринопластика кончика носа","alias":"rinoplastika-koncika-nosa","use_for_listing":true},"country_price":{"US":{"amount":5000,"max_amount":9000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":1500,"max_amount":3000,"currency":"USD","clinic_count":48,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":2400,"max_amount":4600,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1300,"max_amount":3000,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"PL":{"amount":1500,"max_amount":4300,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":3900,"max_amount":5500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":true,"US":true,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":true,"PL":true,"KR":true,"CZ":true,"AT":false,"ES":false,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":true,"CP":true,"LT":true},"description":"Процедура улучшает кончик носа, улучшая его баланс и гармонию за счет изменения формы, придавая более эстетичный вид.
"},"806":{"operation":{"name":"Закрытая ринопластика","alias":"zakrytaa-rinoplastika","use_for_listing":true},"country_price":{"US":{"amount":6000,"max_amount":11500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":2000,"max_amount":3700,"currency":"USD","clinic_count":40,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":3900,"max_amount":5800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1400,"max_amount":2000,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"PL":{"amount":7800,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"ES":{"amount":4900,"max_amount":6900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":true,"TR":true,"MX":false,"TH":true,"PL":true,"ES":false},"description":"Операция меняет форму носа изнутри, обеспечивая лучший профиль с минимальными рубцами и более быстрым восстановлением.
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Minor events and aesthetic revisions excluded."},"contraindications":["Active nasal or facial skin infection","Uncontrolled systemic disease or unfitness for general anesthesia","Pregnancy","Untreated body dysmorphic disorder","Uncorrected bleeding disorders","Active cocaine use or heavy smoking, which impairs healing"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; occasionally one overnight stay."},"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 activity earlier; strenuous or contact exercise later as advised by surgeon."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Tip swelling resolves slowly; may take longer in thick-skinned patients."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After first review and splint/tape removal (about day 7), with surgeon clearance."},"follow_up_visits":[{"purpose":"splint_removal","requirement":"routine","after":{"min":5,"max":8,"unit":"days","qualifier":"From surgery; removal of tape/splint and any sutures."}},{"purpose":"assessment","requirement":"conditional","after":{"min":28,"max":42,"unit":"days","qualifier":"From surgery; early healing check, often by remote photos."}},{"purpose":"result_review","requirement":"conditional","after":{"min":180,"max":365,"unit":"days","qualifier":"From surgery; review of the settled result, often by remote photos."}}],"indications":["Bulbous, boxy or under- or over-projected nasal tip","Tip asymmetry or drooping tip","Wide or poorly defined tip contour"],"main_risks":["Swelling and bruising","Bleeding","Infection","Tip asymmetry or irregularities","Unsatisfactory aesthetic result requiring revision","Numbness","Breathing difficulty from valve narrowing","Anesthesia risks","Loss of tip support with tip ptosis or over-rotation","Pinched tip, alar retraction, notching, or graft irregularities","Scarring (including columellar scar with open approach)"],"pain":"Usually mild to moderate discomfort and nasal congestion for several days, controlled with oral analgesics.","preparation":["Consultation with photos and discussion of realistic goals","Medical assessment and routine tests as required","Stop smoking in the weeks before surgery","Review medicines and supplements with surgeon and prescriber","Fasting before general anesthesia","Arrange transport and help for first days"],"recovery_timeline":[{"phase":"Days 0-7","description":"Swelling, mild bruising and congestion; tape or splint in place.","restrictions":["Keep head elevated","Avoid nose blowing","No bending or heavy lifting"]},{"phase":"Weeks 1-3","description":"Bruising fades and return to desk work and social life.","restrictions":["Avoid strenuous exercise","Avoid pressure on nose such as glasses"]},{"phase":"Weeks 4-6","description":"Gradual return to exercise as cleared.","restrictions":["Avoid contact sports"]},{"phase":"Months 3-12","description":"Residual tip swelling gradually resolves and the shape refines.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":10,"unit":"days","qualifier":"Daily and desk activities resume around splint/tape removal (about day 7). Strenuous exercise restrictions last longer."},"result_longevity":"Generally long-lasting, though natural aging and tissue changes can alter the tip over time.","revision_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Revision surgery within 1–2 years; higher in complex or thick-skinned cases."},"scars":"Closed approach leaves no visible scar; open approach leaves a small columellar scar that usually fades well.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure."},"stages":[{"code":"surgery","label":"Tip rhinoplasty surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"One operation; follow-up checks are not treatment stages."},"success":{"metric":"Patient satisfaction with nasal tip appearance","value":85,"unit":"percent","horizon":"12 months after surgery","population":"Adults after uncomplicated primary tip rhinoplasty","evidence_status":"limited"},"techniques":[{"name":"Closed (endonasal) tip rhinoplasty","suits_whom":"Minor tip refinement with limited need for exposure.","recovery":"Slightly less swelling; no external scar."},{"name":"Open tip rhinoplasty","suits_whom":"More complex tip work needing graft placement or suturing under direct view.","recovery":"Somewhat longer tip swelling; tiny columellar scar."},{"name":"Suture-based tip refinement","suits_whom":"Tip reshaping or support depending on cartilage strength.","recovery":"Similar to open or closed approach."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for isolated primary tip rhinoplasty."},"initial_assessment_documents":["Front and side photos of the nose","Nose base and top-view photos","Three-quarter angle photos of the nose","Previous nose surgery or injury report (if available)","List of blood thinners"],"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."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon was specifically trained in plastic surgery","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/rhinoplasty/questions","host":"plasticsurgery.org","quote":"Were you specifically trained in the field of plastic surgery?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check where and how the rhinoplasty will be performed","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/rhinoplasty/questions","host":"plasticsurgery.org","quote":"Where and how will you perform my procedure?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask how many procedures of the kind you want the surgeon has done","scope":"treatment_type","source":{"url":"https://bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"How many procedures of the kind you are interested in have they undertaken","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask whether a body regulates the clinic to ensure minimum standards of care","scope":"treatment_abroad","source":{"url":"https://bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there a body that regulates the clinic or practice to ensure that it meets minimum standards of care and treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","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":"2026-11-12","http_status":200}},{"id":"C6","text":"Check whether the surgeon has hospital privileges to perform this procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/rhinoplasty/questions","host":"plasticsurgery.org","quote":"Do you have hospital privileges to perform this procedure?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C7","text":"Check the risks and complications of the rhinoplasty","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/rhinoplasty/questions","host":"plasticsurgery.org","quote":"What are the risks and complications associated with my procedure?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hospital that sells cosmetic surgery as part of a holiday package is a warning sign","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":"2026-11-12","http_status":200}},{"id":"F2","text":"Being refused a talk with the operating surgeon before consent is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure that you talk to the surgeon who will be performing your procedure before you give your consent to have surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Surgeons or hospitals unwilling to discuss surgery details during contact are a warning sign","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":"2026-11-12","http_status":200}},{"id":"F4","text":"Offering only a helpline, with no named doctor for complications, is a warning sign","scope":"treatment_abroad","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Make sure you have the contact details of a named doctor who can deal with any complications rather than a helpline.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the hospital's summary to continue care from the stay","document":"discharge summary copy","source":{"url":"https://www.yorkhospitals.nhs.uk/your-visit/leaving-hospital","host":"yorkhospitals.nhs.uk","quote":"On the day you are to be discharged, you will receive a copy of your discharge summary to take home, and any medication.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","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":"T3","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":"T4","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer a nonsurgical option with no downtime","name":"Nonsurgical rhinoplasty","source":{"url":"https://my.clevelandclinic.org/health/treatments/22880-nonsurgical-rhinoplasty-nose-job","host":"my.clevelandclinic.org","quote":"No downtime is necessary after nonsurgical rhinoplasty.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"closed-tip-rhinoplasty","name":"Closed (endonasal) tip rhinoplasty","how_it_works":{"text":"Surgeons make incisions inside the 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bulbous tip","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/rhinoplasty-nose-surgery","host":"my.clevelandclinic.org","quote":"A bulbous tip is corrected by stitching or removing some of the cartilage of the tip.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"en","language":"en","href":"https://us-uk.bookimed.com/clinics/country=mexico/city=mexicali/procedure=tip-rhinoplasty/"},{"rel":"alternate","hreflang":"ar","language":"ar","href":"https://ar.bookimed.com/clinics/country=mexico/city=mexicali/procedure=tip-rhinoplasty/"},{"rel":"alternate","hreflang":"id","language":"id","href":"https://id.bookimed.com/clinics/country=mexico/city=mexicali/procedure=tip-rhinoplasty/"},{"rel":"alternate","hreflang":"uk","language":"ua","href":"https://ua.bookimed.com/clinics/country=mexico/city=mexicali/procedure=tip-rhinoplasty/"},{"rel":"alternate","hreflang":"kk","language":"kz","href":"https://kz.bookimed.com/clinics/country=mexico/city=mexicali/procedure=tip-rhinoplasty/"},{"rel":"alternate","hreflang":"es","language":"es","href":"https://es.bookimed.com/clinics/country=mexico/city=mexicali/procedure=tip-rhinoplasty/"},{"rel":"alternate","hreflang":"pt","language":"pt","href":"https://pt.bookimed.com/clinics/country=mexico/city=mexicali/procedure=tip-rhinoplasty/"},{"rel":"alternate","hreflang":"de","language":"de","href":"https://de.bookimed.com/clinics/country=mexico/city=mexicali/procedure=tip-rhinoplasty/"},{"rel":"alternate","hreflang":"fr","language":"fr","href":"https://fr.bookimed.com/clinics/country=mexico/city=mexicali/procedure=tip-rhinoplasty/"},{"rel":"alternate","hreflang":"pl","language":"pl","href":"https://pl.bookimed.com/clinics/country=mexico/city=mexicali/procedure=tip-rhinoplasty/"},{"rel":"alternate","hreflang":"it","language":"it","href":"https://it.bookimed.com/clinics/country=mexico/city=mexicali/procedure=tip-rhinoplasty/"},{"rel":"alternate","hreflang":"ja","language":"jp","href":"https://jp.bookimed.com/clinics/country=mexico/city=mexicali/procedure=tip-rhinoplasty/"},{"rel":"alternate","hreflang":"en-AU","language":"en","href":"https://au.bookimed.com/clinics/country=mexico/city=mexicali/procedure=tip-rhinoplasty/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}