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Reseptoplasty (repeated operations)

Reseptoplasty is a revision surgery on the nasal septum. It is performed when primary rhinoplasty did not give the desired result. Reseptoplasty is aimed at correcting and improving deformities from previous surgery. The patient receives a more harmonious appearance of the nose and complete restoration of its functions.
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When is revision surgery on the nasal septum necessary?

Sometimes the first operation on the nasal septum (septoplasty) does not bring positive changes: the curvature of the nose remains, and breathing is still difficult. The success of treatment depends on many factors: clinic, equipment, qualifications and experience of the doctor. Sometimes problems arise due to improper care after the intervention or repeated injuries to the nose, postoperative complications.

If after septoplasty the deformation of the nasal septum remains and the patient is bothered by frequent headaches, chronic runny nose or allergic reactions, he is prescribed a repeat operation. In case of bleeding disorders, reseptoplasty is performed after stabilization of the condition.

When is revision surgery on the nasal septum necessary?

General information about the procedure

How to prepare for surgery

Before surgery, the patient undergoes an examination. It includes:

  • General and biochemical blood and urine tests
  • Coagulogram
  • Blood test for hidden infections
  • Determination of blood group and Rh factor
  • CT scan of the sinuses and ECG to check the heart

In addition, it is necessary to undergo an examination by an otolaryngologist and therapist. If there are no contraindications, they will issue a conclusion on admission to the operation. If there is a history of chronic diseases, consultation with other specialists may be necessary.

How is surgery performed on the nasal septum

Before repeated surgery on the septum, the doctor treats the nasal cavity with an antiseptic and numbs the pain. Then an endoscope is inserted into the nasal sinuses - a special tube with a camera that transmits information to a monitor. This allows the surgeon to examine the operated area in detail and work with deformities without affecting healthy tissue.

Next, a small incision is made on the mucous membrane and the necessary microsurgical instruments are inserted through it. The doctor carefully adjusts or removes parts of the cartilage and bone that are causing the curvature. After correcting the defect, the mucous membrane is returned to its place, and the incision is sutured. To maintain the new shape, the nasal cavity is packed.

Recovery after surgery

After receptoplasty, the patient spends the first 24 hours under the supervision of a doctor. At this time, temporary breathing difficulties arise due to swelling of the nose, which is considered normal. The discomfort usually goes away within a week.

Important! The doctor regularly checks the patient's condition. If necessary, prescribes painkillers. If swelling and breathing difficulties persist, corticosteroids, antihistamines, and decongestants are indicated.

For recovery to be successful, it is important to follow a number of recommendations during the first 4-6 weeks:

  1. Sleep lying on your back, keeping your head higher, using a high pillow
  2. Refrain from wearing glasses to avoid putting pressure on your nose
  3. Avoid exercise
  4. Avoid tanning
  5. Avoid both too hot and too cold weather
  6. Do not visit the bathhouse, sauna or swimming pool

1-1.5 months after the operation, the patient will have a second consultation with the doctor. He clarifies how the recovery went, whether there are any complaints, and also gives recommendations for further nose care.

Results of repeated operation

The final results of the second nose job are visible 6-12 months after the procedure. The operation is considered successful if:

  • The nose looks beautiful, even and harmonious with the rest of the facial features
  • All breathing problems have been corrected
  • The correct proportions of the nose have been restored

The effectiveness of primary septoplasty ranges from 43% to 85%. About 10-15% of patients seek reoperation.

Postoperative complications

Let's look at the most common consequences that patients face after rhinoplasty:

  • Injuries to the skin and cartilage of the nose, damage to bone tissue. An incompetent doctor’s mistake requires additional intervention
  • Seam separation. Improper postoperative care and injuries are accompanied by suture dehiscence, which can result in scar formation
  • Hematomas. Bruising and bruising are considered common after surgery because they reflect the body's response to injury
  • Numbness. Temporary loss of sensitivity in the nasal area occurs due to damage to the nerve endings and disappears on its own
  • Swelling and difficulty breathing. May be the result of a long and intensive operation. An experienced surgeon selects medications to relieve these symptoms
  • Infection. Failure to maintain sterility during surgery leads to infection in the wound. In this case, antibacterial drugs are used

Very rare complications include tissue necrosis due to impaired blood supply. Then the doctor prescribes repeated surgery.

How is an appointment with an otolaryngologist at K+31?

During the initial appointment, the doctor questions the patient in detail about complaints, clarifies the history of the disease, and lifestyle. Next, a thorough visual examination of the nose, pharynx, ear, and larynx is carried out. Special tests are prescribed to assess the acuity of hearing and smell.

Our doctors

Spiranskaya Olga Aleksandrovna
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Tetzoeva Zalina Muratovna
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Kochetkova (Minavnina) Yulia Vladimirovna
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Osipova Irina Andreevna
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Gutenko (Selenina) Tatyana Vitalievna
Experience 21 year
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Lapshina Anastasia Andreevna
Experience 11 years
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Lapshina
Anastasia Andreevna
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Samarin Nikolay Evgenyevich
Experience 18 years
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Samarin
Nikolay Evgenyevich
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Krahovetsky Nikolay Nikolaevich
Experience 17 years
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Nikolay Nikolaevich
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Lopatin Andrew Stanislavovich
Experience 45 years
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Andrew Stanislavovich
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Portnyagina Maria Pavlovna
Experience 13 years
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Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya Galina Rustemovna
Experience 27 years
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Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Koblova Tatyana Alexandrovna
Experience 22 years
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Koblova
Tatyana Alexandrovna
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Punkov Maxim Anatolevich
Experience 20 years
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Maxim Anatolevich
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Varenkova Olga Vladimirovna
Experience 25 years
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Olga Vladimirovna
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Budeikina Liliya Sergeevna
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Budeikina
Liliya Sergeevna
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Kornienko Roman Anatolievich
Experience 27 years
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Kornienko
Roman Anatolievich
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Budnitskaya Elena Vasilievna
Experience 12 years
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Budnitskaya
Elena Vasilievna
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Varvyanskaya Anastasia Vladimirovna
Experience 21 year
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Varvyanskaya
Anastasia Vladimirovna
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Akhmedov Magomed Akhmedovich Make an appointment
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Magomed Akhmedovich
Mamedov Vasif Eivaz ogly
Experience 8 years
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Vasif Eivaz ogly
Audiologist
Putkaradze Ekaterina Iosifovnz
Experience 2 years
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Putkaradze
Ekaterina Iosifovnz
Chekaldina Elena Vladimirovna
Experience 13 years
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Chekaldina
Elena Vladimirovna
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Samusenkova Ksenia Vladislavovna
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Samusenkova
Ksenia Vladislavovna
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Polivoda Anna Mikhailovna
Experience 19 years
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Anna Mikhailovna
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Balybina Natalia Alekseevna
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К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
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Reviews 43

Very attentive and qualified doctor
25.11.2025
A. Nadezhda Valerievna

About doctor:

Kochetkova (Minavnina) Yulia Vladimirovna

I really liked the doctor, and I also really liked Zhanna Andreevna. You can tell she's experienced and competent, and the office had a wonderful, open atmosphere. Special thanks to Olesya, the administrator on the first floor. She's very friendly and helpful. Overall, I really liked the clinic.
23.11.2025
P. Daniil Vyacheslavovich

About doctor:

Budeikina Liliya Sergeevna

The doctor always listens and hears attentively, which is even unusual. He is genuinely interested in how the patient is feeling and sees them as people.
04.11.2025
O. Tatyana Alexandrovna

About doctor:

Varvyanskaya Anastasia Vladimirovna

The best doctor. Thank you so much.
31.10.2025
Ya. Tatyana Petrovna

About doctor:

Osipova Irina Andreevna

Wonderful doctor! A top-class professional!
28.10.2025
I. Stanislav Arkadevich

About doctor:

Samarin Nikolay Evgenyevich

A sensitive doctor, it's immediately obvious she's a true professional. She outlined the risks, and we're seeing great progress in treatment.
18.10.2025
E. Stanislav Yurievich

About doctor:

Portnyagina Maria Pavlovna

A very knowledgeable and responsible doctor.
16.10.2025
P. Evgeny Arnoldovich

About doctor:

Koblova Tatyana Alexandrovna

Very attentive and professional doctor.
14.10.2025
R. Evgeniy Anatolyevich

About doctor:

Budeikina Liliya Sergeevna

Irina Andreevna is a professional and a master of her craft. That says it all.
14.10.2025
K. Andrey Maksimovich

About doctor:

Osipova Irina Andreevna

A true professional! Highly recommended.
10.10.2025
G. Irik Azamatovich

About doctor:

Koblova Tatyana Alexandrovna

Tatyana Alexandrovna is a very attentive doctor. She prescribed treatment that helped immediately. She's a pleasant person to talk to. Thank you!
09.10.2025
T. Elena Nikolaevna

About doctor:

Koblova Tatyana Alexandrovna

Irina Andreevna is a wonderful person, a professional, and what's called a "God-given doctor." The prescribed treatment produced immediate positive results. And despite my disappointing diagnosis, after every conversation with Irina Andreevna, I feel a boost of optimism!
06.10.2025
Sh. Lyudmila Alexandrovna

About doctor:

Osipova Irina Andreevna

Very pleasant to talk to, a professional in her field)
02.10.2025
L. Alexander Gennadievich

About doctor:

Gutenko (Selenina) Tatyana Vitalievna

I've been seeing Zalina Muratovna for many years. She's a highly qualified doctor with an incredibly attentive and caring attitude toward her patients. Zalina Muratovna performed a septum correction surgery on me several years ago. I'd been advised to have this procedure for years, but it wasn't until I saw Zalina Muratovna that I decided to have it. And I'm so glad I did. My breathing is now free of difficulty, and I no longer suffer from lingering runny noses. Thank you, Zalina Muratovna.
02.10.2025
B. Nadezhda Sergeevna

About doctor:

Tetzoeva Zalina Muratovna

Everything went great, the doctor was very kind and explained the reason for prescribing each drug.
01.10.2025
Ya. Sergey Sergeevich

About doctor:

Gutenko (Selenina) Tatyana Vitalievna

Excellent specialist, very pleased with the visit, thank you
01.10.2025
E. Elena Vitalievna

About doctor:

Portnyagina Maria Pavlovna

This isn't my first time visiting Anastasia Vladimirovna. I feel like I'm visiting a relative. She's the best doctor. Everything is always delicate, precise, meticulous, and she shows immense care and love for her profession.
25.09.2025
B. Evgeniya Evgenievna

About doctor:

Varvyanskaya Anastasia Vladimirovna

A very competent specialist
24.09.2025
S. Elena Vladimirovna

About doctor:

Koblova Tatyana Alexandrovna

A very good doctor!) Unfortunately, there are few like him...
18.09.2025
K. Olesya Vyacheslavovna

About doctor:

Punkov Maxim Anatolevich

A professional in his field. An excellent doctor.
16.09.2025
M. Natalia Vladimirovna

About doctor:

Kochetkova (Minavnina) Yulia Vladimirovna

Wonderful doctor, simply wonderful! Tactful, kind, very responsive!
08.09.2025
E. Ekaterina Alexandrovna

About doctor:

Gutenko (Selenina) Tatyana Vitalievna

Good afternoon! I would like to express my gratitude to Maria Pavlovna Portnyagina. A competent doctor, an impeccable appointment, an examination was conducted, an ultrasound was immediately agreed upon, a full examination and a set of measures to identify the problem were conducted. Thanks to Maria Pavlovna's appointment, we found out what was going on. I left with an understanding of my health condition and exhaled after the examinations, this rarely happens when you think - this is a doctor, it was not in vain that I came to her. I ask the management to note according to the procedures and policies of the Clinic. I left the appointment with a feeling that you were heard, the problem was considered, the most valuable thing is quickly, efficiently, and not indifferently. That very case when you think - it was not in vain that I went to the doctor. Everything is clear, precise, competent. Time is always very precious, you can spend a lot of time and leave with nothing. Whether you were or were not at the doctor, with the same questions, fears, uncertainty. The best ENT doctor in my life! Maria Pavlovna - thank you. Sincerely, Elena
07.09.2025
K. Elena Vladimirovna

About doctor:

Portnyagina Maria Pavlovna

I was extremely satisfied. The doctor was very attentive and competent. Thank you very much.
01.09.2025
L. Vladislava Vasilievna

About doctor:

Osipova Irina Andreevna

Excellent professional, attentive, neat.
28.08.2025
L. Alexander Sergeevich

About doctor:

Gutenko (Selenina) Tatyana Vitalievna

After the injury, I started having serious hearing problems. I didn't go to the doctor right away and let the disease get worse. I made an appointment with audiologist-otorhinolaryngologist M.P. Portnyagina. The doctor is experienced, responsive, with a lot of work experience. She identified my problem from the first minutes of the appointment and was generally very pleasant to talk to. The doctor showed me all possible hearing aid options - the consultation was clear and understandable. Thank you for the opportunity to be observed by such competent specialists.
25.08.2025
Anonymously

About doctor:

Portnyagina Maria Pavlovna

I was very pleased with my visit to Doctor Varvyanskaya A.V. The doctor listened to me attentively, examined my larynx in the most thorough manner, asked me in detail about the symptoms, compared the data from various tests, sorted out my problem, gave detailed explanations of the diagnosis and recommendations for treatment. I left calm and confident that everything would be fine with me.
18.08.2025
Goryunov M. A.

About doctor:

Varvyanskaya Anastasia Vladimirovna

I express my heartfelt gratitude to the ENT doctor Tetsoeva Z.M. for her professionalism, attentiveness and kindness. The doctor carefully examined my throat, explained everything and gave recommendations for treatment. At the appointment, I felt a sincere desire to find the cause of my illness and help with the solution of this health problem. I confidently recommend this specialist.
18.08.2025
Goryunov M. A.

About doctor:

Tetzoeva Zalina Muratovna

I liked everything, the doctor examined me and explained everything within the framework of my request, and the doctor was also very pleasant to talk to!
12.08.2025
D. Dmitry Vladimirovich

About doctor:

Punkov Maxim Anatolevich

The best clinic I've ever been to! Doctor Osipova I.A. is the best ENT!!! I had an appointment with Fotina E.V. A real female doctor, a wonderful specialist and person❤️
11.08.2025
Vasilisa M.

About doctor:

Osipova Irina Andreevna, Fotina Evgeniya Viktorovna

Appointment with Dr. Samarin. The only otolaryngologist in Moscow that I trust. Thank you for your professionalism and sensitivity.
08.08.2025
Anonymously

About doctor:

Samarin Nikolay Evgenyevich

I visited the ENT doctor Varvyanskaya A.V. twice. I liked everything, the appointments are very comfortable, I will be happy to recommend the clinic and the doctor to my friends.
08.08.2025
Anonymously

About doctor:

Varvyanskaya Anastasia Vladimirovna

Amazing doctor, helped me to understand my ear and nose issues, explained everything and prescribed adequate treatment
06.08.2025
K. Andrey Yuryevich

About doctor:

Punkov Maxim Anatolevich

I would like to express my sincere gratitude to the ENT doctor Irina Andreevna Osipova. She is a true professional with extensive experience and deep knowledge in the field of ENT rheumatology. She listened carefully to all the complaints, and approached my case — Wegener's vasculitis — very competently. She gave clear, well-founded recommendations, explained everything in understandable language, and instilled confidence. It is obvious that the doctor works with soul and sincerely cares about her patients. Thank her for her sensitivity, attentiveness, and high professionalism!
06.08.2025
K. Sergey Alexandrovich

About doctor:

Osipova Irina Andreevna

The doctor is very attentive and professional. I really enjoyed the visit.
30.07.2025
V. Yulia Nikolaevna

About doctor:

Varenkova Olga Vladimirovna

Excellent doctor, very competent in resolving the issue. Listened to the complaint, provided due assistance.
29.07.2025
D. Nikolai Dmitrievich

About doctor:

Portnyagina Maria Pavlovna

Everything is great as always, I hope the treatment will be beneficial!
23.07.2025
K. Ekaterina Alexandrovna

About doctor:

Varvyanskaya Anastasia Vladimirovna

Everything is great, they prescribed treatment, we will continue!
01.07.2025
N. Roman Gennadievich

About doctor:

Tetzoeva Zalina Muratovna

Irina Andreevna, simply the best! The problem I have lived with for the last 15 years has been solved! In January 2025, an operation was performed, after which life became easier. I visited a lot of doctors, they all advised the same thing: washing, rinsing, etc. And only Irina Andreevna said that surgery was necessary. After the operation, I was a little nervous about how everything would heal. Thanks to the doctor, I didn't have any of this. Everything was explained in detail. I am incredibly grateful to her!!!!!
05.02.2025
Khazhar Ruslanovna K.

About doctor:

Osipova Irina Andreevna

Zalina Muratovna, super professional doctor. I am being observed and had surgery with her two weeks ago to remove tonsils. With her light hand, healing is going very well. I definitely recommend the doctor. In addition to her professionalism, she is also a very pleasant doctor to talk to! Thank you, Zalina Muratovna! Elena P.
29.07.2024
Pogibelnaya Elena Anatolyevna

About doctor:

Tetzoeva Zalina Muratovna

Nikolai Nikolaevich performed surgery on my tear ducts. In this review I want to once again convey to him my deepest gratitude. He is a surgeon from God. I am glad for all future patients with the problem of dacryocystology (and on its basis, for example, dangerous purulent processes), if they end up being treated by Nikolai Nikolaevich.
12.07.2024
Tamara Veniaminovna

About doctor:

Krahovetsky Nikolay Nikolaevich

Many thanks to Zalina Muratovna!!! I had severe otitis media. Other doctors in other clinics whom I initially contacted could not help. Life has become a nightmare. Pain, deafness, panic attacks, deterioration in health. And when I finally found this wonderful doctor, I came back to life. In 2 days of intensive I came back to life, and then competent treatment returned everything to its place. Thank you for a full and bright life. Good luck and happiness to everyone
30.05.2024
Tatyana Grigorievna Sokolova

About doctor:

Tetzoeva Zalina Muratovna

Zalina Muratovna is a doctor from God! Thanks to her, my entire family’s noses can breathe, their ears can hear, and their throats don’t hurt)))
23.05.2024
Stepanova Oksana Nikolaevna

About doctor:

Tetzoeva Zalina Muratovna

I would like to express my gratitude to my attending physician - the wonderful otorhinolaryngologist Anastasia Vladimirovna Varvyanskaya for his professionalism, attentiveness and kindness! And also to all employees of the K+31 West clinic who took part in the operation and the pre/postoperative period, these are: head of the ENT department Zalina Muratovna Tetsoeva, anesthesiologist Kristina Inalovna Siukaeva, head of the anesthesiology and resuscitation department Zarina Igorevna Sypkova, all nurses, secondary and to the junior medical staff, Alexander, who drove me to the operating room and back, hospitalization managers, administrators and everyone, everyone, everyone! I had surgery on March 14, 2024 for a deviated nasal septum and hypertrophied nasal turbinates (septoplasty + osteoconchotomy). I have been suffering from difficulty breathing through my nose for a long time. I got an appointment with Dr. A.V. Varvyanskaya. I immediately realized that I was ready for surgery with this specialist. The surgery and recovery went flawlessly. Finally, after many years of torment, my nose could breathe freely. Thank you!
01.05.2024
Gorlachev Pavel Dmitrievich

About doctor:

Sypkova Zarina Igorevna, Tetzoeva Zalina Muratovna, Siukaeva Kristina Inalovna, Varvyanskaya Anastasia Vladimirovna

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Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
By a car
Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
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K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

Subway
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10
Trubnaya
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Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
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Orshanskaya, 16/2; Ak. Pavlova, 22

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01.11: 09:00—20:00

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