Rhinoplasty Surgery in San Diego California

Perhaps no other operation in plastic surgery has a greater impact in enhancing the way you look than rhinoplasty. Rhinoplasty is a procedure designed to improve the shape of the nose. Even a subtle change can have a big impact on the attractiveness and balance of the face.

Rhinoplasty FAQs

View rhinoplasty before and after photos..

Read testimonials from rhinoplasty patients..

Primary rhinoplasty indicates that it is the first time an operation is being performed. The first operation offers the best opportunity to obtain an excellent and predictable outcome. Seeking out a rhinoplasty specialist for this first operation significantly increases the chances of obtaining an excellent rhinoplasty result and decreases your chances of a revision. Contact facial plastic surgeon Amir Karam for more information about our San Diego rhinoplasty procedure.

“The most important first step in a successful rhinoplasty outcome is listening to the patient and really understanding what their hopes and desires are.. then delivering on that expectation.” Dr. Karam’s goal in primary rhinoplasty is to create a nose that enhances the attractiveness of the entire face while preserving or improving nasal function (breathing). Each nose is unique, therefore, for each case, an individualized operative plan is developed that takes into account the patient’s anatomy and cosmetic goals.

Rhinoplasty is the most technically demanding and difficult operations in plastic surgery. No other operation requires the depth and breadth of specialized rhinoplasty techniques required to handle the wide range of nasal types. Dr. Karam’s extensive experience and unique training background in Otolaryngology (ENT) followed by a Fellowship in Facial Plastic and Reconstructive Surgery allow him to give patients the highest level of care possible. Creating noses that are attractive, natural looking and functionally safe accounts for Dr. Karam’s high rate of patient satisfaction and low rate of revision surgery.

Let San Diego facial plastic surgeon Dr. Karam design an operative plan that is specifically suited for you. Contact facial plastic surgeon Amir Karam for more information about having nose surgery in San Diego California.

rhinoplasty before and after photos

before and after photos of rhinoplasty

before and after photos of nose surgery

Secondary Rhinoplasty

(Revision Rhinoplasty) is a special part of Dr. Karam’s rhinoplasty practice. This is a specialty within a specialty. Patients with cosmetic or functional (trouble breathing) problems following primary rhinoplasty often seek Dr. Karam for resolution of these issues. These patients are often very emotional about there condition and often travel from around the country in hopes of correcting their nasal deformity. Secondary rhinoplasty or revision rhinoplasty are often the most challenging cases. They require the highest level of planning, judgment and surgical expertise. Often these cases require a wide range of techniques including, reconstruction with multiple grafts and occasionally rib grafts.

In certain scenarios, innovative and simple techniques can be used to correct the problem without the need for surgery.

If you are unhappy with your rhinoplasty result or have trouble breathing as a result of rhinoplasty, please call Dr. Karam to schedule a consultation for secondary rhinoplasty in San Diego.

secondary rhinoplasty before and after photo

revision rhinoplasty before and after photo

Special Cases

Dr. Karam’s specialized training and experience allows him to take on the most challenging and unusual cases. He can successfully help patients with challenging tips (boxy tip, infantile, broad, ptotic nasal tip, overprojected tip, underprojected tip, over-rotated tip, under-rotated tip), nostril disproportions, traumatic noses (deviated nose, crooked nose saddle nose, fractured nose), size issues (too big, too small), skin (thick-skin nose, thin skin), and length issues (too short, too long). For primary rhinoplasty in San Diego County contact Dr. Amir Karam.

The relationship between the nose and chin is often overlooked when assessing the aesthetics of the face. Many individuals with small or undersized chin are not aware how much this feature is contributing to the illusion of a larger nose. In many cases, only minor refinements of the nose is required to significantly improve the nasal aesthetics when accompanied with chin augmentation. There are many options for chin augmentation. The most common approach is using a chin implant to obtain the desired results. This is most commonly done at the time of rhinoplasty with minimal additional recovery.

For more information on how Dr. Karam can help you enhance the shape of your nose. Contact our office for more information on chin augmentation.

nasal surgery before and after photo

nose surgery before and after photo
Chin Augmentation

Ethnic Rhinoplasty

is performed on non-Caucasian patients. Dr. Karam specializes on a variety of ethnicities, including the Hispanic nose, the Middle Eastern nose, the Asian nose, and the African American nose. Each ethnic group has unique features that need to be respected when performing ethnic rhinoplasty. Otherwise, the results will look unnatural and unattractive. Dr. Karam has performed extensive research on the topic of ethnic noses and has lectured and published his work nationally.

Call Dr. Karam today to set up a consultation to discuss Ethnic rhinoplasty.

ethnic rhinoplasty before and after photo

ethnic rhinoplasty before and after photo

Schedule a Consultation For Rhinoplasty in San Diego California

Dr. Karam will spend a significant amount of time discussing the aesthetic and functional concerns you have with your nose. He will ask you very specific questions about what exactly bothers you about your nose and what your expectations are. Your history will be reviewed in detail. A detailed and complete nasal and facial exam will be conducted in conjunction with state of the art digital imaging. Digital imaging helps establish a clear communication regarding the expectations and what can be surgically obtained. Following careful assessment and further discussion, a unique treatment plan is developed.

Preoperative Visit

One to two weeks prior to the surgery, a final consultation is scheduled in
order to review the surgical plan and make sure all of your questions are answered. At that point pre and post-operative instructions will be given.

The Procedure

Rhinoplasty is typically an outpatient procedure that takes anywhere from 2 to 4 hours to perform.


The recovery time generally takes between 1-2 weeks. A splint is placed on the nose which will be removed in one week. Our patients typically do not have nasal packing, which significantly reduces post operative discomfort. Following surgery, several post-operative visits will be made during the first 2 weeks. Thereafter, you will be seen every 2-3 months during the first year and then annually. The nose continues to look better during the first year. Dr. Karam, believes it is important to maintain a long term relationship with all his rhinoplasty patients in order to ensure an optimal and successful outcome.

In Conclusion

The rhinoplasty procedure has the potential of being one of the most rewarding and high impact cosmetic procedures. The outcome of a nose job relies heavily on accurate patient selection, pre operative communication, and precise techniques required to produce naturally enhancing results that leave the face more attractive.

Rhinoplasty Testimonals

Dr. Karam is one of the most gifted facial plastic surgeons I have ever met.

I had the honor of meeting Dr. Karam 3 years ago while working in the medical esthetician field. He had one of the most impressive bedside manners, and incredible before and after pictures. After briefly speaking with Dr. Karam I knew he was the one. My Rhinoplasty was such a great experience. For me minimal bruising minimal swelling and after a week things looked perfect. He truly has a gift and I am so fortunate to have met him.

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