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
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 having a
nose job in San Diego California.
"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 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.
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
On more information on how Dr. Karam can help you enhance the shape of your nose.
Contact our office for more information on chin augmentation in San Diego County.
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
Call Dr. Karam today to set up a consultation to discuss Ethnic rhinoplasty in
San Diego Ca.
(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.
San Diego facial plastic surgeon 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.
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.
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. San Diego facial surgeon 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.
three weeks post-op
Rhinoplasty has the potential of being on of the most rewarding and high
impact cosmetic procedures. The outcome of a nose job in San Diego
relies heavily on accurate patient selection, pre operative communication, and precise techniques
required to produce naturally enhancing results that leave the face more attractive.
Dr. Karam is one of the most gifted 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.
Dr. Karam, who is board certified by the American Board of Facial Plastic and Reconstructive Surgery and American Board of Otolaryngology, offers services in San Diego County including San Diego, Del Mar, Carlsbad, Carmel Valley,
Encinitas, Rancho Bernardo and La Jolla in Southern California. If you are ready to schedule an appointment for rhinoplasty with Dr. Karam contact us today. 858-259-3223
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Dr. Karam voted "2010, 2011, 2012, 2013 Best Cosmetic Surgeon"
Ranch and Coast Magazine
Readers Choice Award