In the case of revision rhinoplasty, often the patient has undergone a nose job at another practice and is unhappy with the results, and is seeking an improvement. In this case, there may be scar tissue to contend with, which makes for a more complex and delicate procedure. A surgeon is needed who has impeccable precision, along with a sophisticated sense of artistry to correct another surgeon’s mistakes.

Dr. Karam is well versed in revision procedures and has a high rate of patient satisfaction with his stunning results. He is careful never to over-operate, thus preserving the internal structures of the nose while minimizing flaws.

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What You Can Expect From a Consultation with Dr. Karam?

When you first meet with Dr. Karam in the privacy and comfort of his San Diego offices, you will be struck right away by how much more he listens than he talks. Dr. Karam believes that communication between the client and the surgeon is key in accomplishing a successful transition to your new aesthetic.

The doctor will then perform an in-depth examination of your nose, taking photographs and going over notes from previous medical and cosmetic treatments. He will use this information to formulate a plan of action for resolving your most troublesome issues with your nose. The doctor will be sure to answer all questions and concerns, including those regarding costs, insurance and financing; risks and possible complications; recovery and downtime; and final results.

Viewing Dr. Karam’s library of before and after photography for revision rhinoplasty is an important part of your consultation, as this will give you more insight into whether he is the right surgeon for your needs. You will be able to see a variety of cases in which Dr. Karam corrected nasal issues, both functional and cosmetic, and if you don’t immediately see photos that you connect with, you can always ask to see more.

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What Can I Expect From My Recovery?

After your surgery, you will require a friend or family member to drive you home from your procedure since you will have received general anesthesia. Dr. Karam will provide you with the proper pain medications, along with some nasal packing and a splint.

Within the first week, the splint will be removed, and you can begin to resume your normal work and recreational activities. Swelling will persist, but it will gradual lesson, revealing your beautiful new nose.  At around six weeks, you will be happily showing off your nose in photos and on social media. Even though some minor swelling will still be present, it will be unnoticeable by everyone except you and Dr. Karam.

Finally, around 18 months post-op, all swelling will have subsided and your nose will have reached its final result in terms of size and shape. This is especially rewarding and satisfying as you will no longer need to question your final outcome.


Francine M.

"I had a vertical restore at age 65 with Dr Amir Karam. It has been a little over a year and I am delighted with the results. Some of my friends have not even noticed - I just look rested. Dr Karam will provide you with all the information and supplements that you need to make the procedure and the recovery time as comfortable as possible. I usually bruise very easily but with the supplements that were given to me prior to my procedure and afterwards, my bruises were gone within a week."

"I highly recommend Dr. Karam and would go back to him for anything I might want done in the future. I totally trust his approach and recommendations. You won't be disappointed!"

Kris R.

"I'm one month out from a Vertical Restore with Dr Karam. Dr Karam is an incredibly talented Surgeon. I can barely see my scars already. I also did a laser peel, within 8 days I was wearing makeup and admiring my new jawline and neck. I'm 65 this month and so happy I chose him. He is the best there is. His staff are fun, caring and kind. They made my entire experience so easy. I would not hesitate or even think about going anywhere else. Check out his Instagram account. He does all his content himself. Extremely informative, with many before and after photos. I decided on Dr Karam after researching his Instagram and had made my decision before we had even met."

Janice S.

"Dr Karam is a great surgeon, a true artist and a wonderful human being. He has done 2 procedures on me over the last 3 years. Both with excellent results. His fat transfer and his lip lift technique are extraordinary. I wouldn't think of going to anyone else and I would highly recommend him to anyone who is looking for the best."

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