On the other hand, there are those who we remember specifically because of their nose --its size or shape defines their entire face, their entire look. The nose, more than any other, is the defining feature of the face. A fitting, balanced nose can lead to self-confidence and the perception of beauty, while a malformed or anomalous nose can ruin a positive self-image.

Perhaps no other operation in plastic surgery has a greater impact in enhancing the way you look than rhinoplasty.

Carmel Valley Plastic Surgery

What is Rhinoplasty?

Rhinoplasty, or "nose job", is a surgical procedure to alter the shape, size and form of the nose. Our Rhinoplasty in San Diego is a surgery 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 is also employed in cases where the nose is physically deformed and can alleviate difficulty breathing. In balancing the proportions of the nose in relation to the rest of the face, a nose job -- like every procedure at Carmel Valley Facial Plastic Surgery -- is intended to bring our patients the confidence and happiness that comes with loving your look!

Before & After

View Gallery

Our Unique Treatment Approach

Our approach to our Rhinoplasty in La Jolla is different from what you might find elsewhere, primarily because of our comprehensive approach to all of our procedures. Rather than merely change the nose to the patient’s predisposed dreams or expectations, we take into account their entire face.

Often, the patient -- and even other surgeons -- don’t realize the effect other features of the face (especially the chin) can have on the perception of the nose. A small or undersized chin, for example, can contribute to the illusion of a larger nose. In such cases, it may be a chin augmentation rather than an extensive rhinoplasty that’s required.

We always take into consideration the shape and dimensions of your face as a whole, rather than your nose as a single entity, when considering the best course for the nose job procedure. This ensures that our patients not only look their best, but that their noses also look natural and suit their face.

Rhinoplasty is one of the most technically demanding and difficult operations in plastic surgery. No other operation requires the depth and breadth of specialized techniques as a nose job, which is 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 and outcome 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. As a sought-after, double Board-certified plastic surgeon, Dr. Karam truly delivers arguably the best rhinoplasty San Diego patients can hope for.

Carmel Valley Plastic Surgery - Dr. Karam Banner media

Special Cases

San Diego rhinoplasty specialist, Dr. Karam’s specialized training and experience allow him to take on the most demanding and unusual cases.

He can successfully help patients with nose jobs correcting challenging tips (boxy, infantile, broad, ptotic, over-projected, under-projected, over-rotated, under-rotated), nostril disproportions, traumatic noses (deviated, crooked, saddle, fractured), size issues (too big or small), skin issues (unusually thick or thin) and length issues (too short or long). Regardless of your nose’s idiosyncrasies, Dr. Karam can help you achieve the nose you’ve always desired.

Ethnic Rhinoplasty

Ethnic rhinoplasty is a unique specialty within rhinoplasty and refers to procedures performed on non-Caucasian patients. Dr. Karam specializes in 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.

Carmel Valley Plastic Surgery - Dr. Karam Banner media

Schedule A Consultation

Contact Us
Carmel Valley Plastic Surgery - Dr. Karam Contact us media

Is Nose Surgery Right for Me?

A nose job is one of the most metamorphic facial plastic surgeries, and we encourage you to complete extensive research and ask as many questions as possible before you commit to rhinoplasty. After careful consideration, rhinoplasty might be right for you if:

  • Your nose is noticeably disproportionate with the rest of your face
  • You’ve long considered changing the appearance of your nose
  • You experience difficulty breathing through your nose
  • Following a trauma to the face that changed the appearance of the nose
  • You’ve undergone rhinoplasty in the past but are unhappy with your results

Advantages of Rhinoplasty

  • Can completely transform the proportions of your face, while still retaining your personal look
  • Permanent results
  • Short recovery (1-2 weeks)
  • Potential to create harmony and beauty in the whole face
  • Opportunity to improve breathing


Rhinoplasty patients can expect to see:

  • Improved nasal-facial harmony
  • A natural-looking ideal nose that looks like the nose you were born to have
  • Improved or stable nasal function

Why Choose Dr. Karam for Your Rhinoplasty?

When choosing a surgeon to perform such a complex and transformative procedure as rhinoplasty, it’s absolutely integral that your surgeon has extensive experience with the surgery. Dr. Karam is a unique plastic surgeon -- his specialization in and devotion to facial plastic surgery makes him an authority on the subject, especially rhinoplasties. His background and board certification in both facial plastic surgery as well as in otolaryngology (head and neck surgery) make him optimally trained in dealing with simple and complex aesthetic and functional aspects of the nose.

Carmel Valley Plastic Surgery - Dr. Karam media

Whereas most plastic surgeons perform less than 20 rhinoplasties a year, Dr. Karam has performed over 1,000 during his 10-year career. Although part of Dr. Karam’s expertise in rhinoplasty can be attributed to his extensive experience, much of his expertise actually stems from his innate talent. Much of facial plastic surgery is akin to art; it requires an artistic eye and a sculptor’s touch, both of which Dr. Karam was simply born with. Dr. Karam’s careful and intentional approach ensures that no one changes their identity but simply looks their absolute best. Dr. Karam’s expertise in the subject has also prompted him to write a number of book chapters and scientific articles on facial plastic surgery topics, including rhinoplasty, secondary rhinoplasty and ethnic-specific (for example, Asian) rhinoplasty.

Double Board Certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology, patients fly in from around the country for Dr. Karam’s advanced techniques. Dr. Karam has successfully treated thousands of patients from around the world using his state-of-the-art approach.

Over his years in practice, he has consistently maintained an extremely low complication rate, and the occasions of surgical revisions are incredibly rare. The outcome in every case is the same: natural-looking results.

And perhaps most importantly, Dr. Karam’s caring demeanor, excellent patient communication skills and responsive and knowledgeable staff ensure you’re always comfortable and informed.

It’s these particular attributes that have earned Dr. Karam the trust to perform these procedures on his medical colleagues and their families. His artistic eye, excellent technique and inherent amiability make him the best possible choice for your rhinoplasty.

Planning your Consultation

During your rhinoplasty in La Jolla consultation, your expectations will be discussed and a personalized treatment plan will be proposed after careful examination and discussion of your goals. Dr. Karam will meet clients in the La Jolla, San Diego area and spend a significant amount of time discussing the aesthetic and functional concerns you have with your nose. He’ll ask you very specific questions about what exactly bothers you about your nose and your expectations.

Your history will be reviewed in detail. A detailed nasal and facial exam will be conducted in conjunction with state-of-the-art digital imaging, which helps establish a clear understanding of what can be surgically obtained. Following careful assessment and further discussion, a unique treatment plan is developed. This is the first step in obtaining the nose you’ve always wished for.

Carmel Valley Plastic Surgery - Dr. Karam Banner media

Lorem ipsum dolor sit amet, consectetur adipisicing elit. Ad alias animi commodi distinctio doloremque eum exercitationem facilis in ipsum iusto magnam, mollitia pariatur praesentium rem repellat temporibus veniam vitae voluptatum.

Lorem ipsum dolor sit amet, consectetur adipisicing elit. Ad alias animi commodi distinctio doloremque eum exercitationem facilis in ipsum iusto magnam, mollitia pariatur


Carmel Valley Plastic Surgery - Dr. Karam Contact us media

© Carmel Valley Plastic Surgery. All Rights Reserved. Web Design & Internet Marketing by Studio III

Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (858) 252-6826.
Schedule Consultation