Rhinoplasty Surgery by San Diego Facial Plastic Surgeon

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Uploaded by on Oct 28, 2009

http://www.drkaram.com 858-259-FACE
In terms of rhinoplasty we basically treat all aspects of rhinoplasty surgery from patients who are having their first rhinoplasty to patients who've had rhinoplasty in the past and are here for a revision or secondary rhinoplasty. Also special case patients or
different ethnicities.

Rhinoplasty is one of the core components of our practice. Because of my background in otolaryngology followed by facial plastic reconstructive surgery it gives me a great foundation to be able to treat patients of all different nasal types and desires and
levels of complexity.

I'm so happy with my results my nose is exactly what I wanted. It's hard to imagine what you're going to look like after surgery. I mean with your nose there is no real way to lift the skin or see it in any real way except for Dr. Karam does do imaging on the computer. My rhinoplasty results turned out way better than I had ever imagined they could and even better than the imaging showed. I'm thrilled! I love my new nose!

Rhinoplasty surgery really relies on both your artistic vision as well as a very sound, very deep understanding, of what you can achieve surgically and what can be done both in the immediate sense and also for the long term because the nose is a very dynamic part of our face and once we manipulate it it continues to change over time.

A lot of the things that we do at the time of surgery have to take those changes into consideration. The right types of support and the right types of surgical maneuvers need to be done so you can get a safe and functional nose over the long run. That's where the science and that's where the surgical skill comes in.

Then there's another element which is basically trying to create a nose shape that works with the entire face and I think that's where it's on us as plastic surgeons to be able to create a nose that not only enhances the beauty of the face but also stands the test of time and holds up.

I'm just glad that I had my nose surgery at the time that I did it. I feel good now taking pictures and there's never been a regret. It's just been a great great process and
Dr. Karam made me feel comfortable the whole time. My rhinoplasty before and afters are just astonishing and the results so natural that nobody even noticed. I didn't tell my family because I just didn't want to. I wanted to do this for myself. When I told them, they loved it after I showed them the before and afters. It's almost like you have to see the before and afters to even see a difference because my face just looked natural and refreshed. No one just came out and thought that I had anything done. That was pretty astounding.

If a patient comes in with an interest in rhinoplasty surgery the first thing that I ask the patient during the consultation is simply to give me three things about their nose that they're hoping to change. Or what bothers them about their nose. I spend a lot of time trying to nail that down. To really understand where they're coming from. The reason why I spend so much time on that is because the patient is here for a reason and there's a reason why they made the phone call. They made the effort to research me and come into my office. I have to really understand what that reason is so that I can deliver on their surgical expectation. It's not about my artistic vision. They're not just coming in here saying "do whatever you want to me". They want to really get the things that bother them about their nose sorted out and then consult with me and see what other things I might be seeing that they're not necessarily seeing.

That is how I start my consultations and sometimes it's surprising. Things that might bother me do not bother the patient at all. They don't even see it. They could care less about it. Then there are things that i consider relatively minor that become a major focus for them. If I were to miss that and do something based on my own sort of idea, then they're going to walk out of here saying "I didn't get my expectation met", "I need a revision rhinoplasty now". I think that's one of the most critical aspects of our rhinoplasty consultation process.

Following the initial rhinoplasty consultation we take photographs of the patient and we do some computer imaging. The imaging in our practice is really essential. It allows them to be sure that our visions are lined up. New patients also have the opportunity to call previous patients of ours. From that point the patient moves forward with their rhinoplasty surgery.

Amir M. Karam, MD
Director of Facial Plastic and Reconstructive Surgery
4765 Carmel Mountain Rd.
Suite 201 San Diego CA, 92130

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  • how much?

  • reading plasticsurgerymadeeasy (.) com helped me make my decision on this and I don't regret it one bit.

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