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Expert Rhinoplasty and Nasal Surgery in Santa Monica | Beverly Hills

top rhinoplasty doctor in los angeles

Beverly Hills rhinoplasty surgeon Dr. Raffy Karamanoukian performs nose surgery and rhinoplasty in an outpatient setting in Los Angeles.  He performs both primary rhinoplasty and secondary revision rhinoplasty procedures for redo noses.  Nasal surgery requires clinical expertise and meticulous attention to detail as the nose is an important aesthetic and functional part of the face.  Dr. Karamanoukian will carefully examine your nasal airway and structure of your nose and provide you with options to correct breathing at the same time as a cosmetic nose job.  


"Awesome surgeon!!! Extremely talented, but also conservative. You will never walk out of his office looking plastic, which was one of my biggest worries in finding the right doctor for some of those little cosmetic things. I have a perfect nose because of him -- he expertly repaired a problem that affected my self image for years. Now I look like me, just better. He is amazing at what he does and also just generally a great guy.I am so thankful for your wonderful care."  


Erin S. Los Angeles, CA* (Dr. Raffy Karamanoukian and Kare Plastic Surgery) 



The nose plays an exceptionally important role in breathing and the cosmetic appearance of the face. As we grow older, our nose continually changes with time, starting with puberty and the teenage years onto adulthood and the senior years.  Every decade of life corresponds with specific changes in the nose and the nasal airway.  

Rhinoplasty surgery is designed to correct the external appearance of the nose, coupled with a functional improvement in breathing.  Dr. Raffy Karamanoukian performs rhinoplasty surgery in a meticulous manner and has a proven track record of performing natural looking nose jobs that harmoniously blend with the rest of the face.  In this section of, feel free to read information about Dr. Karamanoukian, a board certified plastic surgeon and rhinoplasty expert; and view our before and after photos of rhinoplasty and septorhinoplasty. 


When a surgeon performs a surgery for the very first time on a specific part of the body, the surgery is referred to as a 'primary' procedure.  In rhinoplasty surgery, a "Primary Rhinoplasty" means that the person has never had previous nose surgery and is having the procedure done for the very first time.  A 'Secondary Rhinoplasty' refers to a revisional surgery that is being done to correct a previous surgery.  During revision rhinoplasty, Dr. Raffy Karamanoukian will improve the functional and cosmetic appearance of a previous nose job in order to improve breathing or the cosmetic appearance of the nose.  

Visit our comprehensive website for rhinoplasty and septorhinoplasty at . Choosing a rhinoplasty specialist in Los Angeles begins with a consultation to discuss your objectives for cosmetic or functional rhinoplasty.  Dr. Karamanoukian will assist you in making the right decisions to maintain a natural facial profile and improve breathing. 

Patients may require revision rhinoplasty in Los Angeles for a condition known as a hanging columella, in which the columellar cartilage is too pronounced and obvious.  Correction of a hanging columella must take into account the degree of columellar redundancy and the amount of alar retraction.  The two problems in concert may contribute to a hanging columella.  Dr. Raffy Karamanoukian will examine your nose in anticipation of a revision rhinoplasty procedure and provide you with details regarding which corrective revision rhinoplasty procedure is ideal to correct the hanging columella. 



Rhinoplasty procedures require you to rest for at least several days after the nose operation.  Strenuous activity and exercise will only delay the resolution of swelling and bruising associated with a typical rhinoplasty.  If you are contemplating rhinoplasty or septorhinoplasty procedures, Dr. Karamanoukian can evaluate your aesthetic desires and recommend a surgical plan that will help you achieve the desired cosmetic goals. Patients often ask what the recovery period is like with rhinoplasty.  The answer depends on the extent of surgery you will have undergone with your rhinoplasty.  If osteotomy and nasal fracturing is performed, a patient may have considerably more swelling when compared to a simple septoplasty or nasal tip-plasty.  The folllowing guidelines will help you maximize your recovery and minimize the time to complete healing.  

Most rhinoplasty procedures will require about 5 to 7 days of acute healing, with most patients resuming normal activities within 3 to 5 days. During the initial period prior to your first postoperative rhinoplasty visit, you will be wearing a nasal splint to guard the nose from any injury at home.  The splint will be removed within days of your rhinoplasty.  head needs to be elevated for several days following surgery to minimize swelling.  Application of ice packs will help reduce swelling and bruising, and it is recommended that you take BruisePak tablets postoperatively to reduce the associated ecchymosis and edema.  Dr. Karamanoukian also recommends sleeping on your back and with your head elevated on one to two pillows. 


Rhinophyma is a proliferative skin condition that is usually associated with sebaceous gland hyperplasia and rosacea.  Rhinophyma manifests as large pores on the nose with a gradual thickening of the nasal tip, leading to bulky disfiguration of the tip and dorsum of the nose.  Options for rhinophyma are few and seek to redefine the nasal tip and nasal contours by surgical excision of redundant tissue  or laser skin resurfacing.  Dr. Raffy Karamanoukian performs laser skin resurfacing of the nasal tip to reduce the prominence of sebaceous skin and reduce the size and dimensions of large pores.  Fractional CO2 laser resurfacing of the nasal tip and define the nasal tip contour and minimize thickness and bulkiness of the nose.  Schedule a consultation for Fractional CO2 laser resurfacing of the nose with Dr. Karamanoukian by calling (310) 998-5533.  Call now for rhinoplasty surgery in Beverly Hills and Santa Monica.


  1. How can I fix my bulbous nasal tip during rhinoplasty? 
  2. What is a revision rhinoplasty? Rhinoplasty surgery refers to a cosmetic surgery procedure in which the external shape of the nose is recontoured in order to improve the cosmetic appearance of the nasal bridge, nostrils, columella, and nostrils.  The patients who undergo a nose job are referred to as rhinoplasty patients.  Someone who has undergone a previous rhinoplasty but is unhappy with the cosmetic appearance of the nose may wish to consult with board certified plastic surgeon Dr. Raffy Karamanoukian to discuss options for repair.  Repairing a previous nose job is known as a revision rhinoplasty and can be performed effectively in order to reshape abnormal components of the nose.  The most common reason to undergo a revision rhinoplasty is for asymmetry of the nose, a misshapen tip, under or over reduction of the nasal bridge, and prominent nostrils.  Los Angeles plastic surgeon Dr. Raffy Karamanoukian specializes in facial cosmetic surgery and body contouring surgery.  He performs all aspects of rhinoplasty and septoplasty surgery.  Septoplasty refers to a surgical procedure on the nose that is used to improve airway breathing.  Most revision rhinoplasty surgeries are more complex than the original rhinoplasty.  If you have questions about revision rhinoplasty surgery or rhinoplasty surgery, a comprehensive consultation with Dr. Karamanoukian in Santa Monica or Beverly Hills will help you identify key features of your nose that may benefit from surgical remodeling.  Revision rhinoplasty and rhinoplasty surgery are safe and perform largely on an outpatient basis.  Please call our Los Angeles plastic surgery patient care coordinator to schedule a complete consultation for rhinoplasty or septoplasty with Dr. Karamanoukian.  Dr. Karamanoukian is double board certified and performs all aspect of facial cosmetic surgery including neck rejuvenation, neck lift, laser neck lift, chin augmentation, cheek implants, face lift, and brow lift.  Our office can be reached at 310-998-5533.
  3. Does thick skin interfere with the result of rhinoplasty? A rhinoplasty surgery is designed to recontour the nose including the nostrils, nasal tip, and bridge of the nose.  The patients vary in terms of ethnicity and facial features, including the thickness and quality of the overlaying skin.  Quite obviously, thin skin on the nose may show the underlying cartilaginous structure of the nose more prominently than a thick skin.  This is likely due to the excessively large pores present on some patients with thick nasal skin.  The bulbous nature of the nasal tip then camouflages cartilage characteristics of the nasal tip and this inherent quality should be addressed at the time of rhinoplasty or revision rhinoplasty surgery.  If you have thick nasal skin, there are several options to consider when planning a rhinoplasty.  The nasal skin can be treated preoperatively using a combination of chemical peel or laser skin resurfacing in order to decrease the porosity of the nose.  The second option is the surgical debulking of a thick nasal tip during rhinoplasty.  Dr. Raffy Karamanoukian specializes in rhinoplasty and revision rhinoplasty surgery in Los Angeles.  He is a double board certified plastic surgeon who is a trusted leader in rhinoplasty surgery.  During your consultation for rhinoplasty, septoplasty, or septorhinoplasty, Dr. Karamanoukian will measure the anatomic characteristics of your nose and recommend a treatment protocol that addresses key features of the skin, nasal bridge, nostril, columella, and nasal tip.  Thick skin often contributes to a loss of nasal tip refinement if not addressed early in the process rhinoplasty surgery.  Our Los Angeles plastic surgery patient care coordinator can help you schedule a consultation with Dr. Karamanoukian to options for nose surgery. Please call our office at 310-998-5533 to schedule your consultation for facial cosmetic surgery.
  4. Choosing a revision rhinoplasty specialist in Los Angeles: A revision rhinoplasty can be performed to improve the cosmetic appearance of the nose in patients who have had previous rhinoplasty surgeries for cosmetic reason or after trauma.  The many reasons to undergo initial rhinoplasty surgery include a broken nose or simple refinement of the cosmetic appearance of the nose.  Dr. Raffy Karamanoukian is a double board certified plastic surgeon practicing in Santa Monica and Beverly Hills.  He performs rhinoplasty, septorhinoplasty, and revision rhinoplasty surgery to correct key features of the nose including the nasal bridge, the nostrils, columella, and nasal tip.  The patients seek cosmetic consultation for revision rhinoplasty in order to rebalance the nose and achieve a more natural contour and shape to their face.  A natural looking nose adds significant harmony to the overall facial profile and a poorly performed rhinoplasty may disturb the natural harmony of the face.  Both men and women are candidates for revision rhinoplasty and procedures can be performed for under resection or over resection of the nasal component.  Choosing Dr. Raffy Karamanoukian for revision rhinoplasty surgery begins with a comprehensive consultation wherein Dr. Karamanoukian will make key measurements of your nasal profile in order to recommend a treatment plan that improves facial proportions and nasal contour.  These key proportions are based on experience as well as define cephalometric ratios that are at the core of cosmetic plastic surgery.  Schedule a consultation with our Los Angeles patient care coordinator by calling 310-998-5533.

Dr. Karamanoukian performs various aspects of nose surgery including rhinoplasty, septorhinoplasty, and septoplasty.  He can evaluate your nasal profile and determine whether an open rhinoplasty or closed rhinoplasty is appropriate for your nose.  If you are concerned about secondary revisional surgery after a previous rhinoplasty, Dr. Karamanoukian can recommend a treatment program that restores the natural features of your nose.

Rhinoplasty surgery is performed by Raffy Karamanoukian, MD FACS, a double board certified plastic surgeon practicing in Beverly Hills and Santa Monica.  Dr. Karamanoukian is a graduate of the UCLA School of Medicine and is currently on faculty at the University of California Irvine Department of Plastic Surgery. For information, Contact Us by calling our office to schedule an appointment at (310) 998-5533.

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