Plastic & Cosmetic Surgery in Santa Monica

Revision Rhinoplasty

Rhinoplasty requires an extraordinary amount of precision and grace on the part of the surgeon, making it one of the most complex cosmetic surgery procedures on the market. Because of this, the rate of revision is higher than almost any other cosmetic procedure. In order to perform revision rhinoplasty, a surgeon must demonstrate competence far beyond that required for a primary rhinoplasty. Dr. Raffy Karamanoukian has been performing revision rhinoplasty for years with outstanding results, serving as a testament to his artistry and skill. If you’ve undergone rhinoplasty and are unhappy with the results, please call our office today to find out more about what our patients call the best revision rhinoplasty Los Angeles and Santa Monica have available.

Revision Rhinoplasty Overview

Revision rhinoplasty, also known as corrective rhinoplasty, is a nose procedure that is done after somebody has already received rhinoplasty. Revision rhinoplasty is usually done because a patient is unhappy with his or her first rhinoplasty, or second, or even third. Revision rhinoplasty seeks to correct previous jobs by restoring the functional or cosmetic aspects of the nose.

These are the two primary ways in which patients are unhappy with their earlier rhinoplasty:


If the nasal airways were not properly evaluated prior to surgery, they may become further obstructed as a result of rhinoplasty. With Dr. Karmanoukian’s complete understanding of nasal anatomy, he can not only correct your nose’s function, he can also make it look its very best.


A disappointing cosmetic result is a very popular reason for revision rhinoplasty. While this can be a source of agitation, patients should take comfort in the fact that Dr. Karamanoukian can repair even severe cosmetic defects following rhinoplasty. It is important to look forward to the good results ahead.

Revision Rhinoplasty

Personal, Individualized Results

In revision rhinoplasty, it is important to consider the patient. A male result will be different from a female result. Dr. Karamanoukian has a particular skill in considering the natural look of his patients, allowing him to deliver a result that is not only beautiful, it is 100% unique to you. With this caring and detailed approach to rhinoplasty, Dr. Karamanoukian delivers high-quality revision rhinoplasty.

Female Rhinoplasty

In the quest for beautiful rhinoplasty results in women, Dr. Karamanoukian ensures every feminine aspect of your face is considered throughout the entire procedure. With his artistic eye and technical abilities, he will preserve your nose’s feminine characteristics while delivering grace and beauty to your entire face.

Male Rhinoplasty

For men seeking rhinoplasty, it’s important to consider the significance of a detailed approach. Dr. Karamanoukian takes his time to evaluate your face and listen to your cosmetic goals. Through this meticulous process, he is able to achieve results that are not only perfectly masculine, they are also 100% tailored to you.

Ethnic Rhinoplasty

For patients with an ethnic appearance, this plays heavily into Dr. Karamanoukian’s work. While he understands the basic purpose of rhinoplasty, he also considers how a patient’s ethnic appearance must be maintained. In every procedure, he uses taste to provide a beautiful result while keeping his patients’ ethnic look intact.

During Revision Rhinoplasty

In performing revision rhinoplasty, there are several procedural options to consider. Each of these will be thoroughly reviewed with Dr. Karamanoukian prior to the surgery. While patient preference plays a role, Dr. Karamanoukian will also make recommendations based on his professional understanding of ideal results. These options include:


Revision rhinoplasty may be performed under local or general anesthetic. If possible, Dr. Karamanoukian always prefers local anesthetic, allowing the patient to be awake during the entire procedure. However, for various reasons, general anesthetic may be a more applicable option.


There are two main types of revision rhinoplasty procedures: open and closed. In an open rhinoplasty, incisions are made at the bottom of the nose, with the skin pulled back to reveal the underlying bone and cartilage. In a closed rhinoplasty, incisions are strategically placed within the nostrils, allowing Dr. Karamanoukian to reshape the nose with zero visible scarring.

Dr. Karamanoukian always prefers to use the least invasive result. If he can use the closed technique in your revision rhinoplasty, he will. It all depends on how comprehensive the procedure and how much correction is needed. If you're looking for high quality rhinoplasty revision, Dr. Karamanoukian can help.

Rhinoplasty Revision Surgeon

Expert Los Angeles Revision Rhinoplasty Surgeon

Meet Dr. Karamanoukian

For Los Angeles patients considering revision rhinoplasty, there are few surgeons more qualified than Dr. Raffy Karamanoukian. He is double board certified in both cosmetic surgery and vein surgery. This means that when it comes to performing surgery on your nose, Dr. Karamanoukian can uphold every surgical standard to keep you looking and feeling your very best. First and foremost, this extends to the safety aspect of your procedure. Second, it extends to the cosmetic excellence of your revision rhinoplasty, ensuring that your results fulfill everything agreed upon.

Each revision rhinoplasty takes place in a surgical suite that is fully accredited by the Accreditation Association for Ambulatory Health Care (AAAHC). Whether your particular procedure requires general anesthesia or simply conscious sedation, Dr. Karamanoukian uses a hand-picked, board certified anesthesiologist to look after this aspect of your revision rhinoplasty. In this way, he delivers safe rhinoplasty revision to his patients in his Santa Monica office.