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★ 4.9 Google Reviews (612)Call 305.960.7511WhatsApp / Text 305.409.0970220 Alhambra Circle, Coral GablesCoral Gables · Hablamos EspañolEspañol

Coral Gables · JCAHO accredited facility · 4.9★ 612 reviews

Rhinoplasty in Miamithat still looks like you

Refine nasal shape and, when appropriate, address breathing with facial surgeon Dr. Rafael Ramos.

Rhinoplasty consultation
A consultant calls you back the same day.
Submit before 3pm and a Surgery Consultant calls you today.
15,000+Surgeries performed
Double board-certified founderJCAHO Gold SealCleveland Clinic-trained facial surgeonHablamos Español
4.9★
Google reviews (612)
JCAHO
Gold Seal accredited facility
2×
Board-certified founder, Dr. Careaga
15,000+
Surgeries performed
Cleveland Clinic
Fellowship-trained facial surgeon

Real patients, real surgeons

Results you can scroll through

BeforeRhinoplasty — before, actual Careaga patient
AfterRhinoplasty — after, actual Careaga patient
Rhinoplasty
Actual patient · individual results vary
BeforeRhinoplasty — before, actual Careaga patient
AfterRhinoplasty — after, actual Careaga patient
Rhinoplasty
Actual patient · individual results vary
BeforeRhinoplasty — before, actual Careaga patient
AfterRhinoplasty — after, actual Careaga patient
Rhinoplasty
Actual patient · individual results vary
BeforeRhinoplasty — before, actual Careaga patient
AfterRhinoplasty — after, actual Careaga patient
Rhinoplasty
Actual patient · individual results vary

Photographs are of actual patients who consented to publication. Individual results vary. Where a stock or model image is used it is labeled “Model”.

Book My Rhinoplasty Consultation

What this procedure covers

What can be changed, and what cannot

The dorsal profile — a hump, a scoop, a deviation
The tip — projection, rotation, width, definition
The nostrils and base width
The septum and internal valves, when breathing is affected
Not changeable: skin thickness, which sets how much definition is possible

Is this the right time

You are likely a good candidate if

You can point at one specific feature that bothers you in photographs.
You want a nose that fits your face, not a celebrity's.
You have breathing difficulty alongside a shape you dislike.
You are a non-smoker, or willing to stop several weeks before surgery.

The parts people actually ask about

Straight answers before you book

Primary or revision — they are different operations

A first rhinoplasty works with untouched anatomy. A revision works through scar tissue, often with cartilage already removed, and frequently needs grafting from the septum, ear or rib. Revision is planned in stages and takes longer to settle. Say which you are at the consultation — it changes everything about the plan.

Functional and cosmetic are not separate surgeries

If you have a deviated septum or collapsed valves, that is corrected in the same operation. A cosmetic change that costs you an airway is a failed rhinoplasty, not a trade-off worth making.

Your skin decides how sharp the result can be

Thin skin shows every underlying detail — good and bad. Thick skin drapes over definition and holds swelling far longer. Dr. Ramos will tell you which you have and what it realistically allows.

No email gate games

What your quote includes

Surgeon fee and anesthesia by a board-certified anesthesiologist
Our own JCAHO accredited operating room
Splint, taping and all routine post-operative visits
Septal or valve work when it is part of your plan

Your quote comes from your exam and your plan — never from a website. Financing available through CareCredit and Alphaeon.

Book My Rhinoplasty Consultation

Plan your time off

Recovery, and the honest timeline

Days 1–7Splint on. Congestion is the real discomfort, not pain.
Week 1Splint comes off. Bruising is fading; you are presentable-ish.
Weeks 2–3Most people go back to normal life. Others stop noticing.
Weeks 6–12The shape reads as normal to everyone around you.
Months 6–12+The tip keeps refining. Thick skin and revisions take longer.

Book with a named surgeon, not a call center

Rafael Ramos, MD
Rafael Ramos, MD
Facial aesthetics · Cleveland Clinic-trained
Rhinoplasty and deep plane facelift
Cleveland Clinic fellowship training
Peer-reviewed facial surgery author

“A face has to work on your bone structure, not on someone else's. If what you are asking for will not sit right on you, I will say so.”

Book with Dr. Ramos
★★★★★

“Dr. Ramos spent forty minutes on my nose before mentioning surgery. He fixed my breathing and nobody can tell I had anything done.”

Andrés L. · Coral Gables · April 2026
★★★★★

“I wanted to look rested, not tight. That is exactly what I got. My own sister asked if I had changed my hair.”

Patricia S. · Coconut Grove · February 2026

Answered by our surgical team

Questions about rhinoplasty in miami

How much does it hurt, and what will I be given for it?

Rhinoplasty surprises almost everyone with how little it hurts — the real discomfort is congestion, not pain. You are asleep under general anesthesia with a board-certified anesthesiologist and you leave with a written pain plan.

When will my nose look final?

You look presentable in about two weeks and the shape reads as normal to other people by six weeks. The tip keeps refining for a full year, longer with thick skin or after a revision. Any surgeon promising a final nose at one month is describing swelling.

Will it affect my breathing?

It should improve it, or at minimum protect it. A deviated septum or collapsed valve is corrected in the same operation.

Can I bring a photo of the nose I want?

Bring several, and bring noses you dislike too — that tells Dr. Ramos more. What he will not do is copy a nose that cannot sit on your bone structure, and he will say so.

Do you do revision rhinoplasty?

Yes, including cases from other surgeons. Revision is technically harder, often needs grafting and is planned in stages. Expect a longer conversation and a longer timeline.

See all Facial Plastic Surgery

Coral Gables · Virtual consults available

Ready when you are

A Surgery Consultant calls you back the same day — bring your questions, that is what the consultation is for.

Or reach us now: 305.960.7511 · WhatsApp

Mon, Tue, Thu 9–5 · Wed 9–6 · Fri 9–2 · Hablamos Español

Rhinoplasty consultation
A consultant calls you back the same day.
Submit before 3pm and a Surgery Consultant calls you today.