Facial surgery · Face

Rhinoplasty in Tijuana

Nose surgery with a board-certified plastic surgeon: facial proportion and, when it applies, breathing function — in a hospital setting and with bilingual care.

Dr. Alfredo Chama Naranjo, board-certified plastic surgeon, professional portrait.
  • CMCPER, Board Certification No. 2607
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    CMCPER Directory (directoriocirugiaplastica.mx)
    Identifier
    CMCPER, Board Certification No. 2607
    Last verified
    Jul 29, 2026
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  • Verified in Motiva's official surgeon locator
  • Hospital setting · Hospital MAC
  • Bilingual care · ES / EN

What it is

A nose that works with your face, not against it

Rhinoplasty is nose surgery. It can work on the bridge, the tip, the nostrils, and — when the case requires it — the internal septum. It's among the most technical facial surgeries because it doesn't change an isolated feature: the nose sits at the center of the face, and any adjustment changes how the eyes, cheekbones, and chin read against one another. That's why it's planned individually, with the proportion of your own face as the reference, not a generic mold.

Primary rhinoplasty

The first surgery on that nose. It works on the bridge, the tip, and, when it applies, the septum — based on what your anatomy shows and what you want to achieve. It's the starting point for most cases.

Ultrasonic (piezoelectric) rhinoplasty

Uses an ultrasonic instrument to sculpt the nasal bone with more precision than the traditional chisel and mallet, better respecting the soft tissue around it. It usually translates into less bruising and swelling in the bony area. Not every case requires it: Dr. Chama determines whether your structure benefits from this technique in your assessment.

Secondary (revision) rhinoplasty

Surgery on a nose that's already been operated on, whether by Dr. Chama or another surgeon. It works on scar tissue, weakened cartilage, or results that didn't meet expectations — functional, aesthetic, or both. It's almost always more complex than a primary because the original anatomical map has already changed.

Which variant applies to your case — primary, ultrasonic, or secondary — isn't chosen from a catalog: it depends on whether you've already had nasal surgery before, on your bone and cartilage structure, and on whether you're looking for an aesthetic change, a functional one, or both. That's exactly what gets reviewed in your assessment. If your priority is your eyes and not your nose, also learn about blepharoplasty, the other anchor procedure in facial surgery.

Aesthetics and function

The same surgery, two different goals

Most rhinoplasty consultations come from a proportion concern: a prominent bridge, a drooping or wide tip, a nose that doesn't match the rest of the face. But there's a real medical angle that isn't always explained: when the nasal septum is deviated or the nasal valves are collapsed, breathing through one or both nostrils becomes difficult, and that's where the surgery stops being just about appearance.

Some signs there may be a functional component, not just an aesthetic one:

  • Chronic difficulty breathing through one nostril, or both.
  • Sleeping with your mouth open or snoring noticeably due to nasal obstruction.
  • An old blow or nasal fracture that changed how you breathe, not just how your nose looks.
  • A constant "stuffy nose" feeling, unrelated to a cold or active allergies.

None of these signs is a diagnosis on its own: it's confirmed in your assessment, checking the inside of the nose and not just its outer shape. When the plan combines aesthetic work with septum correction, it's called septorhinoplasty. The distinction matters because it changes the conversation — from "I want a different-looking nose" to "I need to breathe better, and while we're at it, we'll adjust the shape" — and both paths are equally legitimate.

Before deciding

What to expect in your assessment

In rhinoplasty, the assessment isn't just looking at your nose from the outside: it includes checking inside your airway before proposing any plan. Nothing gets quoted or scheduled without it — it's a clinical evaluation, not a sales process.

What gets checked

  • Bone and cartilage structure of the bridge and tip.
  • Thickness and elasticity of your skin — determines how much the result can be refined.
  • Position of the septum and airway patency.
  • General medical history and, if applicable, prior nasal surgeries.
  • Whether the goal is aesthetic, functional, or both.

What you'll be asked

  • What specifically bothers you about your nose, from the front and in profile.
  • Whether you have difficulty breathing through one nostril or both.
  • Whether you've had a rhinoplasty before, with Dr. Chama or another surgeon.
  • Medications, allergies, and previous nasal injuries or fractures.
  • Whether you're coming from outside Tijuana, to plan travel timing.

From there comes the plan: which variant, which technique, and a personalized quote — never a generic price. If you'd like the full context first, learn about Dr. Chama's background and certification, or go back to the rest of the practice to see the other procedures.

How it's performed

In a hospital setting

It's generally performed with general anesthesia or deep sedation, at Hospital MAC. The technique — open or closed, with or without septum work — is defined based on your specific plan. For bone structure, Dr. Chama assesses whether your case benefits from the ultrasonic technique versus the traditional chisel. Details are explained in consultation. We don't show images of the procedure itself: the information here is educational.

Recovery

Progressive and in stages

The nose is one of the areas of the body that takes longest to show its final shape: recovery moves through visible stages and others that happen underneath, without showing from the outside. Exact timing varies by patient:

  • First days. You wear an external splint; swelling and bruising around the eyes is normal. Relative rest, sleeping with your head elevated, and local cold help it go down faster.
  • First week. The splint comes off and most of the visible swelling starts to subside. The medical team assesses your progress case by case.
  • Following weeks. Residual bruising and superficial swelling keep going down; returning to physical activity and exercise resumes gradually under medical guidance.
  • Following months. The final shape keeps refining slowly, especially at the tip — the thickest tissue — over several months. It's not a surgery with an immediate result.

In your assessment you receive concrete instructions for your case and postoperative follow-up, in person or remote if you're coming from San Diego or the rest of California.

With honesty

Risks and considerations

Rhinoplasty's most particular risk isn't surgical in the traditional sense: it's time. The final shape takes months to settle, and in revisions, scar tissue makes the surgery more complex than the first time around. Among the other considerations explained in your assessment:

  • Swelling, bruising, and temporary sensitivity — duration varies by patient and can extend several months in the deep tissue.
  • Risk of infection or bleeding, as with any surgery.
  • Temporary asymmetry while swelling on each side goes down at its own pace.
  • Sensation changes at the nasal tip, almost always temporary.
  • In secondary rhinoplasties, greater complexity due to scar tissue and, often, the need for grafts of your own cartilage.
  • The result depends on your anatomy, your skin, and your recovery process — no two cases are identical.

None of these points replace your assessment with Dr. Chama — they're here so you arrive informed, not so you self-diagnose from a screen. If any of this raised questions, contact us and we'll review it before scheduling.

Frequently asked questions

What patients ask us most

How much does rhinoplasty cost?

The price is defined in your assessment, based on whether it's primary, ultrasonic, or secondary, and on your case's real scope. We prefer to give you a personalized quote rather than a generic price. Message us on WhatsApp and we'll guide you.

What is rhinoplasty?

It's nose surgery. It can work on the bridge, the tip, the nostrils, and the septum, with an aesthetic goal, a functional one (improving breathing), or both at once. The plan is defined with you in your assessment, never beforehand or from a catalog.

How do I know if it's right for me?

That's determined in a medical assessment. Dr. Chama reviews your nasal and facial anatomy, your history, and what you're looking for, and explains options, scope, and limits before any decision.

What's the difference between traditional and ultrasonic rhinoplasty?

The difference is in how the bone is worked: the ultrasonic technique sculpts with an ultrasonic instrument instead of chisel and mallet, with more precision and, generally, less trauma to the surrounding soft tissue. It doesn't replace surgical judgment on cartilage and skin — it's another tool, not a different nose. Whether your case benefits from it is defined in your assessment.

What is a secondary rhinoplasty and why is it different?

It's a revision on a nose that's already been operated on. It's different because the surgeon no longer starts from untouched anatomy: there is internal scar tissue, cartilage that may have weakened or shifted, and sometimes less tissue available to work with. That's why it usually requires more planning up front — and often grafts of your own cartilage to rebuild support.

When is rhinoplasty functional and not just aesthetic?

When there's a real airway obstruction — typically from a deviated septum or collapsed nasal valves — that makes it hard to breathe through one or both nostrils. Sleeping with your mouth open, feeling one side constantly 'blocked,' or noticing that an old injury changed your breathing are signs that get checked in your assessment, not a self-diagnosis.

Can breathing and the shape of the nose be corrected in the same surgery?

Yes: it's called septorhinoplasty when it combines aesthetic work with septum correction. It's a decision made together with you in your assessment, after examining both the inside and outside of the nose.

What gets checked in the assessment?

The bone and cartilage structure, the thickness and elasticity of your skin, the position of the septum, airway patency, your medical and surgical history — including any prior nasal surgery — and whether the goal is aesthetic, functional, or both. That's where the plan and personalized quote come from.

How is it performed?

Generally with general anesthesia or deep sedation, in a hospital setting (Hospital MAC). The technique — open or closed, with or without septum work — is defined based on your anatomy and explained in detail in your consultation.

What is recovery like?

It progresses in stages: the first few days you wear an external splint and swelling and bruising around the eyes is normal; the splint comes off in the first week and most of the visible swelling subsides in two to three weeks. The final shape keeps settling slowly and progressively over several months. Exact timing varies by patient; in your assessment you get concrete instructions.

When do I see the final result?

The major change is noticeable when the splint comes off, but the nose keeps refining gradually as deep tissue swelling goes down. At the tip, which has the most soft tissue, that process can take up to twelve months. It's not a surgery with an immediate result.

What are the risks of rhinoplasty?

As with any surgery: swelling, bruising, bleeding or infection, temporary asymmetry while swelling goes down, sensation changes at the tip that are usually temporary, and in revisions, more technical difficulty due to scar tissue. These are explained in detail, for your case, in your assessment.

Does it leave a visible scar?

In closed technique, the incisions stay inside the nose and leave no visible mark. In open technique, there's a small incision on the columella (the skin between the nostrils) that in trained hands scars discreetly. Which technique applies to your case is decided in your assessment.

At what age is it recommended?

Generally, it's done once facial growth is complete, which is usually mid-to-late adolescence onward, and it's always confirmed case by case. There's no fixed maximum age: it depends on your anatomy and overall health, evaluated in your assessment.

Do men get it too?

Yes. Proportion and breathing function don't discriminate by gender; the plan is adjusted to the patient's anatomy and facial profile, not to a template.

I'm coming from San Diego / California — how does it work?

We coordinate a bilingual virtual consultation for your initial assessment and to answer questions before you travel. Since the splint comes off in the first week, we plan your stay in Tijuana to cover that check-up; follow-up in the following months, while the shape keeps refining, can be done remotely.

Why choose Dr. Chama?

A board-certified plastic surgeon who evaluates the nose as part of the whole face — not as an isolated piece —, operates in a hospital setting, provides bilingual follow-up, and offers ultrasonic rhinoplasty with experience in secondary revisions.

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