Dr. Amanda Holden welcomes Dr. Kian Karimi, a double board certified facial plastic and reconstructive surgeon based in Beverly Hills, to Holding Time Back for a thoughtful conversation on mastery, ethics, and aging with intention. Known globally for his work in rhinoplasty, facial rejuvenation, and medical education, Dr. Karimi brings a rare blend of technical excellence and psychological insight to aesthetic medicine.

He reflects on his early life as a first generation American and how discipline, curiosity, and surrounding himself with people smarter than him shaped his drive. From graduating medical school at 23 to pursuing some of the most competitive surgical training pathways, his journey is rooted in challenge, growth, and lifelong learning.

At the center of the episode is rhinoplasty, which Dr. Karimi describes as both the most complex and most psychologically sensitive facial procedure. He explains why the nose carries such emotional weight, how to identify patient red flags, and why ethical responsibility must guide every surgical decision. His philosophy prioritizes harmony and identity over dramatic change.

The conversation also explores how his practice balances surgery with injectables, bio stimulatory treatments, and regenerative approaches. Dr. Karimi emphasizes thoughtful pacing, patient education, and adaptability as the industry shifts toward more natural outcomes.

The episode closes with a look ahead at innovation and mentorship. For Dr. Karimi, holding time back is not about chasing youth, but about respecting anatomy, psychology, and trust at every stage.

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