Dr. Joaquin Ayala Del Muro has performed 7,000+ plastic surgeries over 33 years with zero fatalities or lawsuits – specializing exclusively in facial procedures. Rhinoplasty at Hospital de la Familia typically costs around $4,400, covering surgery, anesthesia, pre-op tests, medications, and transport from San Diego. The clinic holds Consejo de Salubridad General accreditation. Dr. Ayala trained under Ivo Pitanguy in Brazil and offers full English-language consultations.








