The main reason for this is that it is extremely effective and the results are permanent. Dr. Karam’s repeated successful outcomes are a result of his artistry, meticulous technique, and experience with this procedure. We perform this procedure alone or in conjunction with other facial rejuvenation procedures such as facelifts and eyelid surgery (blepharoplasty) in our private operating room. The key to success is highly based on the surgeon’s experience and technical abilities. Dr. Karam is among the most experienced facial fat transfer surgeons in La Jolla and throughout San Diego, not to mention the rest of the country.

Carmel Valley Plastic Surgery

The Problem

As we age, the fat pads in our face—which give us a soft, youthful fullness—diminish. This causes the face to look deflated and drawn when compared to the full roundness of a younger face. Especially around the eyes, hollows and contour changes leave the face looking older and more tired.

Volume loss is one of the earliest signs of aging. It starts to occur in the mid '30s and continues to progress. Until recently, this component of facial aging was overlooked. We are now realizing what a major contribution volume makes to looking younger, healthier, and more energetic.

The Treatment

One of the oldest dictums in plastic surgery is “replace like with like.” When it comes to facial volume loss, our micro fat transfer in San Diego is the treatment of choice. In the comfort of our sterile operating room, we use a gentle liposuction technique to prepare the fat for transfer. Then the fat is injected into the desired portion of the face, using a micro injection technique.

This approach allows extremely small parcels of fat to be placed into multiple layers of the face. This maximizes potential survival and allows for optimal aesthetic outcome.

In Dr. Karam’s practice, this is done most commonly around the hollows and grooves of the lower eyelid region and cheeks. Another common area is around the mouth and jawline. It can also be done throughout the entire face, giving it a natural rejuvenation.

Injectables: The Process by Dr. Amir Karam at Carmel Valley Facial Plastic Surgery in San Diego

Injectable Treatments

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Post-operative Course

Other than a very small incision at the fat harvesting site, no incisions are made in the face. The most common post-procedure issues are swelling and bruising. This is often minimal and resolves in 1-2 weeks. Patients usually return to normal activity within a week. The more regions of the face that are treated, the more time it takes for the swelling to settle.

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Reviews

Francine M.

"I had a vertical restore at age 65 with Dr Amir Karam. It has been a little over a year and I am delighted with the results. Some of my friends have not even noticed - I just look rested. Dr Karam will provide you with all the information and supplements that you need to make the procedure and the recovery time as comfortable as possible. I usually bruise very easily but with the supplements that were given to me prior to my procedure and afterwards, my bruises were gone within a week."

"I highly recommend Dr. Karam and would go back to him for anything I might want done in the future. I totally trust his approach and recommendations. You won't be disappointed!"

Kris R.

"I'm one month out from a Vertical Restore with Dr Karam. Dr Karam is an incredibly talented Surgeon. I can barely see my scars already. I also did a laser peel, within 8 days I was wearing makeup and admiring my new jawline and neck. I'm 65 this month and so happy I chose him. He is the best there is. His staff are fun, caring and kind. They made my entire experience so easy. I would not hesitate or even think about going anywhere else. Check out his Instagram account. He does all his content himself. Extremely informative, with many before and after photos. I decided on Dr Karam after researching his Instagram and had made my decision before we had even met."

Janice S.

"Dr Karam is a great surgeon, a true artist and a wonderful human being. He has done 2 procedures on me over the last 3 years. Both with excellent results. His fat transfer and his lip lift technique are extraordinary. I wouldn't think of going to anyone else and I would highly recommend him to anyone who is looking for the best."

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