Facial Plastic Surgery Procedures Eyelid Surgery Treatment Rhinoplasty Skin and Facial Rejuvenation Before and After Photos

Get your best skin yet in 2017

There are several things that we know for certain about the skin.  One is that as we age, skin begins to thin due to a loss of collagen and elastin, resulting in fine lines and wrinkles.  We also know that brown and red discoloration start to appear along with a dull, uneven complexion.

Throughout his years in practice, Dr. Karam has seen firsthand that slowing down and even reversing these changes is absolutely possible.  So what does it take?  The answer is actually pretty simple (it takes constant stimulation in the skin).  Here at Carmel Valley Facial Plastic Surgery, we know that through a combination of targeted in-office treatments and medical-grade skin care products, we can successfully prevent and reverse the signs of aging in the skin.  Our complimentary anti-aging consults allow us to create a holistic, long-term maintenance plan that is unique to your age, genetics, and lifestyle.   These consults are followed with regular evaluations and assessments to revise the plan and keep you in control, and looking young forever.

The beginning of a new year is always a great time to start fresh, especially with a new, proven regimen that keeps your skin looking bright and rejuvenated.  To set up your own personalized, anti-aging consult call us today!  We look forward to helping you start out 2017 with a bang!

A perfect blend between effective natural restoration, safety, and ultimately un-detectability

By Dr. Amir M. Karam

Aging is not fun for anyone. It starts in the 40s and accelerates with each passing year. The changes that result from aging universally have an unfavorable effect on appearance and self-image. The fact that they happen so quickly (over a period of 2-3 years) and so early, at a point when most of us still feel great and see ourselves as young and vibrant, makes it especially difficult to accept. Not just because of our vanity but mainly because it leaves us looking so different than the way we feel on the inside.

This is what I hear every day as our patients come in to discuss ways to help them restore their appearance or prevent aging from happening in the first place. Yes, both are possible. Let’s face it, wanting to look our best is a normal feeling. Not being comfortable with the fact that aging invariably leaves you looking tired, drawn, and less attractive is also a normal feeling that shouldn’t make you feel guilty. Believe me, you are not alone. What it comes down to is if you are not happy with how your youthful appearance is slipping away and there are procedures that can safely restore it without changing it, why not do it?

One major concern patients have is safety. No one wants to risk their life or risk having major complications in order to have a cosmetic procedure done. To avoid any anesthetic related risk, we perform our procedures under local anesthesia with sedation. This means you don’t have to be put under general anesthesia, and therefore, essentially all of the serious risks associated with surgery are eliminated. This is really important. All of our procedures are performed in our highly accredited (JCACHO/Medicare) surgical center, which allows us to train our nurses and surgical technicians in the highest standards of care and perform the procedures in a clean and monitored setting.

In addition, the technique that we use is perhaps the safest face and neck lift approach available. Tightening the loose muscles is paramount to an enduring and effective outcome. Doing this without risking facial nerves or poor scaring is a major advantage of our technique.

Another major reason that people shy away from face and neck lifts is fear. For many people, they fear that they will look like they have had something done. What does that mean? For those of us who have been horrified by the look of the man or woman sitting at a table in a restaurant who looks like they have just been through a wind tunnel, we assume that that is what happens when someone tries to go head to head with Mother Nature and get a facelift. The typical reaction is no thank you… I would rather look old. I don’t disagree. I hate that look as much as anyone… but I also know that this isn’t the result of the facelift but a result of who did their facelift and which technique they used.

If you knew that you could have a face and neck lift, get rid of the hanging jowls and turkey neck, and restore your facial shape back to its youthful heart-shaped configuration without anyone ever knowing because you don’t look even slightly different just refreshed, would you do it? Of course, why not?

So what makes our facelift so different?
Although there have been many technological advancements made in the field overall, the gold standard for treatment of the aging jawline and neck remains surgical in nature. The face and neck lift is still the best treatment for full correction, but not all facelifts are the same.

Historically, the technique used for facelifts was to pull the face sideways toward the ears. This causes the face to stretch in an unnatural direction and leads to a pulled, unusual look. This also doesn't do anything to lift the neck back into its original, youthful position. Unfortunately, this is still what you learn if you open just about any facelift textbook. Since most surgeons do what they were trained to do, this style of lift is still the most common technique used.

Our Short Incision Vertical Face and Neck Lift, starts with the concept that things need to go back where they came from. Simple as that. Following that principle, we simply restore the facial shape back to its youthful configuration by lifting it up in a vertical direction not horizontal. There will be no change in identity. The face will look the way it had prior to the onset of jawline and neck laxity. Who wouldn’t want that?

In summary, the Short Incision Vertical Face and Neck Lift is an outstanding way of restoring the facial shape back to its youthful, refreshed look, without the risk of changing your identity, looking like you have had work done or exposure to serious complications. This is a technique that I have performed over a thousand of times over the last 10 years and it never lets me or our patients down. Family members, spouses and friends frequently remark on how refreshed the person looks without ever being able to guess that they have just had a facelift. Emotionally, patients always express the boost in confidence that they experience as a result of looking their best, and more importantly, looking as youthful and fresh as they feel. That is perhaps the most exciting and rewarding part of our work- seeing the positive emotional impact facial rejuvenation creates.

Board certified facial plastic surgeon in San Diego, California Dr Amir Karam and Carmel Valley Facial Plastic Surgery also known as CV Plastic Surgery - is a leading provider of innovative and individualized aesthetic and reconstructive surgical, non-surgical and preventative facial treatments. Founded by notable and accomplished facial plastic surgeon Dr. Amir M. Karam. Dr. Karam’s surgical experience is unparalleled, performing over 250 facelifts, over 150 rhinoplasties, over 350 eye rejuvenation treatments and over 350 fat transfers each year, all in the safest possible manner and under local anesthesia. He is also in the top 3% of injectable practitioners in the entire US, and among many other accolades has been voted “Best Cosmetic Surgeon in San Diego” by Ranch & Coast Magazine 5 years in a row. Double board-certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology, patients fly in from around the country and abroad for his advanced techniques in:   The entire team at Carmel Valley Facial Plastic Surgery located in San Diego take pride in spending time with each patient to ensure they receive the best possible experience. It is this compassion and dedication alongside Dr. Karam’s unmatched experience that has made Carmel Valley Facial Plastic Surgery one of the most innovative facial rejuvenation centers in the country.   Directions from South San Diego/SAN Airport: Take I-5 North or I-805 North (805 will merge into the 5) to the Carmel Valley Road exit and make a right heading east. Then make a left onto El Camino Real and then a right onto Valley Centre Drive. At the first light, make a right onto Kilroy Centre Way. Make a right at the stop sign, parking will be available on the right and we are the two-story building directly across from the Double Tree Hotel. Directions from North San Diego/Los Angeles: Take I-5 South to the Carmel Valley Road exit and make a left off the exit. Then make a left onto El Camino Real. Then, make a right onto Valley Centre Drive. At the light, make a right onto Kilroy Centre Way. When you come to the stop sign make a right and parking will be available on the right. We are the two-story building directly across from the Double Tree Hotel. Directions from the 15 or East: Take 56 West and exit El Camino Real, then make a right off the exit. Make a right onto Valley Centre Drive. At the light, make a right onto Kilroy Centre Way. When you come to the stop sign make a right and parking will be available on the right. We are the two-story building directly across from the Double Tree Hotel. https://plus.google.com/+AmirMKaramMDSanDiego/about Carmel Valley Facial Plastic Surgery
11943 El Camino Real #100San Diego, CA92130
Phone: (858) 259-3223
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When deciding to undergo facial rejuvenation or have a resurfacing laser or peel, pre-conditioning the skin can vastly improve procedure outcomes and lessen downtime. Here at Carmel Valley Facial Plastic Surgery, we pre-treat patients with the ZO Multi-Therapy Hydroquinone System (HQ Kit) and Retinol consistently, for approximately 4-6 weeks, before such procedures. The purpose is to help prevent any potential post-inflammatory skin discoloration as a result of the treatment. Also, skin that is healthy heals faster and allows for a more even treatment result.

In addition to being used as a pre-conditioning regimen for treatments, the kit is also perfect as a corrective boot camp for those looking to jumpstart their skincare regimen at home. For patients dealing with stubborn hyperpigmentation, uneven texture, and just overall sun damage, this system is exactly the extra push that their skin needs.

This amazing kit contains the following 5 travel size products: 2 forms of 4% hydroquinone (Melamin / Melamix), Glycogent (an exfoliation accelerator), Ossential Daily Power Defense (a potent DNA repair with antioxidants), and a SPF. This kit is designed to work best when combined with a retinol product in order to enhance overall product penetration.

Call our office today and schedule a complimentary anti-aging skincare consultation to determine if this system is right for you!


In our modern world of social media and reality tv, we’re all too often exposed to aesthetic procedures gone awry—particularly when it comes to dermal fillers. We’ve all seen it, on our screens and on the streets: overly plumped lips and projected cheeks that leave the face looking disproportioned and unnatural. So often our reaction to such shocking results is to blame the procedure, rather than the techniques and hands behind it. The truth is, fillers are a great option for treating volume loss and can create beautiful and completely natural-looking results. We know that volume loss doesn’t occur in only one area but across various regions of the face as we age. Dr. Karam's solution, based on his unparalleled experience and expertise with fat transfer, is an innovative and comprehensive approach. Taking the entire face into consideration, he injects small amounts of filler into several different areas, creating a natural-looking, youthful, refreshed appearance. Call today and let us help you schedule your very own comprehensive evaluation with Dr. Karam!
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We are excited to announce that Dr. Karam has been invited to share his unparalleled knowledge and experience with his peers at the upcoming American Academy of Facial Plastic and Reconstructive Surgery meeting this month. He will give two facial rejuvenation lectures and serve as an expert on a panel discussing ways to avoid complications during facelift surgery. The American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) is the largest organization in the world devoted to facial plastic surgery. Founded in 1963, more than 2,500 facial plastic and reconstructive surgeons across the globe hold memberships to the esteemed association. Once a year the AAFPRS gathers for a four-day event to discuss innovations in the field and share their specialties with their colleagues. This year’s fall conference will take place in Nashville, Tennessee. The conference will be broken down into several series, each with panels and lectures on the industry’s most important and complex topics. As an expert in the field specializing in facial rejuvenation and rhinoplasty, Dr. Karam has been asked to share his experience (which includes an astounding 350 fat transfers, 350 eye rejuvenations, 250 facelifts and neck lifts every year) and the innovative approaches he uses regularly as part of his Facial Rejuvenation practice. He will speak on his technique for achieving youthful eyes by way of Lateral Brow Lifting (browpexy) with Temporal Fascia Fixation and the advantages of perioral Erbium:YAG laser resurfacing as a way to remove the lines around the mouth. Dr. Karam will also be on the Facelifting panel with three other revered facial plastic surgeons. In this groundbreaking panel, a moderator will probe Dr. Karam and his peers with in-depth questions, prompting them to share their facelift style and techniques geared toward ways of avoiding complications. At the terminus of the panel, attendees will have the opportunity to ask their own questions of the experienced surgeons.
The eyes are the window to our soul and the part of our face that most people are looking at during day-to-day conversation. Age affects our eyes in a variety of ways.  Along with volume loss and sagging, that is best addressed with a combination of surgical and non-surgical treatments, we also begin to see changes in the texture and thickness of the skin around the eyes.  With consistent use of  medical- grade eye creams containing retinol and growth factors, we can prevent and reverse aging by thickening the skin and smoothing the texture around the eyes. latisse_before-after Another common age-related concern is thinning of eyelashes.   Many of us try to disguise this problem by using false eyelashes or eyelash extensions.   Why are these options not ideal?  They can often be uncomfortable and can result in damage to your natural lashes.  Latisse is an amazing alternative for those of us wanting to accentuate our eyes and keep them looking young and fresh.  Latisse promotes growth of your natural lashes making them longer, fuller, and in some cases darker, in only 8 to 16 weeks. To learn more about these simple ways to keep your eyes looking youthful and refreshed, call our office  to set up a personalized anti-aging consult with one of our aesthetic experts! Save
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