Dermal Fillers and Injections in San Diego Ca offered

Today’s cosmetic patient expects the highest level of care and treatment outcomes. Rightfully, people want results that are both natural and enhancing. We have dedicated ourselves to meeting this demand by not only providing excellent care but also leading the way with innovative applications and teaching others in our specialty- with the ultimate goal of advancing the entire field.

Botox®   |   Hyaluronic Acids   |  Scultpra™   |  Radiesse®  |  Juvederm Voluma®

View injectables before and after photos..
Read testimonials from injectable filler patients..


The key to a natural and effective treatment outcome is based on experience, judgment, and a thorough understanding of the injectable product that is being used. Dr. Karam has extensive experience in advanced and innovative non-surgical facial rejuvenation techniques.

He is frequently invited to lecture at national training courses on the latest uses on injectable products and is a speaker and national trainer for Allergan the makers of Botox, Latisse, and Juvederm. He frequently trains physicians and other allied health professionals around the country on the safe and effect use of non-surgical injectable approaches to facial rejuvenation. He has become the trusted source for excellent and consistent outcomes, with patients consisting of other cosmetic professionals, physicians and industry leaders. His patients travel from throughout the country for their treatments. Carmel Valley Facial Plastic Surgery, is among the highest volume providers of cosmetic injectable treatments, earning the Platinum Provider status, by Allergan.


The American Society for Aesthetic Plastic Surgery ranked BOTOX® Cosmetic as the most popular physician-administered aesthetic procedure in the United States for the fourth year in a row.

Botox® is used to treat unwanted wrinkles on the face and neck. Botox is used to treat dynamic wrinkles (motion wrinkles). These wrinkles are caused by contraction of the facial muscles. After time, this repeated muscle contractions results in permanent wrinkles (static wrinkles). Static wrinkles are defined as lines and creases that remain on the skin even when the face is not moving. Botox has revolutionized our ability to treat dynamic wrinkles of the face. Botox works by decreasing the activity of muscles which produce these wrinkles. Perhaps, one of the most important benefits of repeated long-term treatment is prevention of wrinkle formation. By preventing the dynamic wrinkles from forming, they can not lead to static wrinkles and creases, which are much more difficult to treat once they have occurred.

Botox has been approved by the FDA for treatment of glabellar rhytides (the vertical lines between the brows that appear when you frown), and is used safely to treat horizontal forehead lines as well as the “crow’s feet” around the eyes.

In our San Diego , Carmel Valley / Del Mar office more advanced techniques are preformed in order to treat:

Neck Bands
Downward Turning Corners of the Mouth
Facial Asymmetries
Non-Surgical Eyebrow Lifting
Treatment of Migraines

Patients often comment on how painless and comfortable our techniques are. The effects of botox generally appear in 1-3 days and are fully evident within 1-2 weeks. Effects generally last 3-4 months. Published literature now shows that patients who maintain a schedule of treatments over time may permanently reduce the severity and onset of facial wrinkles.

At Carmel Valley Facial Plastic Surgery, we maintain the highest quality control with regards to storage and dilution of Botox. By minimizing dilution and disposing of unused material after several days, we are able to provide our patients with consistent, long lasting results. All botox injections at Carmel Valley Facial Plastic Surgery are administered by our facial plastic surgeon, Dr. Karam or a skilled, highly – trained nurse.

How Botox Works:

Botox Cosmetic is a purified protein produced by the Clostridium Botulinum bacteria that decreases the activity of wrinkle-forming muscles. This botulinum protein was initially used successfully by Neurologists to treat muscle spasm in the face and neck, and the cosmetic effect of diminishing wrinkles was noticed as a side effect.

Acetylcholine is the neurotransmitter responsible for making muscles contract. The botulinum protein, following injection into the skin and muscle, is absorbed by nerve endings (nerve terminals), where it blocks the release of the neurotransmitter acetylcholine by those nerve endings. After several months, the nerve terminals recover and begin releasing acetylcholine again, and muscle function recovers.

Picture Yourself with BOTOX® Cosmetic

BOTOX® Cosmetic Treatment Visualizer

Side effects of Botox:

Patients often question whether Botox will prevent them from making or conveying facial expressions. The reality is, in well-trained hands, treatment results in creating a more pleasant relaxed expression, while allowing you make natural expressions. The difference is the expression will not result in deep wrinkling and facial lines. This type of result is dependent on the skill, artistry and experience of the individual injecting.

Side effects of the injection are relatively rare in skilled in hands, but may include bruising at the injection site, or temporary eyelid drooping. Patients who are pregnant or breast feeding should avoid treatment, as should patients with any active infection around the injection site. Botox is contraindicated in patients with underlying muscle weakness diseases such as myasthenia gravis.

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Hyaluronic Acids

(Restylane® /Perlane® and Juvederm®)
This class of cosmetic fillers are made from hyaluronic acid, a naturally-occuring substance that provides fullness and volume to our skin. Restylane and Juvederm, are made in the laboratory and therefore has little or no risk of transmitting animal-based disease or allergy. They typically last from six to nine months depending on the site of treatment. Typical applications include:

Nasolabial Folds
Lip Augmentation
Corners of the Mouth

More advanced applications include:
Treatment of hollows around the upper and lower eyelid region (see Non-Surgical Eye Lift section in Periorbital Rejuvenation Section)

Before and after photos of patient that used injections

Before and after photo of patient that used Sculptra

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Facial volume loss occurs as a result of loss of fat beneath the skin, thinning of facial muscles, and loss of bone density. These age related changes can lead to sunken cheeks, hollows beneath the eyes, and other depressions, which contribute significantly to an aged and tired appearance.

Sculptra is an exciting new FDA-approved product designed for correcting facial volume loss (facial lipoatrophy) throughout the face. Sculptra® is a synthetic biocompatible and biodegradable injectable material known as “poly-L-lactic acid.” Poly-L-lactic acid has been widely and safely used for many years in dissolvable stitches and soft tissue implants. It is not a true filler. It works by stimulating production of collagen within the skin. Though Sculptra injection produces an immediate fullness, this fullness disappears over several days. However, the body reacts to its presence by gradually depositing new collagen, leading to thicker, healthier-looking skin. These “final results” take about 4-6 weeks and can be very dramatic. At that point, the patient is reassessed and a second treatment may be given. For anti-aging treatments, typically 2-3 treatments may be required. This “liquid facelift” is performed in the office with local anesthesia and no downtime. Results typically last 2 years and longer!

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Radiesse is an injectable filler that is used for correction of deeper wrinkles and skin defects and may last up to one year. More advanced applications, allow this product to be used to augment the cheeks, giving results that are similar to a cheek implant without the downtime!

Radiesse is made of smooth calcium hydroxylapatite (CaHA) microspheres. The microspheres (particles) form a scaffold through which your body’s own collagen grows, and this produces the long-term effect. Radiesse is especially effective for improving the nasolabial folds and depressions around the mouth and jawline. This products is often used during our “liquid facelift” procedure. Radiesse in injected with local anesthesia in the office, and produces immediate results. There is no significant patient downtime.

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Dr. Amir Karam, who is board certified by the American Board of Facial Plastic and Reconstructive Surgery and American Board of Otolaryngology, offers services in San Diego County including San Diego, Del Mar, Carlsbad, Carmel Valley, Encinitas, Rancho Bernardo and La Jolla in Southern California. If you are ready to schedule an appointment with Dr. Karam contact us today. 858.259.3223

Top Restylane Doctor 2011
Top Restylane Doctor 2011
Top Juvederm Doctor 2011
Top Juvederm Doctor 2011
Top Botox Doctor 2011
Top Botox Doctor 2011
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