General Philosophy
At Carmel Valley Facial Plastic Surgery in San Diego California, we recognize that no
single technique is a remedy for everyone. We understand that the best results come from considering
each patient's unique needs combined with the latest and safest surgical and non-surgical techniques
available.
Education
You don't have to guess which surgical or non-surgical technique would work best for
you at Carmel Valley Facial Plastic Surgery. As part of each consultation, we provide you with an
education on the current techniques that are available for your problem and recommend the right
combination to produce the best results.
Communication
At Carmel Valley Facial Plastic Surgery, our consultations are directly with the
surgeon and include an open dialogue about your hopes and expectations. This is a critical part of
a happy outcome of any treatment.
How we choose your treatment
There are so many new and different treatments available now. Even more fascinating
- there are also different ways to perform each treatment. Given this great variety, the surgeon's
techniques have become as unique as the treatments and the right combination can produce stunning
results. We use these four factors as a basis for choosing the right path for you:
Safe: Safety is always first: Which procedure offers the least risk
for the greatest gain?
High Impact: We take pride in creating real change that meets the patient's
expectation.
Natural Appearing: You will look fresher and younger but no one will know how.
Lasting: Results that provide a lasting effect over time.
Our combination of education, communication and unique treatments results in extremely
rewarding results for you.
Treating Aging
Are you interested in looking more refreshed or less tired? Or would you rather truly
look younger? How much downtime can you afford? How willing are you to undergo surgery? Perhaps you
would prefer a non-surgical treatment?
The beauty of today's anti-aging treatments is both their wide variety and the surgeon's
ability to perform them in unique ways. The choices are almost infinite and now, more than ever, you can
control your results based on your wants, needs and budget. These days, there is literally something for
everyone.
The key with anti-aging treatments is picking the right one for you. Facial aging is a
complex process. Spas and other non-surgical facilities often encourage repetitive, non-surgical
treatments when surgical treatments would work better and perhaps even cost less in the long run. Also,
some surgical centers encourage surgical treatments although non-surgical techniques would meet your
needs. At Carmel Valley Facial Plastic Surgery, we take a holistic approach and consider all of the
options when consultant with you. You have a unique needs and aging issues and deserve a unique
approach that will make you happiest with your results.
What causes the appearance of aging?
There are four components of our face that are undergoing changes all at the same time.
These components can be aging at different rates and need to be addressed directly to achieve a natural
and effective rejuvenation.
The four components are:
Skin The skin begins to thin, wrinkle, and become discolored as a result
of genetics, time, and environmental factors such as sun exposure and smoking.
Volume During youth our faces have a soft fullness that relates to the
thickness of the fat layer under our skin. As we age, the fat begins to thin, leading to hollowing under
our eyes and cheeks for example. The face looses its soft fullness and this can be one of the most
telling signs of aging.
Sagging This is what most people think about when they think of aging.
The loss of a crisp jawline and youthful contour of the neck is a major concern for most prospective
patients.
Facial Bones With time we see a loss of bone, especially in the region
of our cheek bones, and chin. The bones of our face serve to hold up our skin and soft tissue. As the
bones lose fullness, the chin and cheeks begin to drop, leading to further impression of sagging.
At Carmel Valley Facial Plastic Surgery, we discuss all four of these factors with you
to develop a plan that is consistent with your goals. By having the ability to perform the entire range
of both non-surgical and surgical facial procedures, we have the unique
and unbiased ability to counsel and guide you to the best choice to achieve the best results.
Rhinoplasty and Revision Rhinoplasty
Have you ever met anyone who wanted their nose to be the focal point of their face? Of
course not. That's why the goal of rhinoplasty isn't just to make the
nose look better - it should also make the rest of the face look better too.
What you like
If you are interested in rhinoplasty, then you probably already know what you like and
don't like about your nose. At Carmel Valley Facial Plastic Surgery , we your likes and dislikes are
only the first step of the surgical process.
Proportions
Think of some people that who are famous because of their noses. Would you want a nose
just like them? Are they famous for their nose because it looks good? The answer to this question is
always no. Think of some people who are famous because of their beauty. You rarely can make out the
details of a beautiful person's nose. You only remember them as beautiful because their nose is
proportional.
This is why proportion is so important. When considering rhinoplasty, what you really
want is a nose that is balanced and in harmony with the rest of your face; one that is naturally
enhanced to improve the look of your face. At Carmel Valley Facial Plastic Surgery, we consider our
unique surgical plan designed just for you and the proportions of your face to be a critical part of
the success of your surgery.
Revision Rhinoplasty in San Diego
Revising and correcting noses that have had previous surgery is both very challenging
and very rewarding. This subspecialty of rhinoplasty surgery not only
requires an ability to improve the look of the face, but also an intimate understanding of how the
nose functions and how to correct difficult functional problems.
If you have had rhinoplasty and are unhappy with it, you likely are feeling very
emotional and also feel like your quality of life is been severely affected. At Carmel Valley Facial
Plastic Surgery , Dr. Karam takes great pride in handling every revision rhinoplasty case personally.
He understands both the emotional and physical trials involved in having multiple surgical operations.
Dr. Karam is a top facial plastic surgeon, 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
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Dr. Karam voted
"2010, 2011, 2012, 2013
Best Cosmetic Surgeon"
Ranch and Coast Magazine
Readers Choice Award
Contact Dr. Karam
