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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.


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.


At Carmel Valley Facial Plastic Surgery, our consultations are directly with one of the best plastic surgeons in San Diego surgeon and include an open dialogue about your hopes and expectations. This is a critical part of a happy outcome of any treatment.

Our combination of education, communication and unique treatments results in extremely rewarding results for you.

How we choose your treatment

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.

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:

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 loses 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.

Dr. 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.

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