Holistic Eye Rejuvenation with Dr. Karam

Youthful eyes positively sparkle, looking refreshed and alive, but aging can cause a combination of changes that result in excess skin of the upper and lower eyelids, puffiness or bags of the lower eyelid, sagging of the corners of the eyebrows, and loss of volume around the eyes, temples, and cheeks. Our eyelid surgery in La Jolla can give you that bright and youthful look again.

As the skin thins in this region, fine lines and wrinkles start to form, further aging your appearance. This sagging, coupled with deflation, results in a hollow, sallow, and fatigued look consistent with an aged appearance. These changes typically start in the mid-to-late 30s and progress rapidly throughout the 40s and 50s.

Our total eye rejuvenation procedure is a great way to address these issues and can be combined with a number of other facial aging treatments as part of Dr. Karam’s highly customizable Vertical Restore procedure. To learn more, reach out and set up your consultation with a member of our team today!

Carmel Valley Plastic Surgery

Is Eye Rejuvenation Right for Me?

Our comprehensive eye rejuvenation program can help alleviate many problem areas associated with aging. Eye rejuvenation is a great solution for those interested in:

  • Eliminating that aged, tired look
  • Looking fresh and energetic
  • Improving dark circles
  • Removing bags under the eyes
  • Restoring the plumpness of youth
  • Returning the skin and brows to their original position
  • Recovering the self-confidence of younger years

Preserving Your Youthful Appearance

It is important to note that when people look at your eyes, they don’t just see the upper eyelids or lower eyelids. They see the entire region around your eyes, including the skin, the hollows and dark circles beneath the eyes, and the sagging eyebrows. Gone are those sparkling windows to the soul, replaced by fatigued and shaded eyes. Our San Diego eye rejuvenation surgery may be one of the most high-impact methods of facial rejuvenation.

Traditional approaches focus on blepharoplasty, or eyelid surgery in which skin, muscle, and fat are removed in order to sculpt the eyes. In reality, the results of this procedure often make eyes look older and simply different, not better. This misses the entire goal of eyelid surgery, which is to make the eyes look refreshed and revitalized. Dr. Karam brings years of experience to the table and can create results that truly bring out your naturally youthful qualities.

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Our Holistic Approach

Our preferred method for total eye rejuvenation takes a comprehensive and holistic approach to the treatment of the various changes affecting this region.

The first step is a thorough assessment of the periorbital region. Aging of the eyes results from a combination of changes to different components around them. Careful evaluation of these changes is the first step toward a true and meaningful eye rejuvenation that will leave the eyes looking bright, healthy, fresh, and natural.

Before & After

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The Three Components of Preorbital Aging

  • Skin lines and wrinkles, thinning, and loss of elasticity
  • Volume loss, and the presence of hollows and shadows
  • Sagging excess skin of the upper and lower eyelids
  • Presence of bags underneath the eyes
  • Hooding of the outer corners of the eyes as a result of lateral eyebrow sagging
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Volume Loss

When we lose the fat layer along the lower eyelid region and upper cheek, the eyes begin to look hollow, which gives the impression that we’re fatigued and aged. An important and highly-emphasized part of our eye rejuvenation philosophy is volume restoration with fat transfer.

Fat Transfer

This treatment complements our surgical procedures nicely and is performed alongside nearly every rejuvenation case (approximately 350 cases per year) to restore the lost volume surrounding the eyes. This results in long-lasting and natural volume restoration.

Adding volume is the most effective and important way to rejuvenate the eyes. Without it, the skin and sagging may look better, but the eyes will never have that refreshed and youthful look. Commonly filled areas include the: 

  • Temples
  • Upper eyelid
  • Eyebrows
  • Lower orbital rim
  • Tear troughs
  • Upper cheeks
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Advantages of Comprehensive Eye Rejuvenation

  • Total rejuvenation of the entire region around the eyes
  • Balance and harmony of the eyes
  • Consistency and reliability
  • Low complication rate
  • Long-lasting results (10+ years)
  • No change in eye shape or change in facial features
  • Performed under local anesthesia with IV sedation; no need for general anesthesia
  • Two-week downtime
  • Ideal balance between excellent and natural results, low risk, and brief recovery

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Anesthesia

Perhaps one of the biggest advantages, from a safety standpoint, is that these procedures can be performed under local anesthesia with IV sedation. With this technique, patients are comfortable and moderately sedated. Most patients choose this method to avoid any of the risks associated with general anesthesia.


Our facility is also fully equipped for general anesthesia, for patients who might prefer it. All surgical procedures are performed in our accredited and certified (JCAHO) surgical center, the Carmel Valley Surgical Center, located within the suite. This San Diego surgical center offers the highest level of safety and state regulations for outpatient surgery.

Highly-trained and experienced surgical techs, medical assistants, nurses, and a board-certified anesthesiologist all work together to create the safest and most comfortable experience possible, and the Carmel Valley Surgical Center is home to two state-of-the-art surgical suites and a recovery center. 

Our rooms are equipped with the best equipment and the latest instruments, and the center also has a separate entrance and exit from the main office, allowing our patients to undergo their procedures in privacy. Your comfort is always our priority during your time with us.

Recovery After Total Eye Rejuvenation

Recovery is primarily related to swelling. Bruising is not commonly seen in our patients, although it is a possibility. The typical recovery period lasts between 10 and 14 days.

We recommend planning to take two weeks off of work or social engagements, so you can give yourself sufficient time to heal. 

Although healing is not completely finished after two weeks, most patients are sufficiently healed and can return to work and other social occasions. Minor swelling will continue to improve steadily for up to one year following your procedure. Exercise can be resumed between three to four weeks following surgery, depending on the nature of the activity and the degree of swelling involved.

What to Expect in Terms of Your Results

There are a variety of positive results you can expect from your eyelid rejuvenation procedure, including:

  • A more youthful and natural-looking appearance
  • Elimination of hooding and heaviness in the eyelids
  • A full and healthy upper lid complex (no longer skeletonized, harsh, or bony)
  • Eradication of under-eye bags
  • Long-lasting outcomes that mirror your genuine, younger self
  • The return of self-confidence
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Why Choose Dr. Karam for Your San Diego Eye Lift?

An average board-certified facial plastic surgeon performs approximately 20 eyelid and brow procedures annually. Dr. Karam, on the other hand, performs over 350 every year (over 400 performed).

Dr. Karam is double board-certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. Extensive experience translates to more natural results, more consistency, and less variability, plus a distinct knowledge of different ethnicities and facial types and how to change the techniques to best suit the particular facial structure. Dr. Karam’s careful and intentional approach ensures that no one changes their identity, but rather simply looks refreshed and youthful.

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