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Recapture that elusive glow of youth with an FDA-approved filler

While most of us associate the aging process with wrinkles, fine lines and loose skin, the loss of facial volume can be just as devastating to the appearance, causing one to look tired, depleted and disheveled. The youthful fat that once buffered against indentations now gives way to marionette lines, nasolabial folds and sagging jowls.

Juvederm Ultra Plus works to fill in these embarrassing lines, smoothing the skin while boosting diminishing volume. It relies on the power of hyaluronic acid to restore volume, and is formulated with lidocaine, a local anesthetic that ensures total patient comfort during the procedure.


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What will my recovery entail?

Juvederm Ultra Plus has no downtime, and most clients find they can return to their regularly scheduled activities right away. When possible, Dr. Karam suggests that you avoid vigorous exercise, exposure to the sun and alcohol directly after your appointment.

What kind of results will I achieve?

Results are generally seen right after your injections; however, it may take up to two weeks for all attending redness and swelling to completely disappear. Most patients find their Juvederm Ultra Plus changes last up to 12 months. Dr. Karam can also help you to maintain your results longer through regular follow up visits.

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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WE ARE OPEN!View Update Virtual Consultation


We are now open and have resumed services in the office. The safety of both our staff and patients remains our number one priority and with this in mind we have put in new measures to provide the highest level of protection possible to keep our patients and staff healthy and safe.

New Enhancements

  • Patient appointments will be scheduled thoughtfully spaced to reduce the number of people in our office and to effectively eliminate wait times.
  • You will be greeted by a staff member, who will screen all patients and staff that enter our office.
  • We require our staff and patients wear masks throughout your visit.
  • Payments, consents and scheduling will be executed virtually to minimize checkout lines and to expedite the process.
  • We've enhanced our already stringent sanitation protocol to ensure a thorough and continually disinfected and pristine environment.
  • Surgical patients will be required to receive a pre-operative COVID test prior to their surgery date.

We will still continue to provide virtual consultations for our patients around the country and those that prefer to have consultations done from the comfort of their home. Please contact us today to set up your virtual consultation.

IGTV Watch Dr. Karam's May practice update on IGTV »

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