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Effortlessly re-contour your neck, for a more attractive, youthful, and slimmer profile

Excess fat under the chin (submental fat) is among the most common cosmetic issues that patients report when they first visit a plastic surgeon. This annoying trait (often inherited) can make a person look older, heavier and less attractive than they would otherwise. Worse yet, this fat under the chin does not typically respond to changes in diet and exercise as other parts of the body tend to do.

The stubborn, unwanted fat beneath the chin has notoriously been among the most difficult areas of the body to treat cosmetically. Now, thanks to the innovative, FDA-approved injectable, Kybella, patients are enjoying a slimmer, more streamlined profile and a huge boost in their self-confidence.


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How is Radiesse formulated to achieve its stunning results?

Radiesse relies on the power of calcium hydroxylapatite (CaHA) molecules that are suspended in a gel-like substance. They work to hydrate the skin, while simultaneously helping to boost the body’s production of collagen.

What is the procedure like?

Dr. Karam or a member of the team will meet with you beforehand to go over all the details of your treatment and answer any outstanding questions. They will discuss topics such as costs and financing; recovery; risks; and of course your final results. For optimal results, 2-4 treatments are required.

On the day of the procedure, the provider will create a grid with a surgical pen beneath your chin, detailing the exact strategic points to be targeted. He will then use an ultra fine needle to make anywhere from 14-55 injections. This will take approximately 20 minutes to complete, so you can be in and out of our San Diego offices during your lunch break!

Before & After

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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