The main reason for this is that it is extremely effective and the results are permanent. Dr. Karam’s repeated successful outcomes are a result of his artistry, meticulous technique, and experience with this procedure. We perform this procedure alone or in conjunction with other facial rejuvenation procedures such as facelifts and eyelid surgery (blepharoplasty) in our private operating room. The key to success is highly based on the surgeon’s experience and technical abilities. Dr. Karam is among the most experienced facial fat transfer surgeons in La Jolla and throughout San Diego, not to mention the rest of the country.

Carmel Valley Plastic Surgery

The Problem

As we age, the fat pads in our face—which give us a soft, youthful fullness—diminish. This causes the face to look deflated and drawn when compared to the full roundness of a younger face. Especially around the eyes, hollows and contour changes leave the face looking older and more tired.

Volume loss is one of the earliest signs of aging. It starts to occur in the mid '30s and continues to progress. Until recently, this component of facial aging was overlooked. We are now realizing what a major contribution volume makes to looking younger, healthier, and more energetic.

The Treatment

One of the oldest dictums in plastic surgery is “replace like with like.” When it comes to facial volume loss, our micro fat transfer in San Diego is the treatment of choice. In the comfort of our sterile operating room, we use a gentle liposuction technique to prepare the fat for transfer. Then the fat is injected into the desired portion of the face, using a micro injection technique.

This approach allows extremely small parcels of fat to be placed into multiple layers of the face. This maximizes potential survival and allows for optimal aesthetic outcome.

In Dr. Karam’s practice, this is done most commonly around the hollows and grooves of the lower eyelid region and cheeks. Another common area is around the mouth and jawline. It can also be done throughout the entire face, giving it a natural rejuvenation.

Injectables: The Process by Dr. Amir Karam at Carmel Valley Facial Plastic Surgery in San Diego

Injectable Treatments

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Post-operative Course

Other than a very small incision at the fat harvesting site, no incisions are made in the face. The most common post-procedure issues are swelling and bruising. This is often minimal and resolves in 1-2 weeks. Patients usually return to normal activity within a week. The more regions of the face that are treated, the more time it takes for the swelling to settle.


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