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Minimally invasive rejuvenation of the complexion with stunning results

When the skin suffers from sun damage, the signs of aging, acne scars and debris, it can affect the entire appearance, creating a negative impression that is difficult to reverse.

Microneedling, also called collagen induction therapy, revitalizes the pores, helping the skin to shed its superficial imperfections for a more youthful, vibrant aesthetic.

Where is the procedure performed?

Microneedling is performed at our state-of-the-art outpatient facility that is fully accredited and outfitted with the most advanced technology and equipment. You will receive personalized attention at our safe, discreet and convenient San Diego location from caring, knowledgeable professionals.

Advantages of microneedling:

  • Helps roll back the clock on aging skin
  • Reduces acne scarring
  • Improves skin texture and tone
  • Safe for all skin types
  • No side effects
  • Easily combined with other procedures
  • No discomfort
  • Minimal downtime
  • Non-surgical and non-invasive

Microneedling with Botox

The infusion and application of our La Jolla Botox cosmetic treatment during Microneedling into the superficial layers of the skin are intended to relax the pores and create a temporary youthful and smooth appearance.


  • Smaller Pores
  • Bright, luminous skin
  • Reduction of fine lines
  • Lasting results between 3-4 months
  • Minimal to no downtime

Microneedling with Filler

Dermal filler with hyaluronic acid can naturally plump and smooth the skin as well as physically adding lost volume. When used with Microneedling treatments, it can help kick-start the collagen production process in the area and encourages skin to heal faster and more efficiently. This results in a much smoother result than when using Microneedling on its own.


  • Reduction of deep wrinkles
  • Reduction and smoothing of acne scarring
  • Lasting results between 4-6 months
  • Minimal to no downtime

Microneedling with Botox & Filler

Benefits of all of the above combined.

What does the recovery from microneedling entail?

Rates of healing will vary from client to client for all cosmetic procedures. That being said, most patients do experience some minor redness and swelling similar to a sunburn for a few days post-procedure. In general, these symptoms pass within the same amount of time.

Why choose Dr. Karam for your microneedling procedure?

Dr. Karam is sought out by clients from San Diego, the US and even those from around the globe for his immense skill and artistry in the field of anti-aging facial rejuvenation. His textbook on facial rejuvenation is used widely by his peers as an authority on the topic, and Dr. Karam contributes frequently to other industry literature about innovative, non-invasive techniques.

Because each aspect of the face and skin is integral in creating a youthful, radiant appearance, he pursues a comprehensive approach that addresses every detail of the client’s anatomy in depth. He may choose to combine microneedling with another anti-aging treatments such as dermal fillers or a non-surgical facelift for a total makeover.

How do I move forward with microneedling?

If you are in the San Diego area and would like to set up a confidential consultation with Dr. Karam, do not hesitate to call our office today. During this session the doctor will address such important topics as costs, insurance and financing; risks and benefits; recovery and downtime; and your final results. He will formulate a unique treatment plan to address your needs and answer all your questions in depth.

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.

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