31 Years Old - Just Starting to Wrinkle! :/ Carmel Valley, CA

I was referred to Dr Karam by my esthetician, who had nothing but positive things to say about his work. What she told me, which did influence my decision- is that Dr Karam only works on the face. Many plastic surgeons work on face and body, and after she said this to me, I realized that it is true.

I am 31 years old, and at about 29, I started getting fillers under my eyes. Fine lines and wrinkles started plaguing my life and the concealer would get trapped in the lines and I looked tired (dark circles, pronounced nasolabial folds, etc). My esthetician said she could only do so much, and she said that a few of her patients had gone to see Dr Karam for a fat transfer and that the results were stunning.

I went to see Dr Karam shortly afterwards. He is a charming man, very easy to talk to and explain what you want. I went in with 40 different problem areas, and Dr Karam almost laughed a little and told me to stop looking in the mirror so much - haha- totally true. He was not trying to up-sell me. He did not give me false information on what to expect. I was impressed by this, his complete honesty. This made me trust him.

I left his office and thought more about doing the fat transfer. Overall, if the fat sticks, even for 5-10 years, I will save money over fillers. Once I started considering having to take time off work, I started thinking about also doing a slight adjustment to my nose, which is something I had been thinking of for years but always scared the results may be worse than what I started with.

I went back in for a second consultation. FYI, I have read reviews on this site saying Dr Karam does not do enough post op visits, etc- I can rebut that whole-heartedly. I have never ever gotten pushback from the office to set a consult or appointment with Dr Karam. I did call a few other offices in the area- they were charging $100 to eve have a consult- ridiculous.

During my second consult, I talked to Dr Karam about my nose- he gave me realistic expectations on what we could do. Something I really liked about his work from looking at pictures was that he seemed to stay on the natural side. I didn't want to go back to work and for everyone to say- "wow, nose job alert".

I am only one week post op- and I can say, I am 100% satisfied- so far- with my results. I am honestly still bruised and swollen- however, makeup covers it and I have been going to the mall and grocery shopping the past few days. Dr Karam's work is beautiful. He is truly an artist. With a fat transfer, as with a nose job, it takes time to see the final result- they say even a year. So I will come back and write another review in a year :)

I also want to add that his staff is truly wonderful- everyone. They are kind and patient and responsive. They even called me to say they were running 15 minutes behind on my appointment. He is running his business like a well oiled machine- and it shows.

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