Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

Face Fat Transfer, Eyebrow Lift - San Diego, CA

UPDATED FROM Riena
9 months post

New Photo

Riena
$10,000

Riena's provider

Amir M. Karam, MD

Amir M. Karam, MD

Board Certified Facial Plastic Surgeon

4.6 | 182 Reviews
PROFILE

Riena rating for Dr. Karam:

Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

Replies (5)

January 21, 2015
Is it your right cheek (my left) which you don't like? I'm sorry you had to go through all this. I've no doubt you're telling the truth.
January 21, 2015
Thank you. Yes, my right cheek the one I don't like and you can see it clearly in the picture. I paid dr. Karam $5.500, just to fix it and nothing changed, because he did nothing.
January 24, 2015
What, so you paid him again to "fix" it and he refused to do anything even after you drove for 9 hours?
January 24, 2015
No, I didn't paid him to fix it. After I found the real self website I wrote about my experience, because his staff monitored the real self website I received a phone call from dr. Karam and he asked me to erase my review from the website, and he promised me to redo the surgery again on one condition is to erase my review. But I did not erase it, because when you post a review on the real self website you can't change anything, but you can updates your review. You can see I update my review when he called me and he swear on his four boys life he will redo the surgery to me no charge and he will make it right. Yes, he knew I live far away, but he doesn't care.
January 26, 2015
It looked exactly the same before the first surgery??? i am confused
January 26, 2015
I don't believe Riena posted any pre-op photos. She only has photos of what she looks like post procedure which shows clear asymmetry between her two cheeks.
January 26, 2015
It's the same picture. I don't have any pictures before the surgery. I'm sorry, I don't mean to confused you or anyone. I just have pictures after the procedure.
January 27, 2015
That was a cruel thing for him to do. Do you know what you are going to do now - are you going to try and get another doctor to take the fat out of the cheek?
January 28, 2015
January 28, 2015
January 28, 2015
I will, I didn't know about this site. Thank you so much johnny1671.
January 22, 2015
Hi Rienna, I'm very sorry to hear about your negative experience with Dr. Karam. I have heard similar things about him from other users / reviews. I appreciate you taking the time out to update your review and also being brave enough to post pictures. Thanks to you he is off my list in regards to fat transfer / any other procedure he performs.
User Avatar
March 5, 2015
User Avatar
March 5, 2015
Oh man, update on Karam's dishonesty: his surgery "blog" is a bunch of copy/pasted Nature articles he didn't write and whose real authors he didn't bother to cite. He is not a PI and had no role in those academic studies.
March 8, 2015
March 8, 2015
March 8, 2015
March 8, 2015
March 8, 2015
March 8, 2015
Eesh, you responded like 30x(slight exaggeration) but quite a bit to many of Ana's posts here . You either A) Work for Dr. Karam B) Genuinely feel the need to defend the good doctors name because of the wonderful experience you had. (I highly doubt that.) or C) Clearly have nothing better to do. Thankfully Dr. Karams not so stellar reputation is reflected on other review sites as well. I'm happy that you had a good experience with Dr. Karam Boston but seriously when you reply this many times to various posts by Ana you come off looking like an employee of Karams rather than someone geniuinely concerned with the truth.
March 8, 2015
If one is to know the difference between the truth and unrealistic expectations on the patients part, then one needs to see before and after pictures. This is how intelligent people get to the truth. Judging from his reviews here on RS he appears most competent. As an intelligent person I have issue with her posts because she seems uninformed on her procedure and expected something different than the procedure provides. Let me also remind you that these are ELECTIVE procedures so unless he is negligent one must live with what they ask a surgeon to do. Fat transfers, as any informed person knows, can look bad for a year and when one signs a consent that they are aware this can happen they act like it shouldn't, that is VERY unrealistic.
March 8, 2015
March 8, 2015
March 8, 2015
March 8, 2015
March 8, 2015
March 8, 2015
March 8, 2015
March 8, 2015
March 8, 2015
March 9, 2015
March 9, 2015
March 9, 2015
March 9, 2015
March 9, 2015
March 9, 2015
March 9, 2015
March 9, 2015
March 9, 2015
March 9, 2015
March 9, 2015
March 9, 2015
March 9, 2015
March 9, 2015
UPDATED FROM Riena
9 months post

Un professional doctor

Riena
When dr. Karam called me and asked me to remove the review from the realself, and he swear on his boy's life he will redo the surgery again, but he said after September. I send him my pictures as he requested via un email. But he said the pictures wasn't that clear and he said its better if I make an appointment to go to see him in November, even he knew I live far away over seven hours driving, and on that day it was nine hours because of the fog. It was very dangerous to drive. When I get there he refused to do any things, even he didn't check my face. Un professional, un ethical lying doctor.

Replies (4)

January 19, 2015
Pictures please? I am savin up money and this is the doctor i am looking foward to because of all the before and afters on his website. Im really insecure about my under eye . I dont want to waste money or time.
January 20, 2015
I will post my pictures.
January 20, 2015
January 21, 2015
Please and thank you
January 24, 2015
January 24, 2015
Thank you so much for your advice. It should be a law to stop doctors like that. I don't have the money to donate to the doctors, all I asked is to look younger, and I paid for nothing.
User Avatar
February 8, 2015
February 8, 2015
Thank you for your opinions. First off all, I don't have mental health, yes I'm depressed because I paid $10.000, for nothing. I know I need a nose job, that is the reason I went to see the doctor. But he said I don't need any nose job it's perfect for my face, he said all I need eye brows lift and fat transfer. all I did is trusting him, I don't believe the doctors care about money not patients. I'm 5.5 tall 145 lb, I got the fat in my face after the surgery.
February 8, 2015
February 8, 2015
I don't think that someone, like Reina, who has taken the time to share their experience and reach out to the community, deserves to be psychoanalyzed. Having surgery is usually nerve racking and emotional under the best of circumstances. When something goes wrong, of course a person is depressed! Don't blame the victim.
February 8, 2015
I think the problem here is language barrier. If you look at Abbeys other posts its clear she doesn't have a full grasp of the English language by the way she spells words and certain statements she's made. I don't think she understands that losing weight for Riena wouldn't help as asymmetry would still persist. I would just ignore Abbey as I don't think she sees / understands the issue Riena is dealing with.
February 8, 2015
How about if the plastic surgery caused the depression/mental health issue? I got seriously depressed after my bad fat grafting experience. Before that, I was a pretty lively and sociable person. I don't think Riena was crazy for wanting to improve her appearance - and losing weight will not help the problem, unfortunately.
User Avatar
February 8, 2015
User Avatar
February 8, 2015
the language problem is not a problem first i have resolved fat from my face before so i know what i'm talking about doctor have injected me from 10 years to loose fat from my lips and thy looked so much thinner, second i have lost 8 kilos and look much thinner now. I think she can resolve the fat by losing more weight or injections in the face to resolve weight. I have done this once before. And Johnny no need to be mean cause you speak better english than me ok.
User Avatar
February 8, 2015
I don't blame her at ALL. She have right to be angry. But also she can resolve this issue the fat and i know emotions after a bad surgery. But there are emotions after good surgery too. There is a solution to resolve fat. And i want to give her the best advise.
User Avatar
February 8, 2015
Bad plastic surgery is bad. But it is something to be dealt with. It takes like a lesson. I had my bads and goods surgery in life. The last was horrible i was going to die. I came back swallow and bruised. I'm not feeling depressed. I'm doing another operation. Unoq you can resolve fat. I have done it to resolve fat from my lips. I had fatgrafting in my lips and they looked so big and not fitting at all. I resolved the fatgrafting in my lips by injections by a doctor.
February 8, 2015
You're speaking of 5FU injections / steroid injections which can cause more harm than good. Generally those are used to resolve lumps. If you have other injection methods in mind then you need to be more specific. Asymmetry as a result of fat grafting cannot be resolved by weight loss.
February 8, 2015
How am I being mean? You're the one criticizing this poor woman and telling her what she needs to do without understanding the problem. Let me be clear one side of her face is larger than the other as a result of poorly taken fat grafting. Losing weight will not resolve this issue neither will injections. As for your problem I highly doubt it was due to having asymmetrical fat. If it were I urge you to provide evidence by posting before / after photos and a detailed account of what injections or weight loss regimen you used. Thus far you've only spoken in broad terms and provided absolutely nothing specific.
February 8, 2015
I see your issue were large lips. You have to understand injections can work for lips because its such a small area. When you're dealing with an entire face that has more fat on one side than the other then injections pose a greater risk and weight loss will not help that. An option for her would be micro liposuction to the fatter side of her face or more fat injections to the side where fat did not take to even it out.
User Avatar
February 8, 2015
dealing with entire face yes my cousin had injected steriod for thinner cheeks and it looks great she looks so thin.
February 8, 2015
That's what I thought. Yes, steroids will thin the face but they will also thin the skin and can cause a variety of other problems such as depressed scarring, acne breakouts, hyperpigmentation, hypopigmentation, eczema, etc... The list goes on and on. They are very bad for you in the long run. A better method would be either another fat graft to the other side of the face or micro liposuction on the side of the face that retained the fat.
User Avatar
February 8, 2015
i'm not critic i'm giving her hope she can follow me also if she wants,i know someone who can resolve fat from her face through steriod, my cousin did it to her cheeks. how do you know about my probem did i say it to you then are you a professional surgeon?
User Avatar
February 8, 2015
my cousin looks great with steriod after ten years.
User Avatar
February 8, 2015
my problem i had thyroid (graves) and i went up in weight 25 kilos it made me look fatter in my body and face, in places i dont want, i have photos oh how very skin now i look in my face after operation even though when i traveled on airport i was very swallow and large even with makeup, jaw surgery takes at least more than month swallow to resolve and with my diet i look very thin.
February 8, 2015
I know of your problem through your reviews which I looked up and past comments you made about your lips. Please be aware I've researched fat grafting thoroughly and I'm friends with a plastic surgeon who trained in the procedure as did my dermatologist so I'm very well versed in the pros and cons of it. I'm also familiar with Rienas problem and if you read carefully her surgeon has dropped her and going back to him for treatment is no longer an option. She must now start anew and find someone she can trust. This review of hers was to state how poorly Dr. Karam her surgeon performed the graft and how he was unwilling to correct the poor results she received. She wasn't trying to solicit advice but any that could be given to her to help her issue obviously she so far greatly appreciated. She did take offense to your advice because it involved a nose job and losing weight.. Neither of which helps the asymmetry predicament she currently faces which is why not only did she take offense but others did as well on her behalf including me. Its nothing against you and no im not trying to be mean but I feel you went off topic there for a bit.
February 8, 2015
I think that's great your cousin had such great results with steroid injections. I agree with you its certainly an option but I feel a dangerous one as I have had poor outcome with steroid injections that resulted in thinning in a particular area. Of course weighing the risks of any procedure is up to the individual and what may work for one person could lead to disastrous results with another. Research and finding a skilled surgeon is key. Perhaps you could give Riena the name of the doctor your cousin used for the steroid injection? She could maybe explore that option with him.
User Avatar
February 8, 2015
and why dont you help her hook with the plastic surgeon you know i surely feel pity for her but i would like her to seek other options to remove fatgrafting,i'm not against you too. My cousin have done steriod in her cheeks she looks very thin in her face, it still looks great. i also have very much knowledge about surgery i have been from peru, asia, usa, beirut, dubai . some turned out great others don't. Yes i told her about her nose i didnot think she needed fatgrafting and i saw her neck because usually there you see fat developing when overweight or fat. i do hope the best to Reina.
User Avatar
February 8, 2015
it was done in beirut if she pm me i would refer the name and the cost was very affordable.
February 8, 2015
I am helping her. I have fat grafting scheduled for next month and will be writing a review of my surgeon 3 months post as that's when you can generally see final results. If it goes well I have no problem giving her my surgeons information should she want it. Until I see my final results though I don't want to recommend him.
February 9, 2015
Thank you.
February 9, 2015
Thank you.
February 9, 2015
I'm sorry to hear about your bad experience too. I was the same sociable person before the surgery.
February 12, 2015
February 12, 2015
I was quite happy with my results, all three surgeries with him. What was your experience shadia?
February 12, 2015
I just read your post. I did not have a rhinoplasty but neck, mini lift and eyes and am very pleased.
February 12, 2015
I won't let him do anything to me anymore. Also, his staff called and called me so many times before the surgery, and payment. But, after the surgery I didn't received any calls. Even I got insulted from his patients on real self website she was very very mean, and very rude.
User Avatar
February 13, 2015
User Avatar
February 13, 2015
"Patients"
February 13, 2015
Thank you Hmac.
User Avatar
February 14, 2015
February 15, 2015
I know, that's what I'm doing right now. I'm really glad to find real self website, it showed me the real patients experience. thank you Hmac
UPDATED FROM Riena
8 months post

Follow up and promised never exist

Riena
I went to see Dr. Karam on November for a follow up as he asked me on the phone when I posted my first review on my experience with Dr. Karam and his staff on real self website. Yes, his staff monitoring real self website, and he asked me to erase my bad review of my experience, and I said after my second visit. He promised me to redo the surgery for me to achieve the results I asked. He insulted me on the phone when he said next time he will be carful when it become choosing his patients. I didn't say anything at that time because he said he will redo the surgery again. I went for a follow up 8 months after my sergery, and this is my second visit after my surgery, they didn't take any pictures of me as they should. When I talked to Dr. Karam he said he will not perform any sergery even if I pay him, he injected me with eye fillers under my lift eye and under my lips. But I paid for a permanent results $ 5.500 for a fat transfer to all my face that I didn't get. The surgery cost me $10.000, even I told Dr. Karam and his staff what I want and he agreed to do it. But now he said no he would not. I wished I was dead before I deside doing that surgery back in April with Dr. Karam, it was my worst decision I ever maid.

Replies (5)

December 26, 2014
December 27, 2014
You don't know me. Let me guess, when you are referring a several friends you are getting a good discounts. That is why?
February 8, 2015
I'm glad you posted this, he should be ashamed if himself.
User Avatar
February 9, 2015
Hi Hun don't be so hard on urself we all make decisions that don't work out you need to get money back and go else were I did a fat transfer six days ago still swollen but not much
February 10, 2015
User Avatar
February 10, 2015
User Avatar
February 9, 2015
User Avatar
February 9, 2015
Don't take anything u wrote about him till he gives y money back
February 10, 2015
No, I won't. But, I don't think he will give me anything back, he refused to redue the surgery even he promised and swear on his kids life.
February 10, 2015
User Avatar
February 10, 2015