For someone in their mid 30's who isn't seeing the fat loss or excess skin but still has dark circles, how can I tell the issue and the solution? I stare at a computer screen all day for work and I have been told by my peers (aka non-experts) it may be thin skin where you can see the veins underneath, but again, they are not experts so I don't know...
I NEED TO KNOW WHAT RETINOL DID TO MY FACE!!! IT MADE MY EYES SWELL OVERNIGHT AND GAVE ME UNDER EYE BAGS. THE SWELLING HAS WENT DOEN BUT THE BAGS ARE STILL THERE LIKE AN OLD LADY WHEN I SMILE!!!!! WHY DO YOU DERMS IGNORE I DIDNT HAVE BAGS WHEN I SMILED BUT ISED RETINOL FOR ONLY 3 DAYS !!!!! THE SKIN UNDER THE EYE IS SMOOTH WHEN IM NOT SMILING BUT BAGS WHEN I SMILE 😡 WHAT CAN I DO TO FIX THIS??? THIS HAS DESTROYED MY FACE WHEN I SMILE
I wish the before and after pics had the same amount of makeup. It’s hard to tell what’s going on when the after pics have the brows and lashes done, but the before pics do not
Thank you for the comment. It is impossible to dictate if a patient wears makeup or not when she shares her after photos. But, makeup does not change facial shape or hide laxity, otherwise no one would ever have surgery.
@@dramirkaramI agree. A lot of influencers using filter in their picture, people think wow they're perfect. Is unethical to so because people get down to themselves with anxiety and depression. Doc I've you in the Instagram but I couldn't see your address.
This video was very comprehendible for the layman. Thank you and as always I love the motto of your practice “to restore” not change. I am 70and look forward to seeing you one day.
Do women tip their hat? Real question! I live in Polynesia and cowboy visiting tipped his hat to me and I didn't know whether or not to tip my hat back lol
As someone who has photos from childhood with lower eyelid bags I appreciate this video so much. I never got to have that moment of just youthful eyes people have asked if I’m tired since elementary school 😮💨 I’m now 31 and will be getting surgery in the next 2 years I hope now that I know it can be fixed and I can afford it.
I've shown your videos to my "Facial Team" As a Hairstylist, I see so many women with work done. My goal is to always look like me...just better, fresher. My Nurse Injector has told me "NO" to more of things I've discussed with her. Communication and trust between you and your Facial Team is essential!
If I had the money I’d come and get vertical restore brow lift upper and lower bleph fat transfer and laser… I look everyday at the aging process and I don’t look like myself anymore. Dr Karem does the most natural looking repairs and restructuring I would never go to anyone else.
Agree completely. I thought all of them looked 10+ years younger at least… some even more. Very cool! I’ve been wanting to to have my eyes done as I’m 63 and have fatty pads that have created puffy under eye bags and pretty sure it’s genetic bc my mom developed the same in her later years and so has my sister. I’m just excited that there’s a solution as I’ve stopped spending $ on trying to reduce the puffiness. It’s nearly impossible without having a skilled plastic surgeon. I’m signing up for a consult soon as I live within an hour of San Diego. Lucky Me!!! Thank you Dr. Karam for this excellent video!🙏🏻❤️🙏🏻❤️
Your videos are always so informative, and I love that you stick to facts and techniques. A lot of doctors on TH-cam fall into the celebrity "what have they had done" and it comes across as gossipy and snarky. You are always so professional and respectful. Keep up the amazing work.
@@dramirkaram Hi! You talked about fat transfer in this video, and I’m wondering what your thoughts are on fat repositioning. Do you also incorporate that into your practice?
I am so impressed by this information. I so need this. I am a person that has always struggled with under eye bags. I went with my 40 yr old sister when she got her transcongective blepho.. and the Dr refused to take me in . I was 27 back in 1995 . Said I was too young for that procedure. I am now 54 and all that you have to offer is what I have wished for since then. Thank you for educating me. I so want to go to San Diego to get this done but I am way out here in Texas. And I feel I could never trust anyone else but you who takes time to study the person's unique features. God bless you and your practice. I will be curious to get a consult sometime soon. Thank you again from Gloria in Texas
Thank you for the comment and for watching my videos! I am glad you found it helpful. Please follow this link to schedule a consultation www.drkaram.com/getting-started/
My mother had surgery on her eyes over 25 years ago. After seeing her results I decided I never wanted a plastic surgeon to touch my eyes. The eyes are so important to the "essence" of a person, as you say. After her surgery, her eyes made her look different. Not to mention, her eyelids sort of drooped and didn't touch her eyeball anymore. I am open to the idea again after watch this video though. Thanks for your insight. * Of course I never said this to her! She just wanted to look and feel good about herself! ❤
I find that you are talking crap. You compared technology 25 years ago and now?😂 Technology improved and also doctor skills matters. -_- your mom could have found a lousy Dr. Period.
@@melinaPesakit is not the same technique. In the same way once upon a time keyhole surgery didn’t exist and if people needed to have their appendix removed, it was one large incision. Now they do it keyhole and it’s practically invisible. Same thing goes for this field of medicine. They develop and learn new processes all the time.
Dr Karam this has been the most informative video I've watched in a very long time and I watch videos on anti-aging procedures all the time. I often notice that celebrities start looking tired in their 40s but they still look beautiful so I couldn't quite understand what this tired look was due to, I only knew it had something to do with the eye area. Subtle changes due to ageing are hard to pin point so it's great to have you explain what to look out for
You are so generous with your time and knowledge, Dr Karam, I really appreciate it. It's very interesting to learn what is happening physiologically and what can and can't be achieved to counteract ageing.
I'm 46, and I always follow your advice because I want to look like myself as I age. I also inform my own audience to be careful about any procedure and do their research because it can look very abnormal if you start messing with your face too much! I really appreciate how you break down the aging process, making the mechanisms to aging easy to understand. It's important to know these aspects when making a decision about something so critical.
@@sabrinarenataditaranto4960, I know you are asking him, but I love to make sure I use most of my actives on my eyes as well, I use Snail Mucin undereye cream over that, and at night I apply tretinoin to my undereyes. I am fighting the battle, but all of these have helped tremendously!
@@realist8052, surgery is permanent for this, but that doesn't mean the skin won't start sagging again or that the fat will not leak into the area again. I'm not a plastic surgeon, though, so I don't know for certain how long that takes. I'm assuming it's like a face-lift, which lasts around 10-15 years before sagging starts again.
After noticing my first ever noticeable wrinkle under my fatigued eyes at 54 this video really helped me relax and realise there are options available to me. It was explained in a clear, road map, sensible way that I appreciated. Def worth watching this video. Thank you for Dr Karam.
I appreciate Dr. Karam's highly informative presentation on under-eye surgery. It is crucial that anyone considering such a procedure understand what to expect and ask questions beforehand.
When Dr. Karam explains the dos and don'ts and whys, he makes so much sense; and yes we still want to look ourselves when we have a procedure done. It really is nice if someone who hasn't seen you for a long time says to you, you haven't changed a bit. Thank you again Dr. Karam.
I agree that not enough surgeons are proficient in fat transfers. I see your B/A's and am so grateful for your expertise in this area. Hopefully I will be able to have my lower bleph with you. Thank you so much for your commitment to education!
I did bleparoplasty operation just a few months ago, but I seen already my puffy eyes (bag eyes) again, I am 52 yo and don't understand why it came back so fast, is it connected with my hypertension or ...? What should I do then? My doctor said I have to massage or compress with cold water 🙏
So helpful and informative Dr Karam. If a person can only do one procedure, get the eyes done. Biggest impact, little down time, and financially do-able in comparison to FL. Gets rid of the tired look. Save up and see a top talent like Dr K.
You are such an amazing dr. I wish i lived close to you since there are zero qualified plastic surgeons in my area. Your techniques are perfection. Thanks for explaining what needs to be done for lower eye aging.
I live 20 min from his office!!!! He is so expensive, but I’m seriously considering shelling out for a consultation. I’m turning 50 next month and I have had a brow lift and a blepharoplasty. With a different surgeon. But now my lower face needs some help!
Thank you so much for explaining all these choices... you have likely saved me from bad experiences with your advice (such as laser resurfacing or other energy treatments!). Suggestion - the before pictures are without make up; but the after pictures are with makeup. I know that makeup can hide all types of 'sins'. May I suggest that the pictures (especially the after) are shown without makeup? Or include three pictures (before, after, and with makeup)
I just want to say (and I haven’t watched the video yet, I’m about to) I’m in my mid forties and for quite a few years I had dark hollows under my eyes that looked like bags. I tried so hard to get rid of them and hide them. I used to have a glass of wine every night. On a separate note, I decided to stop having wine every night and wow…..my skin , especially under my eyes looked younger again! I discovered alcohol was dehydrating my skin and working against me all that time. Now I just have one or two glasses every couple of weeks, if I choose. And my skin is much more hydrated.
My daughter Misty Rhodes told me about you and she was so right! You had bonus points right from the start because my daughter has been coming to you for a few years and you told her you wouldn't do a facelift on her until she was at least in her sixties! Why? because she doesn't need one! I couldn't agree more! Now it's my trun to come see you!!
*Thank you doctor for addressing this concern of both women and men. Men especially have such a stigma surrounded by us seeking help for this unfortunate problem.* 😢
@@canesugar911 *Men definitely face a backlash in being image conscious or hyper aware of their physical faults. It’s seen as effeminate and to say otherwise is a blatant lie.*
@@John-14798 you are the liar here Mr. All you need to do is look online and look at the thousands of channels (with billions of views) dedicated to scrutinising women for their looks and mocking them for getting work done. That barely exists for men. If you are afraid of getting scrutiny, it is most likely from your guys. Not society. Go touch grass and stop trying to victimise yourself. No doctor wouldn't work on your face because you are a man.
@@canesugar911 *I’m talking about society scrutinizing men for getting or wanting plastic surgery to improve on their appearance. I don’t know what or why you continue to respond to me when you make zero sense and barely sound coherent. Have a great day stranger.* ✌️
@@John-14798 and i said that society as a whole doesn't. If it were the case, there would be entire subgenre on the internet doing the scrutinising. But you don't see that you only see groups (be it Facebook,Twitter insta, reddit etc) scrutinising women. You don't want to be treated like women you want special treatment. This concept wil ofcourse not make sense to deluded individuals. Have a great day yourself.
The more I dive into aesthetic medicine, the more interested I am in becoming an aesthetic nurse! Would love it if you did a summary of how to be an ethical nurse injector and use filler responsibly (how filler can help and hurt, what nurses should do in their scope of practice, and when they should refer out to a physician vs. trying to overcorrect with filler).
Thanks for the comment. Here is a summarized answer to your question, hopefully it can guide you in the right direction. To be an ethical nurse injector and use fillers responsibly, it's important to adhere to the following principles: Education and Training: Obtain proper education and training in facial anatomy, injection techniques, and the safe use of fillers. Stay updated with continuing education courses and certifications specific to aesthetic nursing. Scope of Practice: Understand and adhere to your professional scope of practice as a nurse injector. Each country or region has specific guidelines and regulations regarding the procedures nurses are allowed to perform. Familiarize yourself with these regulations and operate within their boundaries. Informed Consent: Prioritize informed consent by thoroughly discussing the treatment, potential risks and benefits, expected outcomes, and alternative options with the patient. Ensure they have a clear understanding and provide their consent willingly. Assessment and Consultation: Conduct thorough assessments of the patient's medical history, current health status, and aesthetic concerns. Assess their expectations and suitability for the procedure. Consider factors such as allergies, medical conditions, and medication use that may impact the treatment or indicate the need for referral. Individualized Treatment: Tailor the treatment plan to the individual patient, taking into account their unique facial anatomy, desired outcomes, and any contraindications. Avoid a one-size-fits-all approach and customize each treatment to the patient's specific needs. Responsible Use of Fillers: Use fillers judiciously and responsibly. Ensure that the amount and placement of filler are appropriate for the desired outcome while maintaining natural-looking results. Avoid overfilling or overcorrection, as it can lead to an unnatural appearance or potential complications. Referral to a Physician: Recognize the limits of your expertise and refer patients to a physician or appropriate specialist when necessary. This may include cases that require complex treatments, correction of previous complications, or when the patient's aesthetic concerns are beyond your scope of practice. Continuing Education and Collaboration: Stay up-to-date with advancements in the field of aesthetics by attending conferences, workshops, and collaborating with other healthcare professionals. Engage in interdisciplinary discussions to enhance patient outcomes and safety.
What I like so much about Dr. Karam is that he’s able to put out these informative videos on a regular basis, while running a successful practice - AND still not look exhausted. It worries me when plastic surgeons with popular TH-cam channels look like they don’t get the rest they need. My reasons are selfish. Basically, it would be impossible for me to have any confidence in a doctor who has both a surgical practice and a booming TH-cam channel, if it means it’s taking a destructive toll on his sleep. I would not want anyone like that going near my face with a knife. Another reason I respect Dr. Karam’s channel as much as I do is because he’s not doing silly skits that (while being entertaining) cause me to wonder whether he would rather be a performer in the entertainment industry than a plastic surgeon. It’s reassuring to see how seriously and confidently Dr. Karam takes his craft. Finally, the before and after photos are “amazing” (such an overused word, and yet it applies perfectly here). Now, if only he wasn’t on the opposite coast from me. It doesn’t seem like the high altitudes on a plane would bode well in the healing process. 😂
He is able to do it because he charges ten times the regular amount hence he does way lower no of surgeries. He is doing it at our cost. I wish it wasn’t that way.
I think his ethnicity, genetics, positive attitude, and taking care of himself all contribute to his youthful appearance. And he probably uses his own skin care products. 😉
I'm based in Istanbul, and I'm a big fan of your surgeries, treatments and advices. You are making art! You're a master of transforming women to their younger self 🥰🥰 I wish we had such a wonderful doctor here. The most important value at a plastic surgeon is his aesthetic view, and your talent is your persistence in maintaining the natural look of a woman and not creating a totally artificial copy of some popular celebrities and fashion trends. That's why I really appreciate your videos and listen very carefully to all of your suggestions. Thank you so much and I wish you all the best 🙏❤️❤️🧿🧿
I just did PRF and it didnt help much, had three treatments but I dont see any improvement whatsoever. I gonna stop it and think will go for lower bleph + fat transfer.
Can you educate on any exercises that strengthen the muscles around our eyes and/ or face ? I'm conflicted over how much of that helps or is counter productive as "over exercising" and losing fat as a result? Thank you! Thank you for all the great education you provide, I have learned a lot!!!
Everything you say always makes sense. I’m coming to you when I’m ready to do my eyes (if it’s not cost prohibitive like Dr Kao). You do beautiful work ❤. I just had a facelift done in Korea. I wanted my eyes done too but they said they couldn’t because my eyelid skin was too thick. Not sure what that means but I think it was a blessing in disguise. Because now I can have you work on my eyes.
Finally! I have been waiting for this very video for a very long time. The only one thing that you didn’t cover is how either of those eye procedures help or reduce dark circles, if at all. Thank you, Doctor, for ALWAYS educating us and keeping us well informed. I look forward to consulting with you about the excess skin (and dark circles) on my lower eyelids!!!!
@@recoveringbaptist2023 I am 46 years old and for the past 26 years, I have tried all there is to try. No home remedies work. No creams, oils or any other concoctions work long term. By the way, I like Dr. Rajani and I watch his videos all the time. I do ice my eyes often and it does lessen the dark circles for a couple of hours. I am more so looking for a more permanent fix rather than having to do a home remedy twice a day.
@@jesclifford88 That’s hard for me to believe because for 26 years I have tried many, many things and spent a LOT of money and nothing has worked. The interesting thing is that I am not plagued with severe dark circles, but the y are definitely noticeable and still nothing topical has worked. However . . . I guess I will give these recommendations a try . . . Thank you.
Thank you for taking the time to explain so much on plastic surgery . Just 2 weeks ago I had a face lift and took all your advice on board and I am very happy with the results. I am now looking at just adding either the fat transfer or a very little filler under the eyes and this video has helped me decide what I need and how best to discuss it with my surgeon . Thanks Again for your concise help.
Radio frequency has helped my eyelids as has Microcurrent & LED therapy!! In combo with VitC , Glycolic acid serum, Grapeseed Oil and Safflower oil have helped immensely with either tightening, discoloration and volume. Results can be achieved without injectables or Surgery. Oralift has also had significant results on people's facial shape, hollowing lifting and volume, so there are other types of therapies that just take frequent consistency.
Thank you so much for explaining from start to finish, photos included. From an educators perspective- your 'lessons' are on point. The diagram and explanation of an eye, youthful eyes vs aging eyes, the changes of the eye area including the cheek junction, how to fix it and why it might a treatment might be/ but be a great choice...as Emeril used to say 'BAM!' AMAZING- THANK YOU!
I watched the video on the history of facelifts. It was really educational to learn how it started and what came next. I really appreciate your educational information.
I’d be scared to get filler under my eye because I see that the skin under the eye is very delicate and might not be firm enough to hold the filler and end up looking more like bloating, which I hate more than hollowing. Some things are better left alone and for me this is one of them.
I wouldn't get filler under the eyes. Fillers tends to migrate, getting lumpy, and is extremely hard, if not impossible to dissolve. Get PRF injections.
@@annmareepearce6568 sounds scary, I’m not getting any injections. I’m already 65 and have accepted aging; I’m taking care of my skin. I get hydrafacials every 6 weeks, use quality products and Retin A. It’s enough for me.
Thank you for such an in-depth, fabulously descriptive deep dive into the under eye and the procedures used to refresh it! One of the best videos I've seen!
Seemingly well organized Mr. Karam starts off with two ex negativo definitions and three adjectives of which "fresh" and "attractive" do not mean anything in therms of description but are just unspecific or even personal. ...
I am hoping you cover wrinkles under the eye. I don't seem to have fat loss or excess skin, and when am not smiling, I don't see wrinkles, but as soon as I smile, BOOM, tons of lines appear......what to do about that?
Dr. Amir you are in San Diego like me 😍 I’m not ready but I know at some point I’ll want eye surgery, it’s just scary and it’s so comforting to know I can consider you.
The more I learn on this subject, the more I feel I don't want any of these interventions. Just wear sunscreen and apply good quality creams (retinoids, Vitamin C and E, Glycolic Acid--The Ordinary is a great, affordable line) eat well, drink lots of water, don't smoke or over drink alcohol, exercise, get enough sleep, do yoga and don't stress. Learn how to apply make-up to suit your skins needs and age gracefully!
You’re absolutely right about the ordinary stuff that we should all be doing - that goes a long way for sure. But sadly, it doesn’t stop the face from aging; I sure do wish it did.
@@KChapman6079There’s nothing wrong with an aged skin if it’s healthy. It looks so much better than someone’s face that’s had work done leaving the person looking different rather than better. Results are often temporary and just end up causing more problems in the future in my opinion. Nature knows best. Look at the Hollywood stars who’ve had surgery they look very odd and unrecognisable in my opinion.
You are so right! Looking natural and healthy is the best look at any age. I’ve seen so many naturally beautiful women ruin their looks with facelifts and fillers.
Wow as if I’m in a classroom of the Best Professor during my university years. I almost don’t blink 😜 listening Well done educating your subscribers like me. I don’t need it yet but now I’m fully equipped of reliable informations from Dr. K. Thank you 👍❤️🇨🇦
I’m having an impossible time to find any doctor here in South Florida that does PRF. Nobody! Do you think with all the plastic surgery done in South Florida that they would be someone who would be an expert at that. Impossible to find. If anybody knows of one, let me know!
I did a PRF treatment under my eyes and saw absolutely zero improvement. In fact, the serum ended up sagging over the days before it absorbed, and I think in the end it made things worse. They then said I'd need to get it done 2 or 3 times more (at $800/per) to see the best effects. I declined and kissed my $800 goodbye.
I like the way you explained everything clearly. Love to see before and after quality of your works. Look fresher nicer and younger without changing the patients’eyes. Well done sir👍👍👍
Amazing advice, as per usual, Dr Karam! Very wise, I am in my late 30s now and thinking of possible fat transfer, but for now using a bit of fillers and botox. I still look very well, but perhaps will consider the transfer next in a few years!
This was awesome! I went for a consult recently and he only wanted to do a lower bleph fat removal. I clearly have mostly hollowness issues so this seemed weird to me. Great explanation! Do you also do surgical brow lift in concert with these lower lid procedures?
I’m late to the party watching this. You are a bloody genius. I only wish you were in London. I feel like I have just gone back to school and had the best biology lesson. This all makes perfect sense, and far more easy to understand than doctors I have spoken to here in the UK
Dr. Karam, PLEASE tell why you don’t like lower lid fat transposition. Several prominent oculoplastic surgeons have told me they believe fat transposition is the gold standard because the fat being redraped into the hollow retains its own native blood supply.
Oh wow!! I love the fact that DrAmirKaram explains it so well and I love the fact that he says in removal of fat pads, he preserved the integrity of the eye muscles by not touching it when he's going from the inside of the eyes. I also learnt one important point I consider important in avoiding laser tightening and all those procedures which according to him makes the skin around the eyes even thinner, even without the skin heals beautifully and no signs of the procedure. I love this! Thank you, am subscribed already!
Not sure how this video got in my feed but great video!. He's so right about that overfilled filler effect. Years ago, i had it done by a dr that was supposed to be one of the best. Right eye was good, but left eye kept looking puffy. The dr’s office told me it would eventually go down, it never did. One day my guy friend ask me why my left under eye always looked swollen. That comment bothered me so bad that after a year of it looking like that, I found a doctor to dissolve it asap. Went to another dr. To get it done again since my right eye was still looking good, but my left eye was looking gaunt due to the dissolution of the filler. Well he also didn’t know what the hell he was doing and it happened again. Finally found a dr who knows exactly what she’s doing and almost 2 years later, my under eye still looks good. Only issue is in the morning sometimes my under eyes are puffy which I suppose is the filler but after a couple of hours of being upright on my feet, it looks normal again. I’ll take that any day over the hollow Jack O Latern look.
My father is in his 70s, has excess skin below his eyes, and is on heart medication after having a heart attack about 10 years ago. He had a consult to get the eyes fixed and they said he would have to come off the heart medicine for a week. My mom is right: she said get something like this fixed sooner while you are healthy. He opted against the surgery because of the risks associated with stopping the heart medicine.
Is it a blood thinner? Most heart medicines do not need to be stopped but most blood thinners do. If this is it, his doctor may be able to use some other option
my mother had a heart attack 4 years ago and she refuses to take any heart medicine as the medication they gave her make her feel faint and dizzy, she is not dead although she gets tired easily, she is 82.
Thank you so much Dr. I’ve been watching lots of videos from Korean and Vietnamese’s Dr so far you are one of the best of the best clip that I’ve learned a lot. You educated me so much. You gave me more confidence to make a decision with choosing a dr if I need one in the future 🙏🙏 God bless you Dr🙏
Dear Dr.Karam, Thank you very much for this extremely useful information! I always appreciate the logical and very well-structured information and details in your videos. As a university professor, and a woman preparing for a facelift I love this education and this very special way you educate the audience. Congratulations from Hungary!
Great video. How much does the fat transfer & surgery cost? If you have had under eye fillers before, how long do you have to wait to do either fat transfer or surgery?
Great video! im 62y.o. woman with no kidney problems nor no medications whatsoever but i got puffiness under my eyes. It's so frustrating everytime my boss or friend or the cashier in the gas station says "u look tired, r u ok?" when in fact i felt so energized. Their comments lingers on my mind through bed time. Doc, i really got no budget for those procedures that you mentioned in this vid., besides accepting my aging face and embracing it, is there any possible alternatives to get rid of my problem without going under the knife? Applying foundations and concealers doesnt help camouflaging the puffiness. Thanks doc for your time reading comments and more power.
I had my first undereye filler at 52 , half syringe on each side, it was life changing and now I do it every 3 years but I'm worried about fillers there because it does last a long time. I'm trying to look into something more natural, but I live in Canada and don't see many options, if anyone in Toronto knows a good practitioner I would appreciate it.
I did my tear troughs twice, and never needed to do them again. I recently had a “Micro-tox” treatment and ended up with full-on festoons for over a week because the filler grabbed all the saline. It was a really hard week emotionally, but it’s since settled in and looks great. Don’t redo your filler unless you have to, and be careful of any Botox in conjunction.
I cannot believe the excellence of your presentation… you are amazing, I’m just so impressed… I was thinking about having under eye fillers, but I’m now thinking twice !!!… thank you for your easy to understand video …😊
Good Afternoon Dr. Karam… … again I have been listening to your superb presentation (whilst working out at the gym) 😂…& have decided the way to go for me is “fat transfer“… I am now living in Florida, but come from the U.K. so finding & researching a Surgeon should be fairly easy 🤞..thank you again for your 5* presentation… & I’m looking forward to your next presentation …
I came across your channel recently and have learnt so much from your videos. I'll search for a video that you've done on the upper eyelid too. I applied foundation instead of eye shadow a few times last year, and it seems to have sucked up most of the fluid (whatever makes the upper eye lid look plump) from my upper eyelids. The upper eyelids also got puffy in the mornings as well. Now most of the morning puffiness is gone leaving me with excess skin and sunken eyes. Not sure what to do. Ps. I like the new wall design 👍
I think your an excellent plastic surgeon i only wish i could afford to go to you. The before & after pictures are amazing i can totally see the difference and how youthfull they now look. Also i love how you explain everything in all your pod cast in simple terms so the average person can understand it. All in all i enjoy listening to every surgery you perform. Thank You So much! ❤❤❤
Thanks for your precious recommendations. I am from another country far from your end and I hope to get your treatments some day before it gets too late. Regards to all
Another awesome video!! So much great detail. I definitely want and need a lower eyelid surgery. My concern is how does a person know if it’s the fat pad bulging forward or if it’s “fluid” from allergies? I’m guessing I might have both. So maybe in my case I would get improvement but not as much as others might? In my book it would still be a win, I think.
I have same question. I got puffiness due to allergy but my question is treatment for allergic reaction eyes are the same as other eyes .? Please Dr tell in details. My age is 35
I also have allergies , my lower eyelids have always been puffy. I think that's a good question for a surgeon in the initial consult. Nothing I have done has ever changed the puffiness, Only on a couple of times the puffiness seemed to be gone( for a day or two) but I had folds of skin next to the cheek bones. And this happened as a result of some allergic reaction. @@rabiaasghar3676
thank you doctor. I have a lower blepharoplasty scheduled in May with a high skilled Oculoplastic surgeon. His recommendation is to do transconjunctival lower blepharoplasty along with a C02 laser. The reason for the C02 laser is to to tighten the under eyes and smooth out the texture and lines under the eyes. In listening to your video and hearing about the skin being so fragile and thin (my under eyes skin is definitely thin), I am now very concerned about doing the C02 laser and having complications down the road. Based on this dr's recommendation, do you think the C02 laser is still necessary? Your thoughts and options would be very much appreciated. thank you, Roseanne
Not the dr but I had that exact same combo done 1.5 years ago and it was life changing . The co2 laser really tightened up the skin and gave a fresh look . I was the best money I ever spent in my life
@@virginiabluebell2350 Thank you so much for your feedback. I have had so many fears/anxieties about this procedure I am having done in May. I also called the dr's office (after seeing this video) about my concerns and the women that I spoke have been so kind and said the same thing you commented on. One of the ladies at the office had this done (the eyes and entire face) and could not say enough good things about this how it has made a big difference to her face. Again, thank you for reading my post and really appreciate your feedback. I am feeling so much better about my procedure.
I had the same procedure done and had great results for 1 - 2 yrs then the hollowness set in. Fillers don’t last and are lumpy in the area so do what this dr suggests and be sure to get a fat transfer as hollowed eyes look terrible and are impossible to treat. Would ask surgeons for a video testimony of a patient 4 years out to see real results. Photos can easily be doctored.
@@LB-ep7nq thanks for your feedback. Does everyone get hollowness after this procedure? I definitely think fat transfer would be the best choice over fillers but this would only be if you get hollowness and I don't believe everyone experiences this. I also think that there are only so many doctors doing fat transfers because its a very specific kind of surgery and it really requires someone with expertise and someone who does it regularly.
Dr. Amir Karam its not fair that a knowlegeable great surgeon like you only exists in California state .. i'm sure many women that watch you from different states wish you can travel and have surgeries in other places in America..
I took your advice and went to famous Beverly Hills Occuplastic surgeon to get a fat transfer because you were too busy and had a year waiting list. Now I have a dent in my leg where he took the fat and my eyes look horrible. He put 2.5 cc under each eye. I have tons of pressure now under each eye and bulging eyes totally puffy 18 months later. I am so depressed. I saw 26 surgeons now and can't get help. Nobody wants to take on someone else's mistake. I finally found one surgeon willing to take it out, but he wants to charge me over $50,000 just for lower eyes and he will not take insurance. I am totally screwed suffering emotional damage as well as lid margin roll and exposure caused by the excess fat stretching things out for almost 2 years. I already spent over $10,000 on consultation fees and can't find anyone to help me in this area. This is the worst nightmare. Do you have any eye surgeons you recommend?
I also got fat transfer for my face and have a horrible dent at the side of my left thigh. Also it puffed the corners of my top eyelids and I can feel a bobble under my eyelid. Sometimes it seems better to age naturally as most surgeons, and beauty salons do not think properly, just do what they are taught and that one size fits all. the majority are not up to any standard. I wish you best of luck.
I agree that Dr. Karam is one of the best out there but I have to say that he promotes himself (which he should) and his abilities such that you really want him to be the one who performs this and other facial procedures. The problem I have is most people who are watching this video and making comments cannot afford him. I have no idea what this procedure cost but I am pretty sure it is out of range for most people. He promotes a vertical lift procedure that he does and clearly he is good at it but it will set you back 100K or more!
Thank you doctor Karam for great educational videos! 🙏🏻 Regarding CO2-laser under the eyes, it seems to me that many surgeons prefer this to a skin pinch, and that some even do both for optimal results. Their claim is that the laser will not thin the skin but rather make it thicker and better. When you say skin will become thinner and more fragile after laser resurfacing, do you then see this as a permanent result, or is it a temporary issue? And could laser tightening also result in changing the eye shape? I struggle with vertical lines right under my eyes that go down my cheeks and therefore can not be successfully treated with Botox.. At the age og 46 I dont have much other ageing issues yet. Have seen different surgeons, but most are sceptical towards the skin pinch saying it will make the eye rounder in shape, and that its very easy to take too much off so the lower rim shows.. Makes me very confused as to which procedure to choose, as everyone has got great before and after pictures to show…
Do you have a video about skin care and diet as prevention for eye aging? Including eye creams that are gentle, safe, and don't irritate the skin around the eyes? Thanks so much!
Thank you for this ! I had a plastic surgeon ‘grant’ my request for filler under my eyes when they appeared hollow only to be fully disappointed when there was the appearance of bubbles under the skin , following a follow up COVID vaccination . Apparently they was a known reaction . It looked terrible and I ended up having another dermatologist have to correct it by dissolving some of the filler with some injection and making it look smoother . What’s crazy is I was never really consulted on what procedure was appropriate for me , she just followed my request .. but I’m no plastic surgeon 😂
I had orbital surgery for Graves Disease 15 years ago and the end result was a "fat pad" was left below one lower lid that I didn't have before. I went back to the surgeon who performed the surgery and was told that to repair it would be "cosmetic" and not covered by insurance, even though the initial surgery was medically necessary. I'm now 63 and have a lump beneath my eye that I always say "I didn't earn." I have never had the confidence to have someone work on my eye(s) further because I do not want to look even "more different." I wish your practice was in Michigan, as you really seem to know how to keep a face "genuine." Most consults I've had have never even brought that up. Thanks for the info.
Great video, thanks! Great explanation of the aging undereye. I've got the hollowing but also puffiness - glad to know more about fat transfer. Seems like a lot of injectors are just pushing fillers
I love your beautiful detailed videos they are always Informative and answer all my questions. Your before and after pictures are amazing. Thank you Dr. Karam for taking the time to share your knowledge🙏💖.
I was wondering why PRF was not discussed (EZ GEL) as a natural body substance as an option to under eye filler. It seems it is currently 'hyped' as the new preferred natural filler. Great info, thanks.
Another very informative video. Never knew about the muscles and fat pads, etc involved in the eye socket. The anatomical images explained what you were explaining are very helpful. Fantastic teaching video. Thank you very much for your time Dr. Karam for making this video.
I think the upper eyelids are the most important, droopieness etc. what to do about that short of surgery? As a long time Esthetician I really believe we all age and ageing naturally without going under the knife or injections are best. Plus it makes someone look awful. Great skincare, sun protection and being happy are natural skin anti agers. Not surgery. My mom lived to be 96 and she was so beautiful, no plastic surgery or fillers needed: her soul and heart was filled with beauty, lovliness, creativity and joy. Id rather spend 50k on a nice vacation, new experiences, than plastic surgery sorry doc
Such detailed information is important, the technique he uses makes sense. The fact that he does these procedures everyday speaks to his knowledge. What do we do with this information? How do we find a surgeon that uses his techniques? I don’t think any surgeon would appreciate a patient telling them there’s a different or better way to do surgery. Can any of us afford to pay what Dr Karam charges?
In the time it takes to earn the money for muh procedures, Ageing will ahve already given you even more problems. So the example of the ageing woman is like a hamster running on a wheel until it drops dead from exhaustion.
I wish they provided ballpark figures for all these procedures. I appreciate when doctors are open and honest about their costs. If you’re good at your job, I will save my money for the best - But give me a goal to work towards!
The information is very informative and thoroughly detailed.. you are magnificent at explaining down to every minute detail ..you are an excellent example of the excellant information.
Transform Your Undereyes: Why you have dark circles and what to do about it! th-cam.com/video/UzP3OJKfhhc/w-d-xo.html
For someone in their mid 30's who isn't seeing the fat loss or excess skin but still has dark circles, how can I tell the issue and the solution? I stare at a computer screen all day for work and I have been told by my peers (aka non-experts) it may be thin skin where you can see the veins underneath, but again, they are not experts so I don't know...
Sir please make video on stem cells. If we go for fillers or stem cells in mid 30's. Highly appreciated. Thank you for educating us ❤
Thank you really informative.. how can I get a consultation?
I NEED TO KNOW WHAT RETINOL DID TO MY FACE!!! IT MADE MY EYES SWELL OVERNIGHT AND GAVE ME UNDER EYE BAGS. THE SWELLING HAS WENT DOEN BUT THE BAGS ARE STILL THERE LIKE AN OLD LADY WHEN I SMILE!!!!! WHY DO YOU DERMS IGNORE
I DIDNT HAVE BAGS WHEN I SMILED BUT ISED RETINOL FOR ONLY 3 DAYS !!!!! THE SKIN UNDER THE EYE IS SMOOTH WHEN IM NOT SMILING BUT BAGS WHEN I SMILE 😡 WHAT CAN I DO TO FIX THIS???
THIS HAS DESTROYED MY FACE WHEN I SMILE
@@Meohmyyy retinol caused under eye bags?
I wish the before and after pics had the same amount of makeup. It’s hard to tell what’s going on when the after pics have the brows and lashes done, but the before pics do not
Before and after should not have any makeup
Same. And also the necks, smile lines and/or jaws are tightened which makes them overall look younger
They always seem to do this with before and after pics so it’s hard to tell just how much change there really is.
Thank you for the comment. It is impossible to dictate if a patient wears makeup or not when she shares her after photos. But, makeup does not change facial shape or hide laxity, otherwise no one would ever have surgery.
@@dramirkaramI agree. A lot of influencers using filter in their picture, people think wow they're perfect. Is unethical to so because people get down to themselves with anxiety and depression. Doc I've you in the Instagram but I couldn't see your address.
This video was very comprehendible for the layman. Thank you and as always I love the motto of your practice “to restore” not change. I am 70and look forward to seeing you one day.
A genius plastic surgeon his videos are absolutely stunning I tip my hat to this man
Do women tip their hat? Real question! I live in Polynesia and cowboy visiting tipped his hat to me and I didn't know whether or not to tip my hat back lol
@@poisxeWhat the hell are you gonna do with a tipped hat
As someone who has photos from childhood with lower eyelid bags I appreciate this video so much. I never got to have that moment of just youthful eyes people have asked if I’m tired since elementary school 😮💨
I’m now 31 and will be getting surgery in the next 2 years I hope now that I know it can be fixed and I can afford it.
Thank you for your wisdom and shaer!!
Me too!!
Wish you all the best👍🏽🌺🌸
Mee too I always had racoon eyes
I had the same problem as a kid.
I've shown your videos to my "Facial Team"
As a Hairstylist, I see so many women with work done. My goal is to always look like me...just better, fresher. My Nurse Injector has told me "NO" to more of things I've discussed with her. Communication and trust between you and your Facial Team is essential!
Thanks for sharing!
Hairdressers are a great resource for recommendations to dermatologists and plastic surgeons.
If I had the money I’d come and get vertical restore brow lift upper and lower bleph fat transfer and laser… I look everyday at the aging process and I don’t look like myself anymore.
Dr Karem does the most natural looking repairs and restructuring I would never go to anyone else.
WOW... The after results on the clients shown are remarkable! They all look so natural and beautiful. Very, very impressive. Thank you!
Agree completely. I thought all of them looked 10+ years younger at least… some even more. Very cool! I’ve been wanting to to have my eyes done as I’m 63 and have fatty pads that have created puffy under eye bags and pretty sure it’s genetic bc my mom developed the same in her later years and so has my sister. I’m just excited that there’s a solution as I’ve stopped spending $ on trying to reduce the puffiness. It’s nearly impossible without having a skilled plastic surgeon. I’m signing up for a consult soon as I live within an hour of San Diego. Lucky Me!!! Thank you Dr. Karam for this excellent video!🙏🏻❤️🙏🏻❤️
Your videos are always so informative, and I love that you stick to facts and techniques. A lot of doctors on TH-cam fall into the celebrity "what have they had done" and it comes across as gossipy and snarky. You are always so professional and respectful. Keep up the amazing work.
Ahh thank you and thank you for watching!
Dr.Amir I love ur videos they have I lot of information thank you ❤
Dr Amir if I send you a photo of my face would you be able to advise me on what treatment I needed please ?
Where are this Dr. Location ? ?? Please.
@@dramirkaram
Hi!
You talked about fat transfer in this video, and I’m wondering what your thoughts are on fat repositioning.
Do you also incorporate that into your practice?
I am so impressed by this information. I so need this. I am a person that has always struggled with under eye bags. I went with my 40 yr old sister when she got her transcongective blepho.. and the Dr refused to take me in . I was 27 back in 1995 . Said I was too young for that procedure. I am now 54 and all that you have to offer is what I have wished for since then. Thank you for educating me. I so want to go to San Diego to get this done but I am way out here in Texas. And I feel I could never trust anyone else but you who takes time to study the person's unique features. God bless you and your practice. I will be curious to get a consult sometime soon. Thank you again from Gloria in Texas
Thank you for the comment and for watching my videos! I am glad you found it helpful. Please follow this link to schedule a consultation www.drkaram.com/getting-started/
My mother had surgery on her eyes over 25 years ago. After seeing her results I decided I never wanted a plastic surgeon to touch my eyes. The eyes are so important to the "essence" of a person, as you say. After her surgery, her eyes made her look different. Not to mention, her eyelids sort of drooped and didn't touch her eyeball anymore. I am open to the idea again after watch this video though. Thanks for your insight. * Of course I never said this to her! She just wanted to look and feel good about herself! ❤
You just said it was 25 years ago. Today technology has advanced and we have more smart and educated Drs
I find that you are talking crap. You compared technology 25 years ago and now?😂 Technology improved and also doctor skills matters. -_- your mom could have found a lousy Dr. Period.
@@livelaughandlove299 May be, but a knife, sewing and threads same technic
@@melinaPesakit is not the same technique. In the same way once upon a time keyhole surgery didn’t exist and if people needed to have their appendix removed, it was one large incision. Now they do it keyhole and it’s practically invisible. Same thing goes for this field of medicine. They develop and learn new processes all the time.
My mother had it done about that same time, if not more than 25 years and it came out great! Doctors skill is everything!
Dr Karam this has been the most informative video I've watched in a very long time and I watch videos on anti-aging procedures all the time. I often notice that celebrities start looking tired in their 40s but they still look beautiful so I couldn't quite understand what this tired look was due to, I only knew it had something to do with the eye area. Subtle changes due to ageing are hard to pin point so it's great to have you explain what to look out for
You are so generous with your time and knowledge, Dr Karam, I really appreciate it. It's very interesting to learn what is happening physiologically and what can and can't be achieved to counteract ageing.
I'm 46, and I always follow your advice because I want to look like myself as I age. I also inform my own audience to be careful about any procedure and do their research because it can look very abnormal if you start messing with your face too much! I really appreciate how you break down the aging process, making the mechanisms to aging easy to understand. It's important to know these aspects when making a decision about something so critical.
Thank you for watching and thanks for the kind comment!
Excellent explanation! Good breaking down of the information, so you are a good teacher!
Can you please give advice about daily care ( products) for the under eyes?
@@sabrinarenataditaranto4960, I know you are asking him, but I love to make sure I use most of my actives on my eyes as well, I use Snail Mucin undereye cream over that, and at night I apply tretinoin to my undereyes. I am fighting the battle, but all of these have helped tremendously!
@@realist8052, surgery is permanent for this, but that doesn't mean the skin won't start sagging again or that the fat will not leak into the area again. I'm not a plastic surgeon, though, so I don't know for certain how long that takes. I'm assuming it's like a face-lift, which lasts around 10-15 years before sagging starts again.
After noticing my first ever noticeable wrinkle under my fatigued eyes at 54 this video really helped me relax and realise there are options available to me. It was explained in a clear, road map, sensible way that I appreciated. Def worth watching this video. Thank you for Dr Karam.
Appreciate the thoughtful detail to your discussion. As a retired MD, I love this education. I had fat transfer to face when younger.
Thanks for watching!
And what has been your experience?
@@josewie are you satisfied by?
I appreciate Dr. Karam's highly informative presentation on under-eye surgery. It is crucial that anyone considering such a procedure understand what to expect and ask questions beforehand.
When Dr. Karam explains the dos and don'ts and whys, he makes so much sense; and yes we still want to look ourselves when we have a procedure done. It really is nice if someone who hasn't seen you for a long time says to you, you haven't changed a bit. Thank you again Dr. Karam.
Thank you for explaining
I agree that not enough surgeons are proficient in fat transfers. I see your B/A's and am so grateful for your expertise in this area. Hopefully I will be able to have my lower bleph with you. Thank you so much for your commitment to education!
❤️happy to teach people
,,,
I did bleparoplasty operation just a few months ago, but I seen already my puffy eyes (bag eyes) again, I am 52 yo and don't understand why it came back so fast, is it connected with my hypertension or ...? What should I do then? My doctor said I have to massage or compress with cold water 🙏
So helpful and informative Dr Karam. If a person can only do one procedure, get the eyes done. Biggest impact, little down time, and financially do-able in comparison to FL. Gets rid of the tired look. Save up and see a top talent like Dr K.
You are such an amazing dr. I wish i lived close to you since there are zero qualified plastic surgeons in my area. Your techniques are perfection.
Thanks for explaining what needs to be done for lower eye aging.
I live 20 min from his office!!!! He is so expensive, but I’m seriously considering shelling out for a consultation. I’m turning 50 next month and I have had a brow lift and a blepharoplasty. With a different surgeon. But now my lower face needs some help!
Very informative segment once again.👏🏼👏🏼👏🏼 The guy is a genius in his field. Thank you, DR. K.
Loved this educational video!
Thank you so much for explaining all these choices... you have likely saved me from bad experiences with your advice (such as laser resurfacing or other energy treatments!). Suggestion - the before pictures are without make up; but the after pictures are with makeup. I know that makeup can hide all types of 'sins'. May I suggest that the pictures (especially the after) are shown without makeup? Or include three pictures (before, after, and with makeup)
I just want to say (and I haven’t watched the video yet, I’m about to) I’m in my mid forties and for quite a few years I had dark hollows under my eyes that looked like bags. I tried so hard to get rid of them and hide them. I used to have a glass of wine every night.
On a separate note, I decided to stop having wine every night and wow…..my skin , especially under my eyes looked younger again!
I discovered alcohol was dehydrating my skin and working against me all that time. Now I just have one or two glasses every couple of weeks, if I choose. And my skin is much more hydrated.
Agree. Wine / alcohol makes my eyes look so puffy next day....so ageing.
Also l try to detox and drink more water. Eyes look much fresh and awake.
I believe this is my problem as well , glad I read this 🤓
My daughter Misty Rhodes told me about you and she was so right! You had bonus points right from the start because my daughter has been coming to you for a few years and you told her you wouldn't do a facelift on her until she was at least in her sixties! Why? because she doesn't need one! I couldn't agree more! Now it's my trun to come see you!!
*Thank you doctor for addressing this concern of both women and men. Men especially have such a stigma surrounded by us seeking help for this unfortunate problem.* 😢
There is no stigma. Even if you experience such, it is coming from your friends.
@@canesugar911 *Men definitely face a backlash in being image conscious or hyper aware of their physical faults. It’s seen as effeminate and to say otherwise is a blatant lie.*
@@John-14798 you are the liar here Mr. All you need to do is look online and look at the thousands of channels (with billions of views) dedicated to scrutinising women for their looks and mocking them for getting work done. That barely exists for men. If you are afraid of getting scrutiny, it is most likely from your guys. Not society. Go touch grass and stop trying to victimise yourself. No doctor wouldn't work on your face because you are a man.
@@canesugar911 *I’m talking about society scrutinizing men for getting or wanting plastic surgery to improve on their appearance. I don’t know what or why you continue to respond to me when you make zero sense and barely sound coherent. Have a great day stranger.* ✌️
@@John-14798 and i said that society as a whole doesn't. If it were the case, there would be entire subgenre on the internet doing the scrutinising. But you don't see that you only see groups (be it Facebook,Twitter insta, reddit etc) scrutinising women. You don't want to be treated like women you want special treatment. This concept wil ofcourse not make sense to deluded individuals.
Have a great day yourself.
The more I dive into aesthetic medicine, the more interested I am in becoming an aesthetic nurse! Would love it if you did a summary of how to be an ethical nurse injector and use filler responsibly (how filler can help and hurt, what nurses should do in their scope of practice, and when they should refer out to a physician vs. trying to overcorrect with filler).
Thanks for the comment. Here is a summarized answer to your question, hopefully it can guide you in the right direction.
To be an ethical nurse injector and use fillers responsibly, it's important to adhere to the following principles:
Education and Training: Obtain proper education and training in facial anatomy, injection techniques, and the safe use of fillers. Stay updated with continuing education courses and certifications specific to aesthetic nursing.
Scope of Practice: Understand and adhere to your professional scope of practice as a nurse injector. Each country or region has specific guidelines and regulations regarding the procedures nurses are allowed to perform. Familiarize yourself with these regulations and operate within their boundaries.
Informed Consent: Prioritize informed consent by thoroughly discussing the treatment, potential risks and benefits, expected outcomes, and alternative options with the patient. Ensure they have a clear understanding and provide their consent willingly.
Assessment and Consultation: Conduct thorough assessments of the patient's medical history, current health status, and aesthetic concerns. Assess their expectations and suitability for the procedure. Consider factors such as allergies, medical conditions, and medication use that may impact the treatment or indicate the need for referral.
Individualized Treatment: Tailor the treatment plan to the individual patient, taking into account their unique facial anatomy, desired outcomes, and any contraindications. Avoid a one-size-fits-all approach and customize each treatment to the patient's specific needs.
Responsible Use of Fillers: Use fillers judiciously and responsibly. Ensure that the amount and placement of filler are appropriate for the desired outcome while maintaining natural-looking results. Avoid overfilling or overcorrection, as it can lead to an unnatural appearance or potential complications.
Referral to a Physician: Recognize the limits of your expertise and refer patients to a physician or appropriate specialist when necessary. This may include cases that require complex treatments, correction of previous complications, or when the patient's aesthetic concerns are beyond your scope of practice.
Continuing Education and Collaboration: Stay up-to-date with advancements in the field of aesthetics by attending conferences, workshops, and collaborating with other healthcare professionals. Engage in interdisciplinary discussions to enhance patient outcomes and safety.
@@dramirkaramwhy is this not a video???
What I like so much about Dr. Karam is that he’s able to put out these informative videos on a regular basis, while running a successful practice - AND still not look exhausted. It worries me when plastic surgeons with popular TH-cam channels look like they don’t get the rest they need. My reasons are selfish. Basically, it would be impossible for me to have any confidence in a doctor who has both a surgical practice and a booming TH-cam channel, if it means it’s taking a destructive toll on his sleep. I would not want anyone like that going near my face with a knife. Another reason I respect Dr. Karam’s channel as much as I do is because he’s not doing silly skits that (while being entertaining) cause me to wonder whether he would rather be a performer in the entertainment industry than a plastic surgeon. It’s reassuring to see how seriously and confidently Dr. Karam takes his craft. Finally, the before and after photos are “amazing” (such an overused word, and yet it applies perfectly here). Now, if only he wasn’t on the opposite coast from me. It doesn’t seem like the high altitudes on a plane would bode well in the healing process. 😂
Agree !
On the opposite coast?? Sadly he’s on a different continent 😢
If I were you I would definitely hop on a plane !
I'm in a different country and am waiting for the USA pharmacy WHO vaccine papers rule to drop so I can fly in and get my face done by Dr K.
He is able to do it because he charges ten times the regular amount hence he does way lower no of surgeries. He is doing it at our cost. I wish it wasn’t that way.
I agree I understand a full face lift runs $87,000...and up. He only treats the very rich. :(@@TubeYoYOYO
I think his ethnicity, genetics, positive attitude, and taking care of himself all contribute to his youthful appearance. And he probably uses his own skin care products. 😉
I'm based in Istanbul, and I'm a big fan of your surgeries, treatments and advices. You are making art! You're a master of transforming women to their younger self 🥰🥰 I wish we had such a wonderful doctor here. The most important value at a plastic surgeon is his aesthetic view, and your talent is your persistence in maintaining the natural look of a woman and not creating a totally artificial copy of some popular celebrities and fashion trends. That's why I really appreciate your videos and listen very carefully to all of your suggestions. Thank you so much and I wish you all the best 🙏❤️❤️🧿🧿
Thank you so much for following along and supporting! I really appreciate it.
Would love to hear your opinion about PRF under the eyes. Thank you for these educational videos!
what PRF is?
I just did PRF and it didnt help much, had three treatments but I dont see any improvement whatsoever. I gonna stop it and think will go for lower bleph + fat transfer.
Can you educate on any exercises that strengthen the muscles around our eyes and/ or face ? I'm conflicted over how much of that helps or is counter productive as "over exercising" and losing fat as a result? Thank you! Thank you for all the great education you provide, I have learned a lot!!!
I love watching dr Karam he is so honest and accurate 😊
Everything you say always makes sense. I’m coming to you when I’m ready to do my eyes (if it’s not cost prohibitive like Dr Kao). You do beautiful work ❤. I just had a facelift done in Korea. I wanted my eyes done too but they said they couldn’t because my eyelid skin was too thick. Not sure what that means but I think it was a blessing in disguise. Because now I can have you work on my eyes.
Finally! I have been waiting for this very video for a very long time. The only one thing that you didn’t cover is how either of those eye procedures help or reduce dark circles, if at all.
Thank you, Doctor, for ALWAYS educating us and keeping us well informed. I look forward to consulting with you about the excess skin (and dark circles) on my lower eyelids!!!!
Dr. Rajani says cold pressed grape seed oil helps under eyes. I ordered some but haven't received it yet.
Lumi eyes is a skin booster that I’ve seen is very effective for that
@@recoveringbaptist2023 I am 46 years old and for the past 26 years, I have tried all there is to try. No home remedies work. No creams, oils or any other concoctions work long term. By the way, I like Dr. Rajani and I watch his videos all the time. I do ice my eyes often and it does lessen the dark circles for a couple of hours. I am more so looking for a more permanent fix rather than having to do a home remedy twice a day.
@@jesclifford88 That’s hard for me to believe because for 26 years I have tried many, many things and spent a LOT of money and nothing has worked. The interesting thing is that I am not plagued with severe dark circles, but the y are definitely noticeable and still nothing topical has worked. However . . . I guess I will give these recommendations a try . . . Thank you.
Anyone around Philly /Baltimore area that does the facial fat transfer; any recommendations?
Thank you for taking the time to explain so much on plastic surgery . Just 2 weeks ago I had a face lift and took all your advice on board and I am very happy with the results. I am now looking at just adding either the fat transfer or a very little filler under the eyes and this video has helped me decide what I need and how best to discuss it with my surgeon . Thanks Again for your concise help.
Thank you for watching!
Would you mind sharing who you used for your plastic surgeon, and what state you live in?
Thanks!
@@ejbooksi am in Thailand and used UD clinic in Bangkok ! exceklent surgeon
Under eyes, do not do fat grafting. It's very unpredictable. Lumpy and bumpy. Only surgically removed
@@bodydesignthailand6932 what is the surgeon's name? I'd love to see your photos.
Radio frequency has helped my eyelids as has Microcurrent & LED therapy!! In combo with VitC , Glycolic acid serum, Grapeseed Oil and Safflower oil have helped immensely with either tightening, discoloration and volume.
Results can be achieved without injectables or Surgery. Oralift has also had significant results on people's facial shape, hollowing lifting and volume, so there are other types of therapies that just take frequent consistency.
Thanks for sharing. I could never afford surgery. I have genetic hooded lids and have always had bags underneath and looked tired.
All of your patients looks so natural after their surgeries, kudos!
Thank you!
Thank you so much for explaining from start to finish, photos included. From an educators perspective- your 'lessons' are on point. The diagram and explanation of an eye, youthful eyes vs aging eyes, the changes of the eye area including the cheek junction, how to fix it and why it might a treatment might be/ but be a great choice...as Emeril used to say 'BAM!' AMAZING- THANK YOU!
Thanks for watching!!
You’re my fav. doctor to watch on this platform! We love you!
Ahh thank you. Thanks for watching
I watched the video on the history of facelifts. It was really educational to learn how it started and what came next. I really appreciate your educational information.
Not sure what Doc has done to his face / eyes but he looks fantastic!!!
I need this done…
I was just going to say this he looks well rested unless there’s a filter
I’d be scared to get filler under my eye because I see that the skin under the eye is very delicate and might not be firm enough to hold the filler and end up looking more like bloating, which I hate more than hollowing. Some things are better left alone and for me this is one of them.
I wouldn't get filler under the eyes. Fillers tends to migrate, getting lumpy, and is extremely hard, if not impossible to dissolve. Get PRF injections.
@@annmareepearce6568 sounds scary, I’m not getting any injections. I’m already 65 and have accepted aging; I’m taking care of my skin. I get hydrafacials every 6 weeks, use quality products and Retin A. It’s enough for me.
@@jojorey6886 same here.
@@jojorey6886 what products do you use?? ❤
@@Babypatty738 Retin A which helps some but I’ve just decided to age naturally, I’m 66 in a couple of months.
Amazing Dr. Karam, very clear and transparent. Thank you
Thank you for such an in-depth, fabulously descriptive deep dive into the under eye and the procedures used to refresh it! One of the best videos I've seen!
Seemingly well organized Mr. Karam starts off with two ex negativo definitions and three adjectives of which "fresh" and "attractive" do not mean anything in therms of description but are just unspecific or even personal. ...
I am hoping you cover wrinkles under the eye. I don't seem to have fat loss or excess skin, and when am not smiling, I don't see wrinkles, but as soon as I smile, BOOM, tons of lines appear......what to do about that?
Dr. Amir you are in San Diego like me 😍 I’m not ready but I know at some point I’ll want eye surgery, it’s just scary and it’s so comforting to know I can consider you.
Wow the after shots are incredible! You’ve shaved 10 years+ from each of them. All gorgeous women!!
This was such a thorough, informative video. Thank u. Love how u instruct us as if we are in a live consultation.❤
You are so welcome
You're really teaching me so much Dr. Your lower lids look really good.
The more I learn on this subject, the more I feel I don't want any of these interventions. Just wear sunscreen and apply good quality creams (retinoids, Vitamin C and E, Glycolic Acid--The Ordinary is a great, affordable line) eat well, drink lots of water, don't smoke or over drink alcohol, exercise, get enough sleep, do yoga and don't stress. Learn how to apply make-up to suit your skins needs and age gracefully!
Way to go👍
You’re absolutely right about the ordinary stuff that we should all be doing - that goes a long way for sure. But sadly, it doesn’t stop the face from aging; I sure do wish it did.
@@KChapman6079There’s nothing wrong with an aged skin if it’s healthy. It looks so much better than someone’s face that’s had work done leaving the person looking different rather than better. Results are often temporary and just end up causing more problems in the future in my opinion. Nature knows best. Look at the Hollywood stars who’ve had surgery they look very odd and unrecognisable in my opinion.
You are so right! Looking natural and healthy is the best look at any age. I’ve seen so many naturally beautiful women ruin their looks with facelifts and fillers.
Great comment 🎉
Wow as if I’m in a classroom of the Best Professor during my university years. I almost don’t blink 😜 listening Well done educating your subscribers like me. I don’t need it yet but now I’m fully equipped of reliable informations from Dr. K. Thank you 👍❤️🇨🇦
Wow, thank you! So glad you enjoy my videos and thank you for subscribing.
Can you please talk about PRP and PRF in this area? As well as skin needling.
I’m having an impossible time to find any doctor here in South Florida that does PRF. Nobody! Do you think with all the plastic surgery done in South Florida that they would be someone who would be an expert at that. Impossible to find. If anybody knows of one, let me know!
@drAmirkaram
I did a PRF treatment under my eyes and saw absolutely zero improvement. In fact, the serum ended up sagging over the days before it absorbed, and I think in the end it made things worse. They then said I'd need to get it done 2 or 3 times more (at $800/per) to see the best effects. I declined and kissed my $800 goodbye.
@@lynda8000Thank you for sharing your experience….guess I’ll forgo this…
Been getting those for a couple years now. I do see results but, unfortunately, you need multiple treatments to maintain the results
I like the way you explained everything clearly. Love to see before and after quality of your works. Look fresher nicer and younger without changing the patients’eyes. Well done sir👍👍👍
Ah thanks!
Thank you Doctor it’s very helpful information 🙏 and Between filler and fat transfer which one is good for ages between 62-65?
Never mind! I just got to the part where you mentioned it.
Amazing advice, as per usual, Dr Karam! Very wise, I am in my late 30s now and thinking of possible fat transfer, but for now using a bit of fillers and botox. I still look very well, but perhaps will consider the transfer next in a few years!
Even from afar I get informed by your videos, I may not be treated well but at least I will be guided when I consult a doctor here in the Philippines
This was awesome! I went for a consult recently and he only wanted to do a lower bleph fat removal. I clearly have mostly hollowness issues so this seemed weird to me. Great explanation!
Do you also do surgical brow lift in concert with these lower lid procedures?
I’m late to the party watching this. You are a bloody genius. I only wish you were in London. I feel like I have just gone back to school and had the best biology lesson. This all makes perfect sense, and far more easy to understand than doctors I have spoken to here in the UK
Dr. Karam, PLEASE tell why you don’t like lower lid fat transposition. Several prominent oculoplastic surgeons have told me they believe fat transposition is the gold standard because the fat being redraped into the hollow retains its own native blood supply.
Oh wow!! I love the fact that DrAmirKaram explains it so well and I love the fact that he says in removal of fat pads, he preserved the integrity of the eye muscles by not touching it when he's going from the inside of the eyes. I also learnt one important point I consider important in avoiding laser tightening and all those procedures which according to him makes the skin around the eyes even thinner, even without the skin heals beautifully and no signs of the procedure. I love this! Thank you, am subscribed already!
Did any of the women in the before and after photos also have a vertical lift done? Or was it only work done to the under eye?
Not sure how this video got in my feed but great video!. He's so right about that overfilled filler effect. Years ago, i had it done by a dr that was supposed to be one of the best. Right eye was good, but left eye kept looking puffy. The dr’s office told me it would eventually go down, it never did. One day my guy friend ask me why my left under eye always looked swollen. That comment bothered me so bad that after a year of it looking like that, I found a doctor to dissolve it asap. Went to another dr. To get it done again since my right eye was still looking good, but my left eye was looking gaunt due to the dissolution of the filler. Well he also didn’t know what the hell he was doing and it happened again. Finally found a dr who knows exactly what she’s doing and almost 2 years later, my under eye still looks good. Only issue is in the morning sometimes my under eyes are puffy which I suppose is the filler but after a couple of hours of being upright on my feet, it looks normal again. I’ll take that any day over the hollow Jack O Latern look.
My father is in his 70s, has excess skin below his eyes, and is on heart medication after having a heart attack about 10 years ago. He had a consult to get the eyes fixed and they said he would have to come off the heart medicine for a week. My mom is right: she said get something like this fixed sooner while you are healthy. He opted against the surgery because of the risks associated with stopping the heart medicine.
Is it a blood thinner? Most heart medicines do not need to be stopped but most blood thinners do. If this is it, his doctor may be able to use some other option
my mother had a heart attack 4 years ago and she refuses to take any heart medicine as the medication they gave her make her feel faint and dizzy, she is not dead although she gets tired easily, she is 82.
Thank you so much Dr. I’ve been watching lots of videos from Korean and Vietnamese’s Dr so far you are one of the best of the best clip that I’ve learned a lot. You educated me so much. You gave me more confidence to make a decision with choosing a dr if I need one in the future 🙏🙏 God bless you Dr🙏
Dear Dr.Karam, Thank you very much for this extremely useful information! I always appreciate the logical and very well-structured information and details in your videos. As a university professor, and a woman preparing for a facelift I love this education and this very special way you educate the audience. Congratulations from Hungary!
You are a rather handsome man Dr Karam. This video is excellent . A comprehensive. Video of an area rarely covered.
Great video. How much does the fat transfer & surgery cost? If you have had under eye fillers before, how long do you have to wait to do either fat transfer or surgery?
Great video! im 62y.o. woman with no kidney problems nor no medications whatsoever but i got puffiness under my eyes. It's so frustrating everytime my boss or friend or the cashier in the gas station says "u look tired, r u ok?" when in fact i felt so energized.
Their comments lingers on my mind through bed time.
Doc, i really got no budget for those procedures that you mentioned in this vid., besides accepting my aging face and embracing it, is there any possible alternatives to get rid of my problem without going under the knife? Applying foundations and concealers doesnt help camouflaging the puffiness.
Thanks doc for your time reading comments and more power.
I had my first undereye filler at 52 , half syringe on each side, it was life changing and now I do it every 3 years but I'm worried about fillers there because it does last a long time. I'm trying to look into something more natural, but I live in Canada and don't see many options, if anyone in Toronto knows a good practitioner I would appreciate it.
I did my tear troughs twice, and never needed to do them again. I recently had a “Micro-tox” treatment and ended up with full-on festoons for over a week because the filler grabbed all the saline. It was a really hard week emotionally, but it’s since settled in and looks great. Don’t redo your filler unless you have to, and be careful of any Botox in conjunction.
I cannot believe the excellence of your presentation… you are amazing, I’m just so impressed… I was thinking about having under eye fillers, but I’m now thinking twice !!!… thank you for your easy to understand video …😊
Wow thank you!
Good Afternoon Dr. Karam… … again I have been listening to your superb presentation (whilst working out at the gym) 😂…& have decided the way to go for me is “fat transfer“… I am now living in Florida, but come from the U.K. so finding & researching a Surgeon should be fairly easy 🤞..thank you again for your 5* presentation… & I’m looking forward to your next presentation …
I came across your channel recently and have learnt so much from your videos. I'll search for a video that you've done on the upper eyelid too. I applied foundation instead of eye shadow a few times last year, and it seems to have sucked up most of the fluid (whatever makes the upper eye lid look plump) from my upper eyelids. The upper eyelids also got puffy in the mornings as well. Now most of the morning puffiness is gone leaving me with excess skin and sunken eyes. Not sure what to do. Ps. I like the new wall design 👍
I think your an excellent plastic surgeon i only wish i could afford to go to you. The before & after pictures are amazing i can totally see the difference and how youthfull they now look. Also i love how you explain everything in all your pod cast in simple terms so the average person can understand it. All in all i enjoy listening to every surgery you perform. Thank You So much! ❤❤❤
Is there anything we can naturally do instead of fillers and fat transfer?
Salmon spawn. Fantastic
@ViYoung-os4kv what is salmon spawn exactly?
Thanks for your precious recommendations. I am from another country far from your end and I hope to get your treatments some day before it gets too late. Regards to all
Another awesome video!! So much great detail. I definitely want and need a lower eyelid surgery. My concern is how does a person know if it’s the fat pad bulging forward or if it’s “fluid” from allergies? I’m guessing I might have both. So maybe in my case I would get improvement but not as much as others might? In my book it would still be a win, I think.
I have same question. I got puffiness due to allergy but my question is treatment for allergic reaction eyes are the same as other eyes .? Please Dr tell in details. My age is 35
I also have allergies , my lower eyelids have always been puffy. I think that's a good question for a surgeon in the initial consult. Nothing I have done has ever changed the puffiness, Only on a couple of times the puffiness seemed to be gone( for a day or two) but I had folds of skin next to the cheek bones. And this happened as a result of some allergic reaction. @@rabiaasghar3676
Issue is , can I find a dr as good as you.
thank you doctor. I have a lower blepharoplasty scheduled in May with a high skilled Oculoplastic surgeon. His recommendation is to do transconjunctival lower blepharoplasty along with a C02 laser. The reason for the C02 laser is to to tighten the under eyes and smooth out the texture and lines under the eyes. In listening to your video and hearing about the skin being so fragile and thin (my under eyes skin is definitely thin), I am now very concerned about doing the C02 laser and having complications down the road. Based on this dr's recommendation, do you think the C02 laser is still necessary? Your thoughts and options would be very much appreciated. thank you, Roseanne
Not the dr but I had that exact same combo done 1.5 years ago and it was life changing . The co2 laser really tightened up the skin and gave a fresh look . I was the best money I ever spent in my life
@@virginiabluebell2350 Thank you so much for your feedback. I have had so many fears/anxieties about this procedure I am having done in May. I also called the dr's office (after seeing this video) about my concerns and the women that I spoke have been so kind and said the same thing you commented on. One of the ladies at the office had this done (the eyes and entire face) and could not say enough good things about this how it has made a big difference to her face. Again, thank you for reading my post and really appreciate your feedback. I am feeling so much better about my procedure.
I had the same procedure done and had great results for 1 - 2 yrs then the hollowness set in. Fillers don’t last and are lumpy in the area so do what this dr suggests and be sure to get a fat transfer as hollowed eyes look terrible and are impossible to treat. Would ask surgeons for a video testimony of a patient 4 years out to see real results. Photos can easily be doctored.
@@LB-ep7nq thanks for your feedback. Does everyone get hollowness after this procedure? I definitely think fat transfer would be the best choice over fillers but this would only be if you get hollowness and I don't believe everyone experiences this. I also think that there are only so many doctors doing fat transfers because its a very specific kind of surgery and it really requires someone with expertise and someone who does it regularly.
GENIALLY EXPLAINED; THANK YOU DOCTOR KARAM!
Dr. Amir Karam its not fair that a knowlegeable great surgeon like you only exists in California state .. i'm sure many women that watch you from different states wish you can travel and have surgeries in other places in America..
Most of my patients travel to see me
@@dramirkaram
An eye opener to say the least🤩very informative
Thank you
I took your advice and went to famous Beverly Hills Occuplastic surgeon to get a fat transfer because you were too busy and had a year waiting list. Now I have a dent in my leg where he took the fat and my eyes look horrible. He put 2.5 cc under each eye. I have tons of pressure now under each eye and bulging eyes totally puffy 18 months later. I am so depressed. I saw 26 surgeons now and can't get help. Nobody wants to take on someone else's mistake. I finally found one surgeon willing to take it out, but he wants to charge me over $50,000 just for lower eyes and he will not take insurance. I am totally screwed suffering emotional damage as well as lid margin roll and exposure caused by the excess fat stretching things out for almost 2 years. I already spent over $10,000 on consultation fees and can't find anyone to help me in this area. This is the worst nightmare. Do you have any eye surgeons you recommend?
I also got fat transfer for my face and have a horrible dent at the side of my left thigh. Also it puffed the corners of my top eyelids and I can feel a bobble under my eyelid. Sometimes it seems better to age naturally as most surgeons, and beauty salons do not think properly, just do what they are taught and that one size fits all. the majority are not up to any standard. I wish you best of luck.
I agree that Dr. Karam is one of the best out there but I have to say that he promotes himself (which he should) and his abilities such that you really want him to be the one who performs this and other facial procedures. The problem I have is most people who are watching this video and making comments cannot afford him. I have no idea what this procedure cost but I am pretty sure it is out of range for most people. He promotes a vertical lift procedure that he does and clearly he is good at it but it will set you back 100K or more!
Thank you doctor Karam for great educational videos! 🙏🏻
Regarding CO2-laser under the eyes, it seems to me that many surgeons prefer this to a skin pinch, and that some even do both for optimal results. Their claim is that the laser will not thin the skin but rather make it thicker and better. When you say skin will become thinner and more fragile after laser resurfacing, do you then see this as a permanent result, or is it a temporary issue? And could laser tightening also result in changing the eye shape?
I struggle with vertical lines right under my eyes that go down my cheeks and therefore can not be successfully treated with Botox.. At the age og 46 I dont have much other ageing issues yet. Have seen different surgeons, but most are sceptical towards the skin pinch saying it will make the eye rounder in shape, and that its very easy to take too much off so the lower rim shows.. Makes me very confused as to which procedure to choose, as everyone has got great before and after pictures to show…
Dear Dr. Karam. You have great skin. However, you should shave the gray beard off. it's making you look much older.
Do you have a video about skin care and diet as prevention for eye aging? Including eye creams that are gentle, safe, and don't irritate the skin around the eyes? Thanks so much!
Thank you for this !
I had a plastic surgeon ‘grant’ my request for filler under my eyes when they appeared hollow only to be fully disappointed when there was the appearance of bubbles under the skin , following a follow up COVID vaccination . Apparently they was a known reaction . It looked terrible and I ended up having another dermatologist have to correct it by dissolving some of the filler with some injection and making it look smoother . What’s crazy is I was never really consulted on what procedure was appropriate for me , she just followed my request .. but I’m no plastic surgeon 😂
I had orbital surgery for Graves Disease 15 years ago and the end result was a "fat pad" was left below one lower lid that I didn't have before. I went back to the surgeon who performed the surgery and was told that to repair it would be "cosmetic" and not covered by insurance, even though the initial surgery was medically necessary. I'm now 63 and have a lump beneath my eye that I always say "I didn't earn." I have never had the confidence to have someone work on my eye(s) further because I do not want to look even "more different." I wish your practice was in Michigan, as you really seem to know how to keep a face "genuine." Most consults I've had have never even brought that up. Thanks for the info.
Great video, thanks! Great explanation of the aging undereye. I've got the hollowing but also puffiness - glad to know more about fat transfer. Seems like a lot of injectors are just pushing fillers
I love your beautiful detailed videos they are always Informative and answer all my questions.
Your before and after pictures are amazing.
Thank you Dr. Karam for taking the time to share your knowledge🙏💖.
Thanks for watching and supporting!
I was wondering why PRF was not discussed (EZ GEL) as a natural body substance as an option to under eye filler. It seems it is currently 'hyped' as the new preferred natural filler. Great info, thanks.
Yes was wondering the same thing :)
Love how you break everything down
My practioner wants to do PRP injections under my eyes for the hollows because of aging. Is this not a good tool in the toolbox to consider?
Same question here. I think PRF is the newest and seems to be skill dependent. Seems like it would be best for cases with relatively less volume loss.
Another very informative video. Never knew about the muscles and fat pads, etc involved in the eye socket. The anatomical images explained what you were explaining are very helpful. Fantastic teaching video. Thank you very much for your time Dr. Karam for making this video.
I think the upper eyelids are the most important, droopieness etc. what to do about that short of surgery? As a long time Esthetician I really believe we all age and ageing naturally without going under the knife or injections are best. Plus it makes someone look awful. Great skincare, sun protection and being happy are natural skin anti agers. Not surgery. My mom lived to be 96 and she was so beautiful, no plastic surgery or fillers needed: her soul and heart was filled with beauty, lovliness, creativity and joy. Id rather spend 50k on a nice vacation, new experiences, than plastic surgery sorry doc
Such detailed information is important, the technique he uses makes sense. The fact that he does these procedures everyday speaks to his knowledge. What do we do with this information? How do we find a surgeon that uses his techniques? I don’t think any surgeon would appreciate a patient telling them there’s a different or better way to do surgery. Can any of us afford to pay what Dr Karam charges?
Nop!!!!
Yah. I’m not sure of the point of the video….to get business and to scare us away from anything else?
I wish l could look youthful and fresh but right now l look like crap
I need $$$ for this. But I really appreciate your videos and giving us tools and education. The education portion is invaluable
In the time it takes to earn the money for muh procedures,
Ageing will ahve already given you even more problems.
So the example of the ageing woman is like a hamster running on a wheel until it drops dead from exhaustion.
@@maalikserebryakovnot everyone is that financially disadvantaged
I wish they provided ballpark figures for all these procedures. I appreciate when doctors are open and honest about their costs. If you’re good at your job, I will save my money for the best - But give me a goal to work towards!
The information is very informative and thoroughly detailed.. you are magnificent at explaining down to every minute detail ..you are an excellent example of the excellant information.
So nice of you! Thanks for watching.