Upper & Lower Eyelid Blepharoplasty

Dr. Karam performs more than 350 eyelid procedures annually at his San Diego practice. Upper blepharoplasty removes excess hooding skin conservatively while preserving muscle and fat for a natural, rested result. Lower blepharoplasty addresses under-eye bags, hollowing, and loose skin using skin pinch, transconjunctival, or fat transfer techniques. Both procedures are performed under local anaesthesia with IV sedation with one to two weeks of recovery. Upper eyelid results last 10 or more years.

Eyelid surgery at Amir Karam MD's Carmel Valley San Diego clinic is among the most in-demand facial rejuvenation procedures at the practice. Dr. Karam performs more than 350 eyelid surgeries per year — a volume that places him in a small category of facial plastic surgeons with genuine subspecialty depth in periorbital rejuvenation. Upper eyelid blepharoplasty targets hooding caused by excess skin falling over the eyelid crease, creating a heavy, tired, or aged appearance. Dr. Karam's technique is deliberately conservative: rather than aggressive skin removal, he preserves the orbicularis muscle and periorbital fat to avoid the hollowed look that can result from overzealous upper lid surgery. The procedure is performed under local anaesthesia with IV sedation and is described as almost painless, with minimal downtime. Results typically last 10 or more years. Lower eyelid blepharoplasty addresses under-eye bags, shadowing, and loose skin. Depending on the patient's anatomy, Dr. Karam selects from three techniques: skin pinch (for mild skin laxity), transconjunctival blepharoplasty (for fat-only cases accessed through the inner eyelid, leaving no external scar), or fat transfer to hollow areas. Swelling and bruising resolve over one to two weeks. Both procedures can be performed independently or combined, and they are frequently paired with Vertical Restore as part of a comprehensive facial rejuvenation plan. The practice is located at 11943 El Camino Real in Carmel Valley, accessible from La Jolla, Del Mar, Rancho Santa Fe, and North County San Diego. Initial consultations are available in-person or via Zoom, with a $1,000 consultation fee.