Blepharoplasties 101: Which eye surgery will make YOU look younger?

[@user-qb4eb8vq5u]

I had a lower bleph in my late 20s (hereditary eye bags) & it was the best thing I've done. My undereyes look normal, tight & natural. If done, right, one of the most impactful surgical procedures, & you still look like yourself, but better

[@flootiez]

hi! Im so glad to see the procedure worked for you! Im looking into getting the same procedure, im 21 and I have really big, dark hereditary eyebags, do you know what kind of lower bleph it was? I'm not sure if the surgery will work as mine are dark and I dont know if removal of fat in that area will fix anything, can you talk about your experience please? It would really help me! Ofcourse, you dont have to if you dont feel comfortable :)

[@francescafp]

@@flootiez lmk as well because I want to do with a well because of the darkness.

[@ELA._.BORATED]

How does it feel ?

[@teekay8965]

Same! Best thing ever.

[@blueeyedscorpio7]

I hope soon I will be able to get it done too!

[@debbieboxley6038]

I wish I would have seen this before I had my upper/lower eyes done. Worst decision of my life, changed the shape of my eyes and made my lower face instantly droop. I hate looking in the mirror now. Your videos are the best.

[@dramirkaram]

I am so sorry to hear that. That’s why I make these videos. To help inform. Please spread the word!

[@Onehotjuly]

Have you thought of just doing a lateral brow lift now ? It sounds like that would give you a result your looking for .

[@debbieboxley6038]

@@Onehotjuly I have! I am still having problems with swelling and sensitivity of the lower and some upper portion of my eyes. The surgery was over a year ago with a double certified plastic surgeon. Not sure if there was nerve damage done.

[@debcollins8231]

My heart hurts for you. I am so sorry. I cannot imagine how hurtful it is to have procedures performed to feel better about ourselves, just to be more dissatisfied with the results. It is so odd, because I scheduled surgery for the 28th, to remove the family-curse of undereye bags, and an upper blephoroplasty for my badly-hooded eyes. I have always had small lid space but now in my 60s, a few hours after waking, gravity causes lids to disappear because the flesh is laying on my lashes. What is so odd is that very recently, I have read several posts in which people have had the same or similar work done, and regret it. I do not believe in coincidences and after reading yours tonight, am seriously considering canceling the procedures. I sincerely hope you continue to heal...the swelling to go down...and you are happy with the results.

[@Onehotjuly]

@@debbieboxley6038 I know the face is so easy to swell and bloat . Try one day to stop salt intake & drink water and see if that makes any difference. Sending healing prayers to you .

[@charlesferneyhough129]

Please stop making over the after images with makeup application...it is misleading!!

[@galamander_1327]

You're a very effective teacher. I adore how you mention anatomy, specific techniques, and the thought processes behind different techniques and treatment decisions.

[@monikamixing]

What is cost to this proccesur

[@dmikullajewelry]

This video is so informative, I love how you teach and explain the “why” behind the ”what.” I’m approaching 60 in a few months and have wanted to rejuvenate my face for years. I would love to have you refresh my face, especially my eyes!!! Edit: I’ve heard that allergies can add to the puffy under bag and I would like to see you do a video and explain if there are any steps one can take to help alleviate that. I take allergy meds, nasal sprays, drink lots of water, etc etc but my bags are very baggy 😆 especially in May and October, the height of allergy season where I live.

[@le_th_]

Informative, concise, cohesive, and interesting. Thank you for the time you invested in preparing and producing this video.

[@Cinnamongun1]

YES I know exactly what a blepharoplasty entails. In April I had an upper and lower blepharoplasty. Oh my goodness, that was intense. But I definitely look better. I also had a face and neck lift, and an upper lip lift. I spent a lot of money, and it was worth every penny imho.

[@misa6483]

If thats you now in your profile picture, you look great and it was indeed worth every penny.

[@aspegel5281]

Who was your surgeon?

[@NarcCon]

Wow your amazing..I’ve questioned doctors who say if they do the surgery they would remove fat pad..I felt it would change the shape!!! Going to book with you thank you 😊

[@wendybcardinale]

Thank you Dr. Karam, I've been thinking about this type of surgery for about a year now. You've provided such comprehensive info here! Now I know what to look for/expect. At 56 I look pretty good, I'd just like to look like I've had a good night's sleep. 👍

[@debcollins8231]

You look absolutely beautiful for any age. I thought I accepted how time has affected my face in my 50s, and upped my skincare and sunblock. Now in my 60s, I swear every time I look in the mirror, new lines...more sagging...lips shrinking, etc... I have scheduled surgeries (upper & lower blephoroplasty) for July 28th. You are a very beautiful young woman, and I hope you are happy with your results.

[@tastx3142]

I am an RN and worked for a group of plastic surgeons. They always took 8x10 photographs prior to surgery and were hung during surgery. I was 22 and we had a 35 year old who was having an upper blepharoplasty and my eyes looked worse than hers. I had very heavy fat pads, upper eyelid was not visible and with many allergies they would get puffier. Despite being well rested and feeling fine, people would comment how tired I looked. Both my parents had similar structures and their eyelids were starting to encroach in their field of vision. I discussed it with one of the surgeons who did it at no cost and had it under local. It was the best decision I ever made and I no longer got the tired comments. It did change the shape of my eyelids, but it improved the look. It’s been more than 40 years and the lateral lids have recently started to droop, but I don’t have the heaviness and puffiness. People who didn’t know me before my surgery told me my son, who was born 5 years after my surgery, had my eyes, which was erroneous as he took after his dad’s side. I told my son as he got older and showed pictures prior to surgery sh he knew that his children might inherit the same trait. He told me that the opened my eyes and made them my best feature. I have never had any other cosmetic procedures and never felt the need as my eyes look better in my late 60’s than my parent’s did in their late 40’s. My sister had the same eyes but her upper lids were even puffier and she was envious of mine. I never regretted the decision.

[@almacardona6317]

Great info Dr Karam! Would like to know what is the average time it would take to heal from this type of surgery. I'm a personal trainer so my job is physically active and the healing process may interfere with it. I know it varies from one another but taking a break from my job will be part of the costs of the surgery

[@virginiabluebell2350]

It took mine around two weeks but with working out anything down facing like push-ups , downdog etc I could feel pressure in my eye area . It didn’t hurt but did freak me out so I avoided them for a couple of months . Hope this helps

[@mystikrebel1089]

Along with being a surgeon and artist , Dr Karam is a good teacher as in this video

[@sherryandrews9676]

When is bad enough for Medicare to pay for it? Thank you.. I am a young 75 with so much excess skin on upper eyelids

[@arymhansie]

Any procedure that can be done for someone with dry eye? Apparently a bleph affects the Miebomian glands leading to dry eyes. So my question is, can someone who has a dry eye condition have this procedure?

[@2shadowcats2]

It really irks me that most of the AFTER pics are in full make-up, while in the BEFORE pics they are not wearing any make-up. It wouls give a far better idea of actual results by showing the AFTER also with no make-up on the face!!

[@visionvixxen]

Yeah, it’s pure dishonesty if they do this, but noticed they never keep the variables the same. The person should be in the exact same position the same lighting, same hair, color or roots or no roots. You keep everything the same and literally show the surgery when all the swelling has gone down as wellfactor if they have pictures of several years down, the line should be there as well, and if additional procedures were done that are not mentioned before or after those should be done as well sometimes it says facelift and the person has the facelift and then got cheeks and lips filled. It’s crazy.

[@chariots8x230]

It seems like you do a lot fat transfers doctor. Please make more videos where you explain fat transfer, and the concerns that people have about it. For example, how does fat assimilate when taken from areas like the stomach/thighs and transferred to areas like around the eyes and other parts of the face? What happens to the fat transfer if the patient gains or loses weight? (E.g., In my case, I work out, so I’m often bulking & cutting, meaning I’m often gaining & losing fat.)

[@dramirkaram]

Check out my video here: kzbin.info/www/bejne/h321c6upo7ScjpI

[@CH-px1fw]

Have you made a video explaining the type of anesthesia your patients receive for the different procedures you perform? As an anesthesiologist and hopefully your future patient, I’m curious 😊

[@TheAgingGames]

Such a great explanation Dr. Karam. I had an upper bleph 2 years ago and I kind of regret not doing the lower at the same time.

[@elisabethcasale6642]

I had an upper a little over a year ago and was told my lowers weren’t ‘loose’ enough to do yet. So, my lowers aren’t done yet either…It seems more frequent that upper lids are done first. I know a few women who had uppers done years before the lowers…

[@grat2010]

At 7:35 you saved me from making a baaad decision! Thank you for educating us!

[@anpe6524]

THIS VIDEO IS GOLD!!!! So many surgeons out there who don't even take these matters into count, thank you!!

[@stop_and_smell_the_roses]

Thanks for this. I was just thinking I'm going to get my eyes done. I've tried a specific brand of mini current that's used by estheticians, with a lot of success. But I didn't get on it soon enough and my lid skin was already apart from the fat and drooping. So there's only so much that mini current could do. Plus, mini current does wear away some of the fat and some of that fat is needed for the under-brow area. So I think my best option is lid surgery. Of course your work is exceptional so I'll be ringing for an appointmemt this year. Your final results are perfection. Not to criticize other surgeons, but I did see a before and after by another top surgeon. Now the before was very saggy and the after did look incredible and a very natural job. No question about it, but for me I'd be going back for a 2nd lift after that first one, just to really lift some of the excess sag. So I'd be doing another before and after. 😇 Some women are just happy with the lift they get, and some women don't want their skin too taut, as they may have become accustomed to a little sag and still want that there. Or they may not want quite a dramatic lift result. Me on the other hand have not forgotten the taut skin of my 30's, and I know if it's pulled my entire face will look 32 again. Dr K seems to dial into a womans wants and is able to deliver a semi-taut lift or a full taut lift. They all look great, but I'm interested in the latter and so far he's the only gallery I've seen that delivers what I want, using an uplift rather than a side pull.

[@jessicacolby7899]

I totally agree however I am unable to afford his prices

[@banshie4]

Thank you so much for the work you're doing to educate us, the consumer, on this very confusing industry. It is unbelievably helpful! Question: Do you have any videos on under eye dark circles?

[@solimanel-deeb8922]

In my thirties, I had a Blepharoplasty hidden incision where the fats were removed and nothing else was done. I ended up with a deep groove under my eyelid and I had to address it with fillers. Then fillers at that area are not good as they migrate, so I had lumps. Then 2 years later, fillers seem to have gone and my left side fat pads are back and looking great. The only problem is my right fat pad which is still hollow. I also have lower eyelid retraction on it, which I had before the surgery anyways. But surgeon did not address those two issues when done the surgery and he's a famous guy in New York and cost me almost $10k.

[@aspegel5281]

Where in NY?

[@antisocial_socialite]

You are a Godsend!! Throughout all the yrs ive been researching blepharoplasty no one has explained it asbgood as you.

[@hanadishamkhani189]

You are an amazing teacher. I wish all specialists explained things as well as you do. Best wishes for continued success

[@yulandetiplady3261]

I absolutely love your work. Hopefully someday soon I will meet you. I had fat transfer done to my tear troughs. Sadly, the graft on one side didn't take and it bothers me intensely.

[@BAR55825]

Wow oh wow! I was blown away by all the before and after pictures. They ALL looked sooooo natural and all sooo refreshed! I would ABSOLUTELY LOVE to have this done for my eyes. Dr Karam, I just recently started following you and I LOVE the fact that you explain everything in layman’s terms, so we can understand. How long does it take to get an appointment with you for a consultation? Question: On an eye rejuvenation, what is an approximate recovering time? Do you do both eye rejuvenations at the same time? Thank you sooo much for all your explanations, information, knowledge and expertise. ❤️

[@lynnmariesullivan3699]

Really great lecture!! Really, can't find an issue to critique (I once critiqued your speed of delivery -- which you slowed -- thank you!) Your skills are amazing! I would never be afraid going under your knife! Can't imagine going to anyone else. Now, to save. I'd better hurry, I'm 65! -- and in North Carolina!

[@dramirkaram]

Thank you!

[@dr.suadabdeen1875]

Thank you Dr. Karam for this elaboration of your techniques. Wishing you all the best. Thank you.

[@ops8888]

I honestly think you are amazing. Thank you for sharing your knowledge. I just turned 40 although nobody believes me. I am being told I look like I’m in my 20s. Regardless, I’ll be coming to you when I need it. Yay for all the tools we now have to age graciously. grateful 🙏🏼

[@ninalou4629]

Whats ur regimen & skincare? any procedures? thanks!

[@uche_elele]

@OPS please your skincare regimen and your health and lifestyle? Thank you

[@alissagomez9132]

Drop your skincare routine queen 👑 ❤️

[@christineribone9351]

Thank you Dr. K. That is the most informative video I've ever see. In fact, I've never had any Dr explain things in such detail. Why aren't other doctors treating patients so respectfully? Why all the mystery? Now I understand that my droopy eye corners & hooded eyelids are due to weakness in the muscles at the tail of the eyebrow. I had no idea there are 3 different eye surgeries. I love the way miss Kylie Kardashian eyes look. I heard that there was a mistake that gives her that Disney eye look. the mistake looks fabulous! You do fantastic work Dr. Karam! Thank you for helping people.

[@karenmccann8644]

I love the way you explain your procedures, and the way you keep women looking the same but younger with lifted and tighter, glowing skin. You will be my Dr. one of these days. I used to live in Los Angeles and worked in Beverly Hills so I know my way around there. You are the best Dr. so far that I've seen here on youtube.

[@herminiaduarte7145]

I wonder if this is only for woman With a lot of money ;want to do that surgery, does any one here knows how expensive is this surgery with him

[@ElbaAlbertovna]

Doc! I feel like I’m in a classroom being lectured by you. Your explaining everything so well. Thank! When i need some work ill def come to you!

[@dramirkaram]

Thank you!

[@cjstevens-]

Ditto

[@annespellberg7173]

It would be more convincing if the before and after had no makeup. Seeing someone before with no makeup, then a full face in the after isn't really helpful.

[@cherokeenative5531]

This was so informative and so easy to understand the procedures. Everyone should see this before having any of these procedures. I would love to come to San Diego to have this done. You are an amazing surgeon.

[@clarissamck]

I'm having ptosis surgery and blepharoplasty for the upper lid. Having a Dr from Shiley do the procedure 8/30/22. I had another Dr do strabismus surgery this past April. So far so good.

[@dramirkaram]

Excellent I like both those surgeons and send my ptosis cases there.

[@clarissamck]

@@dramirkaram dr korn and Dr Granet. Great care.

[@tinagrace6722]

What was your strabismus surgery? I’m supposed to have surgery for ptosis but am a scaredy-cat.

[@clarissamck]

@@tinagrace6722 you'll be fine. Mine was for double vision in both eyes. For that I was put under general and i woke up with straight vision! It was the best experience. I trust my Drs and the care I receive. I went to Shiley at UCSD as I'm from SD. You'll be ok. Focus on the outcome . 👍😇

[@tinagrace6722]

@@clarissamck such an awesome outcome! Good luck with your surgery in August!!

[@robynbrockhoeft5210]

i definitely need a lower Blepthroplasty, desire a vertical plane or lower facelift, w fat transfer to the face... however I was quoted $20K How much for lower Beph only using TIVA or Mac instead of General anesthesia? Can you quote ranges? I think your very knowledgeable and handsome physician?

[@robynbrockhoeft5210]

Oh my gosh! Yes,, I need lower bleth and fat transfer! In need all 4 tools you mentioned.. I have fat on my back, bar region, and mons..

[@highvelocity5899]

Great content but Mention the prices please.

[@vanessa7347]

This is one of the better video I've seen on this topic. Comprehensive, but still high-level, and easy for anyone to digest.

[@TreeofLife_111]

How much does this cost?

[@virginiabluebell2350]

I had the under eye bleph done last year and the results are amazing . No more dark puffy circles . I look refreshed but still myself 🙌🏻

[@Loralarify]

Where did you go? I just need a lower bleph -my upper lids are good and not sagging over my eyes at all- I have only the lower lid issue but am afraid to go to just anyone- the surgeon I had a consult with suggested just removing a little bit of fat from the lower -and tightening the skin up.

[@cristinacarrasco5457]

I have wrinkles under my eyes that I hate. Did you had the problem? Did it help?

[@virginiabluebell2350]

@@Loralarify I went to Dr Niamtu in Richmond va . He has a KZbin channel on here .

[@virginiabluebell2350]

@@cristinacarrasco5457 I had a couple of small wrinkles but we added CO2 laser around the eyes and i think that’s what fixed the wrinkling.

[@mamijojo6446]

How much cost

[@minasaint9992]

Dr Karam you make it all necessary to educate before making a decision so informative and makes so much sense. If it was affordable I would jump on a vertical face lift or mini face lift fat transfer. In this time in our economic system makes it impossible speaking for myself, but if I could find a way make no mistake you be my number one choice indeed. I’ve watched all your videos.

[@dramirkaram]

I appreciate your confidence in me :)

[@Patriot1789]

It seems pretty clear when you read the comments that even when you see a series of before and after pictures there is no way to know what your surgeon can produce for your face. Even with a lot of research this is a blind item. Very distressing all the way around.

[@juliebeilin6441]

wow the before and afters are amazing. Thanks for providing all this info

[@polbzh]

Hello doctor. I'm from France and looking for a surgeon that would have some knowledge and experiencein your field of expertise (facial rejuvenation). Would you recommend any practicionner in France that would have your expertise or with whom you would have shared trainings? Thank you very much. Your content is always precise and very much appreciated.

[@chariots8x230]

Doctor, do you use stem cells or any other technology to prevent/lessen scarring from surgery?

[@etamlous]

My mother has drooping upper eyelids so I’m helping her find a specialist, but it’s becoming so difficult to find one as every surgeon makes claims that their technique is unique from others and produces most natural results. Dr. Karam doesn’t seem to endorse endoscopic brow-lift while every oculoplastic surgeon who trained under ASOPRS fellowships all do endoscopic brow-lift with upper lid blepharoplasty and they say that they are better trained in understanding the anatomy and doing the surgery than plastics & reconstructive surgeons. It’s just exhausting and frustrating to seek consults that cost a lot of money and they all say different things. For example Dr. Karam promotes using fat injections for volume while some of his peers say fixed cheek implants are superior and permanent because fat injection shift over the years and problem reoccurs.

[@mw9491]

Please make sure that she wants to do this. It is a very complex procedure. Doctors make it sound easy but it's not and can cause dry eye and MGD and you do not want to put her through this. Make sure you obtain an ocular surgeon that practices eye surgery. I was going to do both lower and upper. thankfully I did NOT get the upper. I cannot imagine where I would be now. I'm dealing with a very bad decision with the lower bleph because my eyelids are too low now and I'm thousands of dollars in eye doctor bills.

[@Nakaiidine19-eC.aA.dC98]

Dr. K, I would love to have a face lift but I can’t afford it. But would be happy to just get my upper and lower eyelids done. I wonder how much that would cost me. I’m from Phx but would go to San Diego to consult w you. I’m Native American so kinda leery about getting these procedures done bcz of my skin tone. Love watching your videos, very informative, thank you!

[@reginarico7]

I’ve been wanting to get this procedure for years to fix my very puffy eyes. At 54, I have aged relatively well but the bags under my eyes make me look chronically tired. I’ve been watching all your videos to educate myself and know what to expect and demand. Thank you!! So useful.

[@m.skinner6303]

I have to tell you, stop eating carbs...that will clear it up. Also, watch you sodium intake

[@susanmacaluso5218]

@@m.skinner6303 omg, not what I want to hear....but I know you're right!

[@MizzMM]

ive had it.. upper and lower and girl, do yourself a favour and treat yourself.. the results are WAY better than you can imagine. such a little thing can make a BIG beautiful change!

[@maryamagha2653]

I also have the same type of tired look. I use make up to look fresh. I wish I could at least get a consult from this magical dr

[@moniquewells4068]

@@MizzMM What was your recovery time?

[@robinstewart5062]

Dr. Karam, what an excellent video. Knowing what an excellent surgeon you are, of course I would always simply take your recommendations regarding procedures. But now, I really understand!

[@cindyrichardson5809]

What is the cost of this surgery and where are you located? Thank you

[@terryroberson4933]

I think i have the worst bags I've ever seen on anyone. Ive had the bags under my eyes for many years. And over my eyes. I always thought the cause was of spring time I wish i could afford to have it done. Im 67 year old male and it would be a dream of mine before i die to have them done. I absolutely hate looking in the mirror. Love your video

[@Sekret_BOLSHOY]

Live and don’t think about your face, your soul is forever young, you are healthy and this is happiness, you are alive and this is happiness, tomorrow you will stretch your face and turn 37 from 41, then at 45 you will want to look younger again and from 45 you will be made again 37 years old, then at 55 you will be made 37 years old again, then 62 years old you will be made 37 years old again - are you ready to freeze like a monument at 37 years old forever? 😆 all your friends grow old, children grow old and your face does not!

[@lisacastelan5914]

Thanks for that!!!

[@GG-xs5wg]

So they all wear makeup after surgery really don’t compare the difference.

[@elinfrancis]

I don’t have money to pay to you, but I really want to do one of these 😊

[@juliareid3258]

So sometimes people just need a brow lift

[@heidisama7522]

Dr. Karam, these are such helpful videos. As an educator myself, I can say that you are an excellent teacher. Do you ever recommend plastic surgeons in the Orange County area?

[@Luz-cq9bl]

Wow thanks for this information going to get it done soon Booking an appointment with you Dr I live in California nearby Excellent advice I wear contacts and one eye is very drooping starting to be noticeable.

[@SB-ll1tt]

I have very low eyelids that are slowly covering my eyes! Looks like my eyes will slip off my face any day now! Would love Paris Hilton’s new eyes!! Dr Karam will see me one day for sure.

[@Patriot1789]

How can that lateral brow be lifted without an incision into the hairline at the side or across the top of the forehead? I am scheduled for a Blepharoplasty in January but I still don’t understand how that outside brow area can be lifted.

[@ChannelJtotheD]

Another amazing informative video on looking beautiful n natural. Unfortunately, I live in Adelaide, South Australia 🇦🇺. It’s so important to be given this prior knowledge before any procedure on the face. I’m unsure who to trust out here because they don’t explain it the way you do. Which state in the USA 🇺🇸 is your beauty surgery located? Thank you

[@AnyelinaL]

The before-after pictures obviously they look good because they had a total vertical restore face lift. Some eyes look way better, others didn't see much change (as for the eyes only). Definitely the face lift/neck lift it's what gives the most of the change.

[@dramirkaram]

If someone has facial laxity addressing the whole face including eyes is better naturally.

[@kakterlalql2384]

Is fat transfer better than getting face implants?

[@territoth2442]

Dr Karam- my apologies for the typo. You really explain and offer total understanding in regards to the skin and aging. Thank you.

[@barksnbo3625]

By far the best outcomes I’ve seen. The natural results are incredible.

[@10000daddy]

Just had my lower blepharoplasty done in Gangnam, South Korea. Would’ve preferred your office but I’m not making the big bucks quite yet. Very happy with the procedure-it’s life changing.

[@SkSk-yy1jg]

Can I ask which clinic you went to?

[@blazingstar9638]

🎉🎉

[@joycenoel1008]

Where & what was the cost?

[@Pinkhair332]

Could you share more pls? Very interested

[@anpe6524]

Doc, can you make a video about PLASMA RICH IN FIBRIN to fill the under eye, wrinkles etc

[@lesleyc9774]

Would like to know also about that!!

[@anpe6524]

@@lesleyc9774 This process acts like a filler but uses your own blood and fibrin, enhanced with plasma. Swelling can last up to 10 days depending on your face, but afterward, it brings a fresh look and is supposed to stimulate collagen production. These facial procedures on the market are extremely delicate because if they don’t work, it’s directly on your face! The sense of self-betrayal is real-if you get a procedure done poorly, it feels like you've betrayed your own face. That’s why I wasn’t surprised to see that these doctors charge nothing less than $50k-$75k or more

[@INTUITIVENORSK2303]

Dr Karam, as always, Thank you, for another interesting, informative & very valuable video. You always put effort and time into bringing us the very best content. You are helping to much better inform the masses, hence much better topical/procedural/surgical outcomes. Also, you're making this process, for countless women/men, much easier & less stressful, for their respective decision making.

[@eevagirl]

Do ;you ever come to Australia on working holidays? (: I think you should consider it!

[@dramirkaram]

No but I have many from Australia come out to see me here

[@eevagirl]

@@dramirkaram Sydney surgeons? (:

[@JohnsonWhat28]

Dr., you do so well explaining the procedures. Easily the best I have seen on you tube. Congrats.

[@gloriamitchell4005]

Could you address bone loss and taking vitamin K2

[@yogawithdenise]

Thx doc! Till I get enough nerve to do this procedure, I have started Sculptra, just 1 treatment has helped! Also, my doctor recommended a “chemical eyebrow lift” to help my drooping right eyebrow, she injected the contour of my upper eyebrow and my 11’a never done this combo before so let’s see how it looks in a couple of days! What else can I do for the puffy/fat bags? 🙏🏽🤞🏼🙏🏽

[@dramirkaram]

Honestly just surgery and volume if they are significant enough

[@barbarabrooks4015]

Well explained. I have been considering some rejuvenation on my upper lids as mine are very hooded. So glad I saw your video so I can get the complete package to have the best result. Thank you for sharing your expertise and insight. Barb from Glendale, AZ

[@christinesebastian1417]

Thank you so much for such great information. You are amazing. I wish I could have this done, unfortunately, I don't live in the US and I am probably too old. I think that people feel very safe with you.

[@jjowhal]

Hi Dr K - another great video. Do you avoid a canthopexy or canthoplasty b/c that may change eye shape vs the pinch technique? Are there times when you do use a canthopexy/plasty

[@dramirkaram]

Exactly. I have never had to.

[@dominiquevezina7572]

Hi Dr. Karam, do you know a good surgeon in Québec or Canada. I mean someone who works like you. Where us your office? Thanks!

[@asalkhodjaeva4064]

How i wish to be your patient😌❤️ How sad that you don't come to Dubai to do same things😞😥

[@bettyr405]

Hi Dr. I love the result for all your videos 👍🤗💝💖

[@robinblair2125]

Great detailed information. What type of anesthesiology and downtime is needed? And also do you guys have a referral net work to help us do some of the homework as I am located in North Carolina?

[@elisabethcasale6642]

I had upper bleph and a unilateral brow lift 12/21. Only local anesthesia, no problems! It was done in Drs office. Honestly, I’d rather not be under general for this….hubby drove me home.

[@bjoh1579]

How much does this cost, approximately?

[@kmaddox6857]

I really dislike the before and after pictures where the patient is not wearing any makeup in the before picture, but is wearing makeup in the after picture. This is not a fair or true comparison of before and after. I also notice that often the lighting is so much better in the after pictures. Dr. Karam, I see both of these situations on your channel. To get a true comparison, lighting should be the same and both pictures should be with makeup or both pictures should be without makeup (without is really the best way to judge what a surgery has done).

[@fj8639]

Dr can you make a video about dark circles under the eyes or banda eyes.thanks for your videos.

[@one4blondes]

so what happens to the area where you remove the fat, is there a dent? does it eventually fill in again?

[@NatureGirl62]

God, this is sad. I’m seeIng the comments of women who have been convinced that they need these procedures. It’s his bread and butter to get you to think you’re not good enough. Do you realize that? Practice good self care instead. I will never forget being at a restaurant a few years ago and seeing two women at different tables. One looked overdone with procedures and the other had gray hair and a natural, glowing, yoga instructor type of appearance. There was no question in my mind who looked better - and who was most likely happier. PLEASE love yourselves and don’t become victims of this nonsense. ❤️

[@michellescarborough16]

So does an oculoplastic surgeon approach the eye the same way as you?

[@jessicacolby7899]

I would like to know this as well

[@sgp318]

I’m also wondering

[@Sweenie75]

Good question

[@jessicacolby7899]

@@Sweenie75 wow no response it must be nice to have so many patients you don't need any new ones

[@mauya4]

I love your work Dr Amir, im saving up to come see you from the other side of the world.. i love how people look natural, how can i ask about the cost?

[@amylewis7563]

I am completely distracted by how those bookshelves are arranged. I can't understand it. 🤔🤔

[@finurra3905]

yes, 100% you hit it on the nail. My mom had a facelift 2 years ago and her surgeon did an amazing job but only cut out the top part of her upper eyelid but she still needs a brow lift and a lip lift. She literally looks 20+ years younger. Amazing but definitely good to understand that eyelid skin can change the way the eye appears.

[@nannygoatj]

dr karam, one of the most common over-time side effects of lower blepharoplasty is the rounding of the eye, where a person loses the almond shape and gets a baggier/slacker lower lid. Without a canthoplexy how do you avoid that outcome? by the way, man amrikai hastam vali farsi harf mizanam (yek kami, aqalan!). toro khoda, kashki man pul dashtam...che qadr delam mikhad jarayi az shoma begiram! daram gerieh mikonam.

[@dramirkaram]

It’s my technique and the use of fat transfer that avoids this

[@jori7398]

Hi DrAmirKaram, Have you worked with Thyroid Eye Disease patients for surgeries that can help reduce the increased fat and swelling of the eye area that the disease causes? If yes, I would love to have a consult with you. It’s such a complex disease, but surgery can be a good option for some patients. God bless.

[@sherrycohen1824]

I had an upper blepharoplasty because my vision was impacted from droopy eyelids. It was done by an occuplastic surgeon at Yale. Within a year, my left eye started to droop again and then so did the right eye, but not as bad as the left eye. Now I know what she did wrong. But she also never took into account that in addition to ptosis, I have chronic blepharitis and hooded eyes. At this point, my left eye looks smaller. I hate the way they look and I can't afford to have it redone because my vision is no longer affected. I feel the queen of botched surgeries.

[@sheilaclifford7941]

This is very insulting, to show "patients" who barely look a day over 14, themselves. Show your work on someone who actually NEEDS the surgery done.

[@visionvixxen]

This is nothing special. I know he’s gonna talk about what any late person would know that you have to dress things from structure up so really if you really wanted to do this you would actually add onto the bone with hydroxy appetite like bone remodeling then you would do transplantation maybe a little bit show that transplanting sad Actually helps before face, you were a combination of brow procedure with upper island procedures, depending on the facial anatomy and the desired results and a combination of those two in a safe manner protecting the person from not being able to close their eyelids or have dry eyes probably Don’t like the transition from almond eyes to very round if they get blast and the option of things I can plasty which is risky but you better be very specialized if you try thatA surprised he talk about that would be common to any surgeon or lab person such as myself I’m the $60,000 price tag so I could be done 15 to 20,000

[@sihr07]

Just had an upper blepharo. Your videos were amazingly helpful! Thank you so much!❤❤❤

[@dramirkaram]

Thanks for watching

[@lsurebel96]

I would like to know how to find a surgeon who practices your surgical techniques in my region ( Birmingham AL)? It's obvious by looking at Hollywood that all surgeons aren't good ones.

[@micheboohawaii9430]

I'm sorry but that wasn't my need. I only had upper eyelid lift. My face looks very youthful now, and my surgeon didn't do all that this surgeon did. For the first time have a much younger boyfriend🥰. Also, I do not have puffy undereye or that other thing he said. All the surgeon did was cut off some of the excess skin from my upper eyelid. It work👍

[@Ben-mx1ip]

Have you had any procedures? Your skin looks great and your eyes/orbital region looks young and healthy, like you haven't lost any fat around them.

[@eleoxora83]

Thanks Doctor for spreading this informations. I would love to hear your opinion for a non surgical treatment quit popular but not enough to trust to. It's called Phiion and it wirks similar to the microneedling but slightly different to make possible a little damage that brings to repair the tissue etc ..etc. i know it better than me explaining. I have done it once and it seems to work but probably won't work efficiently if you don't do it once per year and im scared to do something wrong. Would you be so kind to explain and give us an advice for it? Thanks a lot from Rome!

[@mimioliver4497]

I wish I had seen this video before my surgery. I had the upper blepharosplastic surgery. I feel the corners were not considered. When I look to the side there is still excess skin. I’m 41 and overall happy with appearance, I barely have wrinkles. It was a minor surgery that required precision. I’m not 100% happy 😔

[@RJgrung]

I am about to do Lower blepharoplasty in next month due to my lashes turning inward causing my eyeballs scratch . I am just 36 years old no sign of any other problems. Now I am having second thoughts. Could you please help me out making decisions. I just don’t want to regret at my old age due to this operation.