Pioneer in Facial Plastic Surgery
Focused exclusively on Vertical Restore®, refined over decades to deliver consistent, identity-preserving, full-face rejuvenation.
Pioneer in Facial Plastic Surgery
Destination for Patients Across the Globe
Destination for Patients Across the Globe
A trusted destination for patients seeking predictable, undetectable results through a singular, highly specialized approach.
Creator of the KaramMD® Trifecta Skincare System
Creator of the KaramMD® Trifecta Skincare System
Developed to support surgical outcomes by improving skin quality through a simple, consistent, long-term regimen.
Dr. Karam’s Two-Pronged Approach
Vertical Restore + KaramMD Trifecta Complete Facial Rejuvenation
01 Vertical Restore®
Facial Shape
02 KaramMD® Trifecta
Facial Skin
Featured Patient Stories It’s kind of a dream come true, honestly.
Name
Neda (Dr. Karam's Wife)
Age
52
Concerns
Aging changes around the mouth
Neck laxity / loss of a clean neck angle
Early jowling and a softening jawline
Loss of her natural “teardrop” facial shape
Feeling she didn’t recognize herself in pictures
Featured Patient Stories I felt off balance, I felt young but I could see the aging. After surgery I feel like it connected those two sides back together again.
Name
Brandi
Age
51
Concerns
Sagging in the cheeks and midface
Drooping brows
Loss of jawline definition
Loose skin in the neck
Elongation of the face
Featured Patient Stories The compliments I’ve been getting have been amazing.
Name
Michele F.
Age
70
Concerns
Aging appearance in the lips
Aging appearance in the hands
Sagging in the neck and jowls
Flattening or drooping in the midface
A heavier overall facial expression
Featured Patient Stories I didn’t see what I was feeling inside. My age was not matching with the outside. I feel I can live again in my 30’s, but better!
Name
Barbara C.
Age
48
Concerns
Sagging in the cheeks and midface
Tired eyes
Loss of jawline definition
Loose skin in the neck
Elongation of the face
Featured Patient Stories Dr. Karam gave me back the face I remembered. I can honestly say Dr. Karam breathed new life into me.
Name
Karyn B.
Age
65
Concerns
Fullness and heaviness around the eyes
Looseness along the cheeks and jawline
Hollowing in key areas
A longer, less defined upper lip
Excess or crepey eyelid skin
A Natural Restoration, Guaranteed.
What Makes the Vertical Restore® Superior?
The Whole Face
Treated At Once
The Whole Face Treated At Once
The Vertical Restore® addresses the brow, midface, jawline, and neck in a single, comprehensive procedure, creating an incredibly natural and harmonious result.
Restored the Way You Actually Age
Restored the Way You Actually Age
It’s called the Vertical Restore® for a reason: it restores the tissues vertically, giving back your youthful contours without any distortion.
Fat Transfer
Completes the Picture
Fat Transfer Completes the Picture
Fat transfer adds back natural fullness, turning a great lift into a complete restoration by addressing sagging and volume loss together.
Proven Again & Again
Proven Again & Again
Dr. Karam has performed thousands of procedures, producing consistent results that patients describe as natural, balanced, and undetectable.
The Vertical Restore® Gallery
A Return to Yourself
Explore our gallery of patient transformations achieved through Dr. Karam’s Vertical Restore®: structural restoration, balanced volume, and refined contours that refresh the face while maintaining natural movement and identity.
Expert-Led Insights Over 20 years of treating facial aging at the highest level.
Take Dr. Karam's Skin Assessment and get a personalized plan built around your routine.
Get My Personalized Skin Plan
The KaramMD® Trifecta Gallery
The Routine You Won’t Quit
The KaramMD® Trifecta is an award-winning formula, designed for the long haul.
Clinically Proven to
Deliver Visible Results
Clinically Proven to Deliver Visible Results
After 6 weeks, 100% of users saw reduced fine lines, with 91% reporting firmer skin.
A Complete Routine in Three Steps
A Complete Routine in Three Steps
Over 20 clinically proven skin actives for skin renewal, distilled into a simple morning and evening ritual.
Consistency Made Simple
Consistency Made Simple
Because the Trifecta is so easy to use, patients actually stick with it–and that’s what makes it work.
Developed by a Facial Plastic Surgeon
Developed by a Facial Plastic Surgeon
A proprietary system developed from the ground up, not a white label product line.
KaramMD® Journal: A Weekly Journal on Aging Well“In my weekly journal, I explain facial aging, skin quality, and long-term vitality. The journal is purely educational. There's no selling, just clarity.”
Facial Aging Over Time
Decade
The 20s
Goal
Protect existing skin quality and avoid unnecessary intervention before any structural aging begins.
Prioritize
Daily broad-spectrum sun protection without exception
Gentle cleansing and support of the skin barrier
Targeted acne management when clinically indicated
Simple, consistent routines over product experimentation
Avoid
Trend-driven skincare routines or excessive product layering
Energy-based treatments without a clear indication
Over-treatment of skin that does not require correction
Facial Aging Over Time
Decade
The 30s
Goal
Preserve collagen and maintain skin quality before visible aging becomes established.
Prioritize
Daily sun protection as a non-negotiable baseline
Introduction of retinoids for collagen support and turnover
Barrier support and hydration to maintain resilience
Antioxidants such as vitamin C for environmental protection
Avoid
Overcomplicating routines with unnecessary products
Relying on devices instead of foundational skincare
Aggressive treatments without a clear clinical need
Facial Aging Over Time
Decade
40-45
Goal
Address early changes in texture, tone, and subtle structural shifts with restraint.
Prioritize
Consistent use of core skincare actives without interruption
Neuromodulators, when appropriate, for dynamic lines
Selective treatments for pigmentation or texture concerns
Early, conservative structural support when indicated
Avoid
Using filler to compensate for early tissue descent
Over-reliance on energy devices for lifting
Overcorrection that disrupts natural facial balance
Facial Aging Over Time
Decade
45-55
Goal
Recognize and address structural aging with appropriate, timely intervention.
Prioritize
Continued commitment to foundational skincare and sun protection
Thoughtful use of neuromodulators and conservative filler
Evaluation of structural changes beyond surface-level treatments
Planning for surgical solutions when non-surgical options plateau
Avoid
Masking deeper aging changes with repeated filler treatments
Delaying necessary structural intervention
Expecting skincare alone to correct tissue descent
Facial Aging Over Time
Decade
55-65
Goal
Restore facial structure and maintain results through a comprehensive, balanced approach.
Prioritize
Surgical intervention, when appropriate, to address true tissue descent
Strategic fat transfer to restore natural volume loss
Ongoing skincare to maintain skin quality post-procedure
Long-term consistency in both skin and structural care
Avoid
Overfilling as a substitute for structural correctio
Repeated non-surgical treatments with diminishing returns
Inconsistent maintenance following surgical outcomes
Facial Aging Over Time
Decade
65+
Goal
Preserve results, maintain skin health, and support long-term facial harmony.
Prioritize
Continued daily sun protection and core skincare actives
Conservative maintenance of surgical results over time
Skin quality optimization to support overall appearance
Consistency in routine rather than escalation of treatments
Avoid
Over-treatment that disrupts natural appearance
Aggressive or unnecessary procedures
Inconsistent care that compromises long-term outcomes
Watch Video
The Patient Experience
Discovery & Education
Receive guidance on facial structure, aging patterns, and identity preservation.
Concierge Consultation
Dr. Karam personally performs a full-face analysis to support your goals.
Travel Orchestration
Our dedicated coordinators ensure predictable surgical planning.
Surgery Day
Every Vertical Restore® is performed exclusively by Dr. Karam.
Retreat Recovery
Recovery protocols are designed to protect long-term results.
Interviews & Articles
A Facelift at 35? Why Younger Women Are Going Under the Knife Now
Read More about A Facelift at 35? Why Younger Women Are Going Under the Knife Now
Woman, 53, Let Her Plastic Surgeon Husband Give Her a Dramatic Facelift. She Reveals the Shocking Price Tag (Exclusive)
Read More about Woman, 53, Let Her Plastic Surgeon Husband Give Her a Dramatic Facelift. She Reveals the Shocking Price Tag (Exclusive)
The Red Light Therapy Masks Dermatologists Recommend for Acne and Wrinkles
Read More about The Red Light Therapy Masks Dermatologists Recommend for Acne and WrinklesThe Beauty Products Aesthetician Sarah Akram Uses to the Last Drop
Read More about The Beauty Products Aesthetician Sarah Akram Uses to the Last Drop
These Are the Best Treatments for Jowls According to a Cosmetic Dermatologist and Facial Plastic Surgeon
Read More about These Are the Best Treatments for Jowls According to a Cosmetic Dermatologist and Facial Plastic Surgeon
How to Use Face Oils in Your Summer Skincare Routine
Read More about How to Use Face Oils in Your Summer Skincare Routine
Platelet-Rich Fibrin Injections (PRF): The Benefits, Aftercare, and Results
Read More about Platelet-Rich Fibrin Injections (PRF): The Benefits, Aftercare, and Results
Plastic surgeons reveal incredible 'Midwest Makeover' transformations as they hail new subtle surgery craze
Read More about Plastic surgeons reveal incredible 'Midwest Makeover' transformations as they hail new subtle surgery craze
'Why Wait?': 9 Women on Getting a Facelift in Their 40s
Read More about 'Why Wait?': 9 Women on Getting a Facelift in Their 40s
My Husband Gave Me a Facelift
Read More about My Husband Gave Me a Facelift
The Beauty Products Aesthetician Sarah Akram Uses to the Last Drop
Read More about The Beauty Products Aesthetician Sarah Akram Uses to the Last Drop
