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I decided very early in my medical education that I wanted to pursue the Facial Plastic Surgery as my specialty. The field offered an opportunity to truly touch lives, make a difference, and required the highest level of surgical execution and techniques. I also loved how creative it was and how it allowed innovation to improve outcomes. These were all the reasons I loved it and choose to become a Board Certified Facial Plastic and Reconstructive Surgeon.
I didn’t take long for me to realize that the subspecialty of Facial Rejuvenation was really far from optimized when I was training 15 years ago. People who were noticing their faces aging or had aged would get a facelift, neck lift and brow lift and all of them would look strange, different and unnatural. They would lose their identities and the essence of their natural spirit. You could tell these people from across a room in a matter of seconds. This was what it meant to get a facelift. To me this was unacceptable. I made it my mission to learn and develop new ways of doing things that resulted in a more natural look and a truly restored appearance.
This has been a 10 year journey that led to the culmination of techniques we now call Vertical Restore™.
Facial aging happens to all of us and when it does, in a relatively short period of time, our faces start to look different than how we see ourselves. Put differently, we feel as young and vibrant as we always have yet our faces start to show our true age. When this happens, we no longer look as young as we feel and this is feels bad. It bothers us. It makes us self aware when it comes to photos or even close interpersonal and even professional situations. This transition toward facial aging, robs us of our youth and beauty but even more troubling, our identities.
This discordance between the way you look (older) and the way you feel (younger) is the main reason people come to see double Board-certified plastic surgeon, Dr. Karam, for help. What everyone wants is to simply look as young as they feel and what this means is to erase the recent changes affecting our faces and to restore them back to a period before aging started to make them look different. This usually relates to early 40s and mid 30s. This was Dr. Karam’s inspiration to develop the perfect approach to address this. When it is addressed, the biggest impact is emotional. Feeling comfortable in your own skin is essential for overall happiness. This is what gives Dr. Karam’s work so much meaning.
Dr. Karam explains Vertical Restore
After upper/lower eyelid surgery
After Vertical Restore & Fat Transfer
The full magical restoration of facial rejuvenation only comes about through a comprehensive and combined approach including eye rejuvenation addressing both upper and lowers eyelids as well as a complete Vertical Restore and fat transfer.
The most simple way to summarize the aging changes is as you age your face goes from an upside down triangle to a rectangle. What happens is the fascia in the face (the SMAS) starts to elongate (droop) and descend. This leaves the face looking different than it did during youth and this is why we look different to ourselves and to others when it occurs. This change in shape is the core problem and addressing it is the most important and impactful way to solve the problem.
The key to understanding the solution, which is the Vertical Restore, is to understand the problem. Think of fascia as cooking dough. If you hold up dough and let it hang, it will elongate with the help of gravity. The same thing is happening to the face. The fascia (dough in this analogy) is getting longer. But the key to understand is that this is happening from the top down. It’s not just a part of the face. It is the entire face! So, it is important to address the whole thing at the same time so it looks fully and naturally restored not like a partially remodeled kitchen.
This patient underwent a full facial rejuvenation using Dr Karam's patented "Vertical Restore" procedure and full eye rejuvenation.
These stunning results are just 1 month post-op. Follow this patient's journey to turn back to clock.
The body’s largest and most sensitive organ changes significantly with age: elasticity, thinning, discoloration, lines and wrinkles.
As we age, facial fat begins to diminish throughout the face, leaving one looking tired, deflated and hollow.
This is what everyone thinks of when they think of aging. The loose skin around the upper and lower eyelids, the bags under the eyes, the sagging of the outer corner of the eyebrows, jawline and neck.
Comparison of the Vertical Restore with a Facelift
Dr. Karam, who is board certified by the American Board of Facial Plastic and Reconstructive Surgery and American Board of Otolaryngology, offers services in San Diego County including San Diego, Del Mar, Carlsbad, Carmel Valley, Encinitas, Rancho Bernardo and La Jolla in Southern California.
If you are ready to schedule an appointment with Dr. Karam, contact us today.(858) 259-3223 Contact Us
In light of the new state-wide guidelines we will we will not be performing surgery for the time being, all current patients that need followup post-surgery visits will be done through virtual consultation. We will be scheduling surgery for the future when we anticipate the quarantine will be lifted. In the meantime we are available by phone and email and we will be performing virtual consultations for all new patients. We will be contacting patients over the next week as needed to reschedule, and keeping folks updated via our website and social media on any changes. We will continue to see any current patients needing care in our office. Please contact us to set up your virtual consultation.