How Vertical Restore Works

Dr. Amir Karam's patented facelift technique, Vertical Restore, differs from traditional or deep plane facelifts. While a conventional facelift only addresses the jawline, Vertical Restore takes a comprehensive and balanced approach that targets everything from the top of the temple to the neck, including the outer eyebrows, midface, jawline, and neck. This holistic approach is one of the reasons why Vertical Restore boasts high rates of patient satisfaction.

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Personalized Facial Rejuvenation

Additionally, the Vertical Restore procedure offers highly customized facial rejuvenation tailored to address your concerns. Dr. Karam will take the time to understand your aesthetic goals during your consultation and develop a treatment plan utilizing the following modalities:

  • Volume Loss Correction with fat transfer can safely and naturally correct sagging, hollows, fine lines, and wrinkles.
  • Eye Treatments keep your eyes looking bright, open, and inviting.
  • A Lip Lift can create a youthful pout.
  • Skin Resurfacing provides the finishing touches to your procedure, ensuring your skin looks youthful and fresh.

Pairing Vertical Restore With Fat Transfer

Without exception, every individual experiences facial fat loss as they age. This fat is a crucial component in maintaining a youthful, healthy, and vibrant appearance, and its gradual decline becomes noticeable around our mid-thirties and continues to progress with each passing year. This loss pattern is consistent for everyone, regardless of body weight, and results in a face that appears more worn, tired, and aged. 

Fat transfer refers to removing excess fat from one body area, such as the stomach or thighs, and injecting the purified fat cells into the face to restore volume. While this procedure can be performed independently, it can also be incorporated as part of the comprehensive Vertical Restore procedure.

The fat transfer procedure effectively blends the transition between the eyelid and cheek, resulting in a soft and gentle contour that promotes a healthier and more youthful appearance. Our facial fat transfer technique is highly successful because it is the most natural way to replace lost facial fat. One of the oldest principles in plastic surgery is to "replace like with like." You achieve the most natural rejuvenation by using your body's fat to restore lost volume. Additionally, fat cells containing abundant stem cells are linked to long-term rejuvenation effects, including improved skin clarity, texture, tone, and even a reduction in pore size.

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Total Facial Rejuvenation With Dr. Karam

Our practice is renowned for performing a high volume of successful fat transfer procedures, earning consistently excellent patient satisfaction, and boasting an extremely low rate of complications. Patients across the United States and worldwide seek our expertise in this procedure.

Mastering the Art of Fat Transfer

Dr. Karam's experience with fat transfer dates back to 2004 and has since grown to encompass a high volume of cases. To excel in fat transfer, a surgeon must possess a deep understanding of the three-dimensional changes that occur with aging and a keen sense of what normal youthful facial contours should look like. This requires extensive study and years of experience examining various faces. Over time, Dr. Karam has developed a sense of patterns, learning how much and where to inject fat to restore youthful facial contours.

Since fat injection is more akin to sculpting than surgery, an artistic eye is crucial. While technical skills are essential for maximizing fat survival and minimizing complications, the beauty and elegance of the results are purely artistic.

Fat Transfer FAQ

Does facial fat transfer really work?

How long does facial fat transfer last?

What are the advantages and disadvantages of facial fat transfer?

Are there any risks associated with facial fat transfer?

Does facial fat transfer really work?

Yes, facial fat transfer, also known as fat grafting, can be an effective procedure for adding volume to the face and improving its appearance. It involves taking fat from one body area, typically through liposuction, and injecting it into the face to restore lost volume, fill in wrinkles, and enhance facial contours.

How long does facial fat transfer last?

The longevity of the results from facial fat transfer can vary from person to person. Typically, some of the transferred fat may be reabsorbed by the body in the months following the procedure. However, a significant portion of the fat usually remains, and the results can last for several years, with some individuals experiencing long-term benefits.

What are the advantages and disadvantages of facial fat transfer?


  • Natural-looking results
  • Long-lasting effects
  • Minimal risk of allergic reactions since it uses your own fat
  • Simultaneous body contouring through liposuction
  • Versatility for facial rejuvenation


  • Variable longevity of results
  • Multiple treatment sessions may be needed
  • Some downtime and recovery
  • Possibility of overcorrection or under-correction
  • Risk of irregularities or asymmetry

Are there any risks associated with facial fat transfer?

Like any medical procedure, facial fat transfer has potential risks and complications. These may include infection, bleeding, bruising, swelling, asymmetry, irregularities, or under-correction. Additionally, the fat may be reabsorbed unevenly, leading to some volume loss. Choosing a qualified and experienced healthcare provider and following post-operative care instructions are crucial to minimize these risks.

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