Have you ever caught your reflection and thought: “When did my jawline and neck start to sag?” “Where did these deep folds and tired eyes come from?” “I feel 30…so why do I look 60?”

If these thoughts resonate, you’re certainly not alone. Many patients who visit my practice at Carmel Valley Facial Plastic Surgery express a disconnect between their vibrant inner selves and their aging reflection.

Typically, the lower face and neck reveal the earliest, most noticeable signs of aging, causing confusion and emotional frustration for my patients.

The good news? Today’s rejuvenation techniques aren’t just more effective; they’re safer, quicker, and provide more natural results. Welcome to a new era of facial rejuvenation—Vertical Restore®.

Why the Jawline and Neck Change So Dramatically

As we age, our facial structure undergoes significant shifts:

  • The fascia (SMAS layer) supporting our tissues stretches and descends, pulling the midface, jawline, and neck downward
  • Firm jawlines soften into jowls, and once-smooth neck contours give way to lax skin, fullness under the chin, and vertical bands

These structural changes go far beyond wrinkles or skin tone—they require a vertical repositioning of facial tissues, which is precisely the reason I developed Vertical Restore®.

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Vertical Restore®: Revolutionizing Facial Rejuvenation

I created and refined Vertical Restore® as a proprietary, comprehensive solution to facial aging. It’s not just a facelift—it’s an anatomically precise, full-face rejuvenation that vertically lifts tissues, reversing the true direction of aging.

Benefits of Vertical Restore® include:

  • Lifting the outer brow, midface, jawline, and neck in a single cohesive procedure
  • Natural-looking, long-lasting results lasting 10–15 years on average
  • Results that are elegant, natural, and beautifully restored—not pulled or stretched
  • Performed under local anesthesia with IV sedation for increased safety and a quicker recovery
  • No general anesthesia, minimizing downtime, risk, and costs
  • Minimal, virtually invisible scarring thanks to discreet incision placements

Why My Patients Choose Vertical Restore® Over Traditional Facelifts

Traditional facelifts typically pull horizontally, mainly addressing the lower face and neglecting the upper regions. This approach can yield imbalanced, unnatural-looking outcomes with limited longevity.

Vertical Restore®, however, comprehensively corrects the entire aging face—from the temples to the neck—by releasing and vertically repositioning facial ligaments. This ensures tissues return to their youthful positions without tension, resulting in a refreshed, authentically rejuvenated appearance.

This holistic technique means patients no longer need repeated procedures. Vertical Restore® provides harmony across the entire face, delivering subtle yet complete rejuvenation.

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Who Is the Ideal Candidate for Vertical Restore®?

You may benefit from Vertical Restore® if you’ve noticed:

  • Sagging jowls or an undefined jawline
  • Loose or crepey skin along your neck
  • Hollowing or tiredness around your eyes
  • Drooping cheeks or pronounced nasolabial folds
  • An outer brow appearing heavy or crowded

While many patients consider the procedure in their 40s and 50s, I also treat individuals in their 30s noticing early structural aging or those 60 and beyond seeking a profound restorative transformation.

Reviews

Francine M.

I had a vertical restore at age 65 with Dr Amir Karam. It has been a little over a year and I am delighted with the results. Some of my friends have not even noticed - I just look rested. Dr Karam will provide you with all the information and supplements that you need to make the procedure and the recovery time as comfortable as possible. I usually bruise very easily but with the supplements that were given to me prior to my procedure and afterwards, my bruises were gone within a week.

I highly recommend Dr. Karam and would go back to him for anything I might want done in the future. I totally trust his approach and recommendations. You won't be disappointed!

Kris R.

I'm one month out from a Vertical Restore with Dr Karam. Dr Karam is an incredibly talented Surgeon. I can barely see my scars already. I also did a laser peel, within 8 days I was wearing makeup and admiring my new jawline and neck. I'm 65 this month and so happy I chose him. He is the best there is. His staff are fun, caring and kind. They made my entire experience so easy. I would not hesitate or even think about going anywhere else. Check out his Instagram account. He does all his content himself. Extremely informative, with many before and after photos. I decided on Dr Karam after researching his Instagram and had made my decision before we had even met.

Janice S.

Dr Karam is a great surgeon, a true artist and a wonderful human being. He has done 2 procedures on me over the last 3 years. Both with excellent results. His fat transfer and his lip lift technique are extraordinary. I wouldn't think of going to anyone else and I would highly recommend him to anyone who is looking for the best.

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