The New Paradigm in Facial Rejuvenation

Over the past two decades, I’ve witnessed a remarkable evolution in facial rejuvenation. What was once dominated by aggressive, one-size-fits-all procedures with lengthy recovery times has transformed into an elegant blend of artistry, innovation, and minimally invasive precision.

In the past, patients seeking facial rejuvenation were often limited to traditional facelifts that could leave them looking unnatural, pulled, or even unrecognizable. This understandably created a lingering fear of distorted results and loss of personal identity.

Fortunately, innovations like Vertical Restore® have ushered in a new era—a paradigm shift toward comprehensive, thoughtful, and uniquely personalized rejuvenation.

Why the Old Approach Fell Short

Historically, facial rejuvenation often meant:

Horizontal skin pulling, resulting in a flattened, stretched appearance
Disjointed treatments targeting isolated features—neck, cheeks, or eyelids—without considering overall facial harmony
Highly invasive procedures with extensive downtime and limited results
Loss of natural character, replaced by overly sculpted or “plastic” looks

This outdated model overlooked the natural vertical descent of facial aging and failed to respect patients' emotional and aesthetic needs.

Carmel Valley Plastic Surgery - Dr. Karam Banner media

Introducing Vertical Restore®: The New Standard in Facial Rejuvenation

I developed Vertical Restore® precisely to overcome these shortcomings, redefining how we approach aging.

Vertical Restore® isn’t merely a facelift—it’s a comprehensive, anatomically sound rejuvenation procedure that vertically lifts facial tissues, mirroring the natural aging pattern.

This approach rejuvenates from the temples down through the neck in one elegant, cohesive procedure.

What sets Vertical Restore® apart includes:

Comprehensive treatment addressing all four critical zones (outer brow, midface, jawline, and neck)
Vertical lifting to ensure a naturally youthful repositioning of tissues
Releasing and repositioning ligaments, enabling powerful corrections without tension or unnatural pulling
Easy integration with complementary treatments like fat transfer, skin resurfacing, and lip lifts
Local anesthesia with IV sedation to significantly reduce risk and recovery time
Long-lasting results—typically 10–15 years—tripling the longevity of traditional facelifts

The Modern Advantage: Stunning Results with Minimal Downtime

One of the most gratifying aspects of Vertical Restore® is the substantial reduction in recovery time.

Patients who previously had to brace themselves for weeks of significant swelling and bruising now find themselves socially ready within 7–10 days.

Results appear dramatically natural and continue to age gracefully.

No general anesthesia. Minimal swelling. Rapid recovery. Simply a confident return to your best self faster than you imagined possible.

The Modern Advantage: Stunning Results with Minimal Downtime

One of the most gratifying aspects of Vertical Restore® is the substantial reduction in recovery time.

Patients who previously had to brace themselves for weeks of significant swelling and bruising now find themselves socially ready within 7–10 days.

Results appear dramatically natural and continue to age gracefully.

No general anesthesia. Minimal swelling. Rapid recovery. Simply a confident return to your best self faster than you imagined possible.

Setting Elevated Standards

The modern paradigm I envisioned with Vertical Restore® is straightforward: a significantly higher upside with dramatically lower downsides. Patients consistently achieve:

Beautifully natural results without the “done” appearance
Comprehensive improvement extending from the brow to the neck
Durable, long-lasting outcomes
Restored identity, confidence, and youthful vibrancy

When creating Vertical Restore®, my goal was clear—to provide genuine restoration rather than superficial correction.

Experience the Future of Facial Rejuvenation Today

If you’ve been searching for a facial rejuvenation solution aligned with your personal values, goals, and lifestyle, Vertical Restore® may be exactly what you've hoped for. At Carmel Valley Facial Plastic Surgery in San Diego, I have dedicated over two decades to perfecting the art and science of facial rejuvenation. My mission is simple: help you look as youthful as you feel—naturally, elegantly, and authentically. Schedule your consultation today and discover firsthand what the new paradigm in facial rejuvenation can mean for you.

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.

The New Paradigm in Facial Rejuvenation

Why the Old Approach Fell Short

Introducing Vertical Restore®: The New Standard in Facial Rejuvenation

The Modern Advantage: Stunning Results with Minimal Downtime

The Modern Advantage: Stunning Results with Minimal Downtime

Setting Elevated Standards

Experience the Future of Facial Rejuvenation Today

Reviews

Francine M.

Kris R.

Janice S.

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