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Dr. Karam’s Core Facial Rejuvenation Method

At the foundation of Dr. Karam’s surgical approach is the belief that facial aging is driven by two primary factors: tissue laxity and volume loss. Addressing only one often leads to incomplete or short-lived results. For this reason, Dr. Karam’s core facial rejuvenation always combines Vertical Restore® with Facial Fat Transfer, allowing both structural support and volume to be restored simultaneously. This integrated approach is designed to deliver natural-looking, long-lasting outcomes.

Vertical Restore®

Vertical Restore® addresses aging in the lateral brow, midface, jawline, and neck using an advanced deep-plane technique. This method focuses on restoring vertical support and natural facial architecture rather than pulling or tightening the skin alone.

Pricing for Women

$95,000

Pricing for Men

$120,000

Facial Fat Transfer

Facial fat transfer restores lost volume using the patient’s own fat, enhancing natural contours and softening areas affected by aging. When paired with Vertical Restore®, fat transfer supports balance and harmony across the face.

Pricing

$40,000

Facilities & Anesthesia

All surgical procedures are performed at the AAAASF-accredited Carmel Valley Surgical Center, ensuring the highest standards of safety and care. Facility and anesthesia fees are structured separately and may vary based on individual needs.

Estimated Fee

$7,500*

*Pricing may vary depending on case complexity and anesthesia requirements.

Total Combined Surgical Investment

Dr. Karam always performs Vertical Restore® and Facial Fat Transfer together as part of one comprehensive package. This single, transparent investment includes:

  • Vertical Restore®
  • Facility Fees
  • Facial Fat Transfer
  • Anesthesia Fees

Total Cost for Women

$142,500

Total Cost for Men

$167,500

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Additional Enhancements

Facial aging affects multiple areas, and addressing them together often creates the most harmonious outcome. When appropriate, the following procedures may be added to the core rejuvenation plan and are priced separately.

Lower Eyelid Blepharoplasty

Rejuvenates the under-eye area by addressing excess skin and fat, helping restore a smoother, rested appearance.

Pricing

$25,000

Upper Eyelid Blepharoplasty

Refreshes the upper-eye area by removing excess skin that can create heaviness or a tired appearance.

Pricing

$25,000

Lip Lift

Enhances the upper lip and restores youthful proportions using a refined surgical technique.

Estimated Fee

$20,000

Hand Fat Transfer

Restores lost volume to aging hands for a softer, more youthful appearance.

Pricing

$15,000

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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.”

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Skin Rejuvenation

Whether or not surgery is part of your plan, healthy skin plays a vital role in how youthful you look and how well results age over time.

After decades of treating patients frustrated by ineffective routines, Dr. Karam identified two essentials for skin health: comprehensive formulation and daily consistency. This led to the creation of the KaramMD® Trifecta: a clinically proven, three-step skincare system designed to address all aspects of aging skin.

Trusted by over 10,000 daily users and supported by more than 2,000 reviews, the Trifecta offers simplicity with measurable results.

KaramMD Skin

Elevate Your Skin Health

Healthy, youthful skin is achievable at any stage and benefits everyone, regardless of your surgical plan.

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Expert-Led Insights Skincare is for everyone.

Whether or not surgery is right for you, Dr. Karam's Skin Assessment will show you exactly where your routine stands.

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This allows our team to thoughtfully evaluate each request and guide you through the next steps.

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