For patients seeking facial rejuvenation that preserves their identity and appears natural, balanced, and familiar.
Name
Neda (Dr. Karam's Wife)
Age
52
Concerns
Aging changes around the mouth
Neck laxity / loss of a clean neck angle
Early jowling and a softening jawline
Loss of her natural “teardrop” facial shape
Feeling she didn’t recognize herself in pictures
Name
Brandi
Age
51
Concerns
Sagging in the cheeks and midface
Drooping brows
Loss of jawline definition
Loose skin in the neck
Elongation of the face
Name
Michele F.
Age
70
Concerns
Aging appearance in the lips
Aging appearance in the hands
Sagging in the neck and jowls
Flattening or drooping in the midface
A heavier overall facial expression
Name
Barbara C.
Age
48
Concerns
Sagging in the cheeks and midface
Tired eyes
Loss of jawline definition
Loose skin in the neck
Elongation of the face
Name
Karyn B.
Age
65
Concerns
Fullness and heaviness around the eyes
Looseness along the cheeks and jawline
Hollowing in key areas
A longer, less defined upper lip
Excess or crepey eyelid skin
Vertical Restore addresses the brow, midface, jawline, and neck together—creating harmony rather than piecemeal correction.
Facial aging follows gravity—downward and inward. Traditional facelifts often redirect that tension sideways toward the ears, which can subtly distort natural anatomy. Vertical Restore® repositions tissue in the true opposite direction of aging: vertically. By reversing gravity rather than masking it, the face retains its natural proportions, movement, and identity.
Comprehensive fat transfer restores softness and contour where aging has depleted natural volume.
A refined, singular focus on facial rejuvenation—performed thousands
of times—allows for consistency, balance, and predictable, identity-preserving outcomes.
Vertical Restore® is Dr. Amir Karam’s proprietary approach to facial rejuvenation, designed to treat aging as a connected process rather than an isolated issue. Instead of focusing only on the lower face, it repositions tissues from the temples through the neck in one coordinated lift.
Traditional facelifts often rely on horizontal tension toward the ears and limited treatment zones. Vertical Restore® lifts tissues vertically—the true direction of aging—while using refined, low-tension incision placement to support discreet healing and long-term durability.
Many patients arrive after trying to “buy time” with options that promise lift without true structural change. Thread lifts may offer brief improvement but rarely deliver meaningful durability. “Liquid facelifts” often add heaviness and blur natural contours instead of restoring youthful shape. Some energy-based devices can contribute to unwanted fat loss in the face and neck, resulting in a more aged or hollow appearance. When sagging begins, the most reliable answer is not a gimmick; it’s correcting the structure properly.
Vertical Restore is not a traditional deep plane facelift, but it is performed at the same anatomical depth. Working at this level allows for more durable lifting, reduced skin tension, and longer-lasting results than surface-level techniques—without compromising natural expression. While no procedure stops time, addressing the deeper structural layers creates a result that ages more gracefully.
Because the correction is structural rather than skin-deep, results are intended to remain stable through normal life changes, including weight fluctuations and ongoing aging. The goal is not a temporary “tightened” look, but a balanced reset that continues to look natural and familiar over the years.
Because the lift is structural rather than skin-dependent, minimal surface tension is required—allowing incisions to heal discreetly without distorting the hairline, ears, or facial expression.
How the Entire Process Defines the Result
A thoughtful, unhurried discussion focused on goals, anatomy, and expectations—led directly by Dr. Karam.
A concierge-style process that supports travel, scheduling, and preparation with clarity and ease.
Under local anesthesia with sedation, the entire procedure is performed personally by Dr. Karam without the involvement of a fellow or physician assistant.
Hands-on post-operative care designed to support healing, comfort, and confidence in the early days.
Ongoing follow-up ensures results evolve as intended and patients feel supported well beyond surgery.
Board-certified facial plastic surgeon specializing exclusively in facial rejuvenation. Over the last two decades, Dr. Karam has refined a singular approach focused on consistency, balance, and identity-preserving outcomes.
Take Dr. Karam's Skin Assessment and get a personalized plan built around your routine.
The Vertical Restore® is Dr. Amir Karam’s proprietary, vertically based deep plane facelift technique designed to restore youthful facial shape while preserving identity. Rather than simply tightening skin, it repositions deeper facial structures in the true direction of aging—vertically—to recreate natural contours and long-lasting support.
While many deep plane facelifts reposition tissue at a structural level, the Vertical Restore applies a true vertical vector and full-face philosophy rather than treating isolated regions. It addresses the brow, midface, jawline, and neck as one coordinated unit—restoring balance instead of pulling skin sideways. The result is natural, expressive, identity-preserving rejuvenation with durable structural support.
Yes. Preserving identity is the core principle of the Vertical Restore. The goal is not to change your facial character, but to restore the shape and structure that aging has gradually displaced. Patients are designed to look refreshed, balanced, and unmistakably like themselves—not “done.”
Yes. The Vertical Restore is a deep plane facelift technique. However, it differs from traditional approaches by emphasizing vertical repositioning and full-face harmony rather than region-by-region tightening. This structural approach supports longer-lasting results and avoids the overly tight or pulled appearance associated with surface-level lifting.
Because the Vertical Restore works at a deeper structural level, results are long-lasting. Aging continues naturally, but the repositioned foundation provides durable support that allows patients to age gracefully from a more youthful starting point. Longevity is further supported through proper skin care and long-term maintenance.
Yes. The Vertical Restore treats the brow, midface, jawline, and neck together in one coordinated procedure. By lifting in the true vertical direction of aging, the neck and jawline are restored as part of the overall facial balance—rather than as isolated areas.
Incisions are strategically placed around the natural contours of the ear and hairline to allow discreet healing. Because tension is placed on deeper structural layers rather than the skin surface, incisions are designed to heal naturally without distorting the hairline, ears, or facial expression.
Candidates are typically individuals experiencing facial sagging, midface descent, jawline softening, or neck laxity who want natural, identity-preserving rejuvenation. A consultation determines whether the Vertical Restore aligns with your anatomy, goals, and stage of aging.
Dr. Amir Karam has devoted his career exclusively to facial rejuvenation to refine a singular, identity-preserving approach. By focusing on one specialty for over two decades, he has developed a consistent, reliable system centered on structural balance and natural results.
Aging is global. Treating areas together creates balance, reduces staged surgeries, and delivers more natural outcomes.
Yes. Structural repositioning at a deeper level supports longer-lasting results than surface tightening.
A consultation determines whether Vertical Restore or another approach best aligns with your anatomy and goals.
Pricing reflects the comprehensive nature of the procedure and is discussed individually during consultation.
Incisions are placed strategically to heal discreetly and allow flexibility in hairstyles.
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This allows our team to thoughtfully evaluate each request and guide you through the next steps.
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