20 Most Damaging Facial Rejuvenation Mistakes (Stop these NOW to save your skin!)

[@pippa212]

I’ve had morpheus (did nothing and hurt like hell!), ultherapy (did tighten my neck a little) and thread lifts (lasted 4 months). He’s absolutely right. Only a facelift will tighten the face, nothing else, at least not yet. I wasted a lot of money and now will spend it on a vertical restore

[@naturalTJ]

I worked at a med spa and the nurse (new injector) swore pdo threads would work for my chin fat area, but it did absolutely nothing but wasted my time and money. It’s soooo many new injectors out there and people are looking scary.

[@TheRealMerBer]

Funny, I got the threads done years ago, before I had ever heard of them. The Dr used them around my lip area telling me they'd define my lip line. He had a few left over and was teaching another Dr in the room so he put them in my cheek area. I remember leaving that appointment thinking what a waste, but then I noticed how amazing my lips looked. I had gotten fillers, Botox and everything in between but nothing worked as well as those threads.. and nothing lasted as long either, well over a year. I'm thinking there's a big difference though between what I had done to my lips than a thread lift for the face (I noticed nothing with the "few" threads that he put in my face) I would absolutely do it again on my lips

[@naturalTJ]

@@TheRealMerBer oh wow, well that’s a good outcome. You just never know what the outcome will be, because experience comes w practice sadly.

[@pippa212]

@@TheRealMerBer it looked great for about 4-5 months but now my jowls are back. I’ve actually scheduled a facelift because I’m turning 60 and nothing else is going to work

[@jillmattioli9640]

I had morpheus too, did nothing. Asked for a refund of some sort...nothing.

[@frendleek]

Finally, someone who actually knows what they’re talking about you make so much sense and you have no problem telling it like it is

[@KTD888]

This Dr is one of the best in the world

[@16mfunez]

I've been an esthetician for about 2.5 years now and realized early on cleanser is so huge! The most simple step that everyone overlooks. With that being said, when you mentioned foamy cleansers and filler, I was sold to subscribing to your channel! I never ever hear anyone talk about the simple things you can do for anti-aging. Thank you so much for supporting healthy skin instead of expensive product! 🎉💙🙏

[@Cerdo_asqueroso]

Why is your hair purple?

[@TammyCondren]

@@Cerdo_asqueroso Why is your hair not purple🤣

[@minayiamin]

So whats the best way to wash my acne prone skin ?

[@karenconaway]

What is best soap/wash for aging skin. On a budget 😢

[@MichelleJanetis]

​@@karenconawayCetaphil

[@tonyadodd9130]

You literally saved me so much money! I was about to purchase a pack of three Morpheus sessions for $3250! I already have amazing skin at 34, no wrinkles or discolouration. Been using retin a for almost 10 years now, sunscreen every two hours and I do tca-jesseners-vit a combination peels every 6-8 weeks. Thanks for the tip of bringing the peel down onto my neck! I was always told before not to use it on the neck. Your channel is so helpful!

[@dramirkaram]

Glad I could help!

[@cindilovins5055]

Filler when it begins to ware off stretches the skin and leaves you with wrinkles.

[@TheShumoby]

You're 34? Make sure to sunscreen your neck.

[@11ddd99]

At 34?

[@tonyadodd9130]

@@TheShumoby oh absolutely! I also wear a hat and apply sunscreen to my face, neck, chest and hands ☺️

[@andreamorrow77]

I think many people would love to buy your products. However, The cost of Trifecta products don"t fit some people's 😢budget.

[@alexprinsrealestateagent1263]

Morpheus8 ruined the fat under my eyes and my temples. I’m 36 and look so skeletal now after having 3 treatments done. Never again. Now I’m going to be getting fat transfers under my eyes to help reverse the damage. I don’t even look the same anymore. I was considering a lower bleph to get rid of some of the loose skin, but I’m getting a lower bleph/skin pinch with fat transfers. Glad to see that was on the list. It needs to be combined to look good. I’m excited to get it done.

[@nicholettej1742]

Ultherapy did it for me..sigh

[@pnevlud]

These machines are only as good as the operator. If the setting is above 41 degrees Celsius it will melt fat!!

[@Southpaw1001]

So sorry that happened to you. I've been curious about Morpheus8. After seeing this video and reading your comment, I would never consider. I do face yoga and use Vitamin C (a.m.) and A (p.m.) serums everyday and try to eat right most of the time.

[@l8diva]

​@@pnevlud​@ada6044 I did 3x Morpheus8 sessions on lower face only (no fillers) 7mm deep, 45 deg. C heat applied, and I was actually hoping for some fat loss that I heard many report.. All it did was leave tiny imprint texture on my skin that took months to fade down.

[@Mary-y6j]

Why are yall doing all this at 36!? That’s way too young in the first place.

[@hummingbirdofgumption3263]

A huge part of my skin routine is not eating foods with additives. I'm pushing 60 and yes, I look older, but my faces has few wrinkles except for forehead creases due to movement. The areas of my face that don't move a lot have no wrinklles or crapeyiness. Also, staying out off the sun is a huge part of it.

[@dramirkaram]

Thanks for sharing!!

[@LauraParrott]

@dramirkaram how much should I save for a vertical restore in the future?

[@Randy_s_1964]

Im 59 years old new yorker....listening to you for the last year..... you are so informative and such a skilled artist..... you are on my bucket list.... as soon as i can wrap my brain around the the finances i am on my way to you...surgery will be a lifetime achievement for me. . 🎉meanwhile you are a wealth of information...... thank you for that

[@Sadee8]

I started using Retin A at about 30. This was before doctors realized it helps with wrinkles. I was on it 10 years, by then docs started to notice that people that were using it for ache were not aging. So at age 40 my insurance wouldn’t pay for it. I realized my skin wasn’t aging and wanted to stay on it. Well, it took a few years for Retinoids came out in skin care products. So, i began using those but they just don’t work like original Retin A. But it did help. I’m 64 now and I don’t have jowls, crows feet, or lines on my forehead. Then i had a friend that was an enestion. Sorry can’t figure out how to spell it. She started me on Glycolic acid. That really worked but then hyaloronic came out and i started using that. Along with vitamin c and anything i could get my hands on that would help the aging of my face. For what it’s worth, I don’t look 64 and if i came in to see you for a face lift you’d laugh me out of your office.😂

[@beautifulmoster1988]

Do you use retin as a cream or pill ?

[@lugodi1]

I started at 30 too! Am also in my 60’s. I had to struggle to get Retin an over the years. Eventually had a doctor in the fam but it was expensive! I never wavered though and the payoff has paid off big time especially now. The last few years I have turned into the person that gets asked for advice. I have a few tricks but number one is Retin A. It’s everything as far as skin care and staying young looking.

[@mary-ud2wp]

This is all great, solid advice. I am 48. I've had sporadic filler and als botox between my brows. Those things certainly helped. However, in my late teens, I saw an article about how sun exposure caused the bulk of wrinkles. I started wearing sunscreen before there were good otc sunscreens for the face. A few years after, these products seemed readily available and weren't greasy like sunscreen meant for the body. When others my age were going to tanning beds, I stayed away. I didn't totally shun the sun, but I used sunscreen regularly. It's made a great difference to my skin at this age. It's soft and smooth and not terribly wrinkled. Some of the women I knew who were sun worshipers look much older than their years. Use sunscreen.

[@kendrawoz55]

I’m 54 and also read an article like that at 19…wore sunscreen every day since and my skin is great. I didn’t have the popular suntan back then but it was so worth it!

[@kellylawson5959]

I am one of them

[@madhubhandari9074]

Which brand sunsreen@@kendrawoz55

[@SharonSmith-SWFL]

Hi Dr. Karam, I have followed your advice since discovering your channel. After 11 months of using the Trifecta and seeing amazing improvements in my skin, I had a facelift exactly one month ago (also had an upper & lower blepharoplasty). I'm pleased with the results, although I'm still healing. This has been quite a journey, but I took the time to have 4 consultations, including a second one with the surgeon I chose. I can honestly say that if I had not used the Trifecta, I would not have had the cosmetic surgery. I feel better about myself, and truly appreciate the time that you take to educate your subscribers. Thank you so much 😊

[@liakogogidze2933]

Congratulations on your procedure. Did you use someone in Fl. & if so who? Also are you pleased with their work? Thanks in advance ☺️

[@eyecandylashlounge]

Would also love to know which doctor and results update

[@SharonSmith-SWFL]

I am now 8 weeks post surgery and almost completely healed with the exception of some redness below my lower eyelids. My surgery was performed by Mark Prysi, MD (Prysi Cosmetic Surgery, Naples, FL). I am pleased with the outcome and have no regrets. Thank you to those that commented.

[@liakogogidze2933]

@@SharonSmith-SWFLvery happy for you and that you are happy with results. Thank you for sharing your experience and Doctor used. It’s hard to trust many these days, especially with so many in Naples. Happy New Year.☺️🙏🏼❤️

[@Deanna-qm1fh]

I am very impressed with the doctor but most couldn't afford his services. I'm 66 and have never had special treatments or surgery. Don't use sun screens either. But do use a plethora of concoctions to help my skin and believe me when I tell you the best, fastest, & totally free method to improve your skin is massage, pinching, and tapping. I improved my neck so quickly, my jowls got less noticeable, and Im so excited to see the skin on my hands thicken!!! Still working on my under eyes, my elevens, & my under arms...but all are improving. Blessings to all in the coming new year...🎉

[@maureensheppard3613]

Thankyou for bringing us back to planet earth.Gentle is good.Those old fashioned things you just mentioned work.I must get back to them at night for a special provable treat.

[@maureensheppard3613]

Addendum Do start to apply a natural suncreen,& wear a hat as much as possible.

[@colinjosephsant5042]

There's no substitute for experience nor indeed honesty and you proved it, well worth the watch.

[@heckyesitsjess84]

I love some of the information you share, but I enjoy watching others better. Every video you make ends up being a commercial for your line.

[@WarriorwomanforJC]

I just turned 55 and I'm about to start a few treatments. Your channel is soooo much help with what to do and what not to do. Thank you!!

[@manta40]

Which treatments are on your wishlist?

[@naturalTJ]

As a licensed medical aesthetician I swear by this Dr’s advice and his skin backs up what he says. I’m 49 and I’ve never had Botox, filler or a facelift but I’ve sworn by good skincare for the past almost 20 years, and people think I’m 35. I work w a plastic surgeon and he loooooves all of the energy based machines, but I’ve been trying to educate him on good skincare past Skinceuticals. My favorite services are regular microneedling, a water based microdermabrasion and TCA peels plus the use of actives + spf are an absolute must. Thank you again for another banging video :-)))

[@SanctaJives]

Is there something wrong with Skinceuticals? I'm trying to find a good retinol but I don't know what brand to get.

[@annettegarciakerslake8588]

Is Skinceuticals bad?

[@naturalTJ]

Skinceuticals isn’t bad, but it’s not worth the price for something like CE Ferulic (my opinion). It’s “medical” grade, been around for a while but some of the prices can’t be justified. I use professional grade skincare, but I’ve never bought into Medical grade. When buying a Retinol make sure it’s a product that can’t be exposed to air meaning a pump form vs something in a jar or dropper that you have to open and close. It’s very sensitive to light, heat and air. Some of my favorite professional lines are Circadia skin, Advanced rejuvenating concepts 🥇, Societe (clean and medical line), Hale Cosmecuticals plus many many more. Start low w Retinol .5, and work your way up if that’s your preference. This Dr’s line sounds amazing too, and I do plan to purchase it soon.

[@aleksal9132]

Would you say that regular microneedling is more beneficial for the skin than radiofrequency microneedling?

[@naturalTJ]

@@aleksal9132 reg microneedling eliminates the heat (RF) so it’s error free for the most part w the right esthetician. What makes reg microneedling a game changer is adding in growth factors to super charge the anti-aging benefits or some places will add in the PRP. If you do visit a med spa, go with a list of questions because of a lot these Aestheticians/Nurses/Dr’s aren’t as knowledgeable as they should be. I’m big on education which is why I love this channel and I always ensure I empower my clients w knowledge and set reasonable expectations. This Dr’s advice is golden in my opinion, but you can always find 10 more Dr’s that will disagree w him. Don’t ever assume the title of nurse or Dr equates to knowledge. I worked at a Med Spa and the new injector nurse told me PDO threads would help w chin fat, but they did absolutely nothing. They were all about the money so I quit!!! Oh I will add that RF microneedling (Morpheus) can help w subtle chin fat, jowling, acne scars and tightening but the operator needs to be aware of the settings. But if the patient has a laxity issue, only surgery can help that.

[@jericlark5855]

I had a lower bleph With the most wonderful plastic surgeon in San Diego. No volume added and it was incredibly wonderful outcome looks amazing.

[@leawhite4]

Congratulations!! Do you mind sharing some pics? I am considering doing the procedure, so doing research at this time.

[@kathleengrill9864]

@@leawhite4 I had my upper and lower eyes done by DR. Hardesty in Riverside, 20 plus years ago. My eyes still look great for my age. I will be going to Dr. Hardesty for a lower facelift and taking my 40 year old niece so he can tell her she’s crazy and does not need any surgery. I live in Newport Beach and refuse to pay those prices . I can get fantastic results without the outrageous price . But if you want to pay 100 thousand plus for a facelift then do it . Dr. K does great work, but I have noticed most of the pictures are of women in their 30’s and 40’s.

[@marcelarondon2877]

Hi! How many days can you return to work? I mean how many days after people can not tell you did something? 😅

[@EvaB-nt6hk]

I am dermatologist and aesthetician doctor for 30 years.I comlpletely agree with your opinions.But talking about aging process we have to remember about change of shape, proportions and harmony of the face due to bone aging and rebuilding.

[@By_Aleeya]

Thank you for all of these free hints and tips Dr Karam. Very generous of you to share so much insider knowledge with us. I completely agree consistency is key.

[@dramirkaram]

You are so welcome!

[@lisadolan689]

@@dramirkaramyou are a legend Sir. Thank you for sharing your knowledge. I’m saving for my trip to you now. See you eventually 🙏☺️

[@Svetlo4ek]

@dramirkaram thank you for all the great information. But what should we do if we need to treat jowls, nasolobial folds and sagging skin and we do not have 190k$ for a face lift? It looks like nothing else works at all.

[@ABc-nu6jb]

@@dramirkaramDear Dr. Karam, if you ever like to share your age & procedures, it would be appreciated very much 🙏your skin looks very good but you probably also have good genetics due to Middle E. skin type & the fact that you’re a man and have naturally more resilient skin but still it would be highly appreciated if you shared any of your secrets / potential procedures honestly because your skin looks so good 😊

[@christianeneves7054]

😢 So sad... I'm not able to afford surgery. I was hoping that Morpheus should be the key... Don't know what to do now!

[@dammar117]

Amazing how so much effort has been put in creating those machines that don't do anything!

[@missgaia12]

I am such a fan of your work: precious, minimalist, sophisticated. And very informative... thank you, Doctor!

[@dramirkaram]

Thanks for your support!

[@frankvelez4997]

​@@dramirkaramhello, I'm Loretta De Los Rios using Frank's account to make this comment with his permission. Can one apply copper peptides with vitamin C? I heard that if copper peptides have free floaters copper ions in the solution! it decreasing the efficacy of the vitamin C., also that a Chelator can be used in a vitamin C to prevent this. Please advise. Thank you.🙏🤲

[@barami1]

Hallelujah ❤🎉As a beautician I, also, believe so and I lecture to my patients ❤

[@kaseyboggs1340]

Thank you for all your information. I'm one of those who would stop using Retinol after getting flaky, peeling skin thinking it was too strong for my skin...if only I'd known to just hang in there for awhile longer...I'll NEVER stop again! Thank you!

[@kellylynn9163]

So how long did it take for your face to stop peeling from the Retinol?

[@caseywoodbury3412]

For many years I’ve applied tretinoin every night from my forehead to the base of my chest, and from my fingertips to elbows. Any product that goes on my face is applied to all of these areas without fail.

[@shaynadavidovhansonrealtor]

Wow! Impressive!! Any particular level of treinoin? Did you peel a lot? You never go in sun?

[@Michi-mv2xn]

I haven't used tretinoin but I plan to - although I don't know how you get it prescribed if you don't have acne, or enough of it prescribed for ongoing use like this?

[@caseywoodbury3412]

@@shaynadavidovhansonrealtor I adjusted to tretinoin quite easily. I was able to use it every night since the day I began using it. However, this is not common, most people have to work up slowly to using tretinoin every night. Yes, there was a degree of peeling when I began using it, but it doesn’t last indefinitely, mine lasted two or three months. One way to reduce excessive peeling is to sandwich tretinoin. I cleansed my face with an extremely gentle cleanser, applied moisturizing toner, then a thin layer of a gel based moisturizer. Once it soaked in I applied tretinoin to all areas I mentioned above. Once the tretinoin soaked in I applied a thick night cream. I no longer have to use the sandwich method, I was able to stop sandwiching after about 3 months. I don’t think it’s possible to experience zero peeling, as the purpose of tretinoin involves removing layers of dead skin cells on the surface, but be patient and consistent. Dont be discouraged by the peeling, it will pass. Don’t think because I adapted easily to using tretinoin every night that that is normal, I was fortunate, most people work up to nightly use. Once you’ve been consistent and adapted to tretinoin the payoff is quite extraordinary.

[@caseywoodbury3412]

@@shaynadavidovhansonrealtor I use 0.1% tretinoin, but there are lower doses, 0.25% is the lowest, 0.5% is the second highest dose. Of course I do only use tretinoin at night, but it is imperative that you use sunscreen daily, as your skin will be more sensitive to sun exposure. I do avoid excessive sun exposure, but I began avoiding sun for 10 years before starting tretinoin, as sun is your skin’s enemy.

[@caseywoodbury3412]

@@Michi-mv2xn Your primary care physician can prescribe it for adult onset acne, though truthfully, I’ve never had acne. My insurance covers my tretinoin monthly, I pay a $15 co-pay.

[@desyg2212]

Your years of experience, insights and passion for what you do is invaluable! Thank you for sharing it with the rest of us! 🤗

[@dramirkaram]

Thanks for your support!

[@rosamariav_09]

The best surgeon I've ever came across. Honest, professional and excellent at what he does. Definitely going to visit him as soon as I can. The earlier the better.

[@dramirkaram]

Thanks :)

[@debbierussino3117]

I do microneedling at home and I also do PDO threads. I have no wrinkles or under eye hollows, my face is also full and I'm 66. I've had laser done twice three years apart and the effects are still visible. I use sunscreen every day.

[@NomfundoV8]

That’s awesome! May I ask what kind of laser have you done?

[@SA-ix6nm]

@@NomfundoV8pixel laser

[@adelecasamassima9198]

Well done. When you say doing microneedling, do you mean the home small device with. 0,5 length needles? I am considering this routing and me to Purchase one of the skin pens with the 1 and 0,5 length needles to alternate .. anyone with experience in doing micrineedling as an additional skin routine? @dr karam any thoughts about that? Thank you

[@littlemissgroove]

​@adelecasamassima9198 I microneedle once every 5 weeks with a Dr Pen A6. Following depths Forehead 0.5mm -0.75 Cheeks / jawline 1mm Cheekbone 0.75mm I use numbing cream. Then clean face and all items I'm using with antibacterial soap/wipes and cover skin In cos de baha hyaluronic acid before needling.

[@debbierussino3117]

I believe it was sublative laser and I had a series of three. I had it done in 2020.I had just one in June. I love them, I just can't afford to do it every year but I am still seeing the benefits.

[@catherinetierney4834]

Your honesty is humbling . It’s so refreshing to see a plastic surgeon in ho cares about people not just money . I just came upon this through an add .

[@adriannak2299]

😂

[@gol6634]

Dr. Karam could you make a video on the pros and cons of Botox/Dysport use over time? I’m wondering whether the muscles become too weak. Thanks!

[@metaphorvixen268]

The only way to deal with aging is to accept the inevitable changes it brings. I think good skin care goes a very long way in keeping a more youthful facial appearance. However, what our youth-obsessed culture doesn't seem to understand that aging is more than a wrinkled visage. The whole body ages. When we are observed by others, they see the changes in the way we stand, walk and move. Our faces may be rendered younger in appearance, but it's much more difficult to appear younger in a wholistic way. Therefore, accepting aging is the prudent alternative.

[@Sweetiesplanet]

@GreenGrenouille absolutely!!!

[@denroynicholas5933]

Well said 👍

[@joyceloveless7305]

Exactly! You end up looking weird except when looking at your mirror face

[@patriciasmorales]

Hi Dr Karam, I love your interest in our face products and everything to do with it. My biggest dream right now is my sagging neck and, of course, face. I'm 68, yes, old. I know there are no creams to help it. I'm now saving every penny to go and bea very happy and blessed, patient of yours. Thank you, you are great. Many blessings

[@pagelivingbeautifully8252]

Great information! I am an esthetician that has worked with Doctors and I can’t agree more! Stay away from these costly, ineffective fade trends that can do damage to the skin. It is like a life long exercise and proper nutrition lifestyle. Year after year…take care of your skin and body to be healthy!

[@julietteluus510]

❤LOL, folks, your face and neck are basically one thing.....

[@snakey319]

I'm old, have no wrinkles, came to the point before I retired in 2020 that people would come close to look for surgical scars. There's are great products now to keep your skin looking healthy into the 70's. Never cutting my face.

[@cdcdogs4961]

In that case, why not use your own picture instead of Kurt Russell’s. Love to see your old face. 😉✌🏼😁

[@kristenholmes9373]

It would be great if you posted what your regimen is ;-)

[@Sunshine-ix3gv]

What products do you use?

[@dammar117]

The comments section of channels such as this one are filled with people who claim to be (they or their moms) over 45, often well over, and have no wrinkles, don't do anything other than minimum skincare, and everybody is "shocked" to learn their age. You would think that the world is filled with genetically blessed folks... But if they are the majority, where are they? And since they are the majority, they must constitute the norm for what 50, 60 look like. Which means they don't actually look younger... 😆

[@Kat-zx1pj]

I know old women without wrinkles and they still don't look young. At the same time young people with strong facial expressions and wrinkles look young. Wrinkles are not that relevant, laxity is the worst.

[@dddloveit]

Dermatologist and Med spas are not happy to hear this Thank you DR!!!!

[@naturalTJ]

I agree!! I work in one and the Dr has all of the energy based machines and lasers

[@ปลาทูเรนเจอร์]

I perform Ulthera for facial lift and it works well on my face shape. Nasolabial is line hardly noticeable. my face contour get back to V shape after 3 months. So I think Ulthera work for me.

[@leeannalynn55]

What’s your opinion on the red light masks?

[@kristencurtis4729]

I think he has a video on red light therapy.

[@timaaboudaoud5118]

I did surgey for my face & neck & eye i love the result The result will be perfect within 6months

[@ruthbognar7447]

What was the cost how do you research a good surgeon

[@Fiona-sg9wh]

I love your videos. I'm 57 and haven't done much except botox years ago then it stopped working on me. Its hard to find xeomin where I live. I struggle with wanting to look younger and just accepting natural aging. If I decide to get a face lift I'd want it to be done by you. Thanks for all your great information.

[@christineribone9351]

Sunshine is essential for human health and well being. The health benefits sunlight includes are the production of vitamin D, sunshine supports bone health, lowers blood pressure, kills bacteria, prevents disease, prevents SAD, boosts mood, improves sleep quality, and promotes good mental health. We need sunshine.

[@YvonneUCLA]

He never said NOT to get some sunshine in, just not to the face and neck. Sun your back and legs… sheesh.

[@christineribone9351]

@@YvonneUCLA Sheez!! I never said he said NOT to get sun. SHEEZ!!

[@JB-3794]

Yes, we need vitamin D. I think it only takes 10 minutes per day of sun exposure to achieve that.

[@onlyscience28]

​@@christineribone9351 So what was the point of your comment?

[@christineribone9351]

@@onlyscience28Sorry, I don't answer stupid questions.

[@Donnaconrad1]

I am new to your skincare routine and I plan to stick with it long term. I do wish it were a little more cost effective. I am justifying it by not buying any other skin care except for sunscreen. Thanks you for your videos. I tell all my friends about you and your passion for what you do.

[@selectiveoutrage6617]

Great info. Good way to find a surgeon is to ask hairdressers and makeup artists at high end salons who have customers who can afford cosmetic surgery. They've seen and heard all the horror stories, as well as the good results. Another source but not as easy to find are nurses who work in cosmetic surgery practices.

[@J.E.C.]

And check complains from botched customers online

[@KTD888]

Thanks for mentioning about the pimples dr, I have destroyed my skin for not containing myself of touching pimples

[@ryandooley2375]

I'm a new sub after watching this! I'm turning 44 in February and learned SO much from this video! Thank you!!

[@tabitha5694]

You are such a wealth of information!! I’m 32 almost 33 and I hope by the time I need/want a face lift you will be still be practicing or at least have someone as good as you to do mine.

[@kansasgal2786]

This was an excellent video and thank you for taking the time to make it. I've gone to two plastic surgeons who both have said i have too much scar tissue for another facelift. In the past, I have had 6 teeth pulled, orthognathic surgery, facelift and 4 jaw surgeries. I now am relying on fillers to help with certain areas of my face for a little lift. I need to learn to accept that they are not going to provide the lift I want, but it's so hard and disappointing. I do use your Trifecta and love it.

[@magicfitzpatrick]

I work in a ER. I have to work with a lot of plastic surgeons. This guy would definitely be given privileges in our ER, which is very hard to achieve. Great communicator.

[@elizabethfiorella4109]

I understand thread lift, also fillers

[@hamil73brenda15]

I agree with all said, but from personal experience, i totally agree with the popping of pimples.

[@ChrisCM6]

I did Morpheus last year and I don't do fillers anymore since because my skin is tighten, just botox, and this is fabulous for me. I'm 51 and no wrinkles

[@ada6044]

It work for you only because you had a filers previously. When people do filers regularly with time they have more than they need it because filers in reality never absorbs but they don't even realize that they have so much filers on. So when you use heat on your face it melt a little bit of filers and your face looks better because of that. Don't ever do it if you don't have a filers in your face. It happen the same to my friend. She has a filers in her face, for me her face was so full and strange but for her she thought that she need more filers😢 because her face was skinny for her 😢after that she did morpheus and after awhile she became more beautiful because looked more natural when filers melt it,then other friend when she saw her results wanted to try morpheus but she had a natural face without filers and her face basically melt,now she's doing fat transfer.

[@ChrisCM6]

@@ada6044 I had fillers on my smile line 4 times in my life (I'm 51), my doctor always want to do more but I don't let him proceed because I don't like it: I don't want to get heavy on the lower part of my face and increase my issue. I'm more than happy with the results of Morpheus. My skin is tightened on the lower part of my face and that's what I was chasing for. And no fillers. Little botox around the eyes and that's it.

[@l8diva]

​@@ada6044I did 3x Morpheus8 sessions on lower face only (no fillers) 7mm deep, 45 deg. C heat applied, and I was actually hoping for some fat loss that I heard many report.. All it did was leave tiny imprint texture on my skin that took months to fade down.

[@EloiseParker-Hughes]

Great reminders for all the little things that can be done day to day for anti-aging ❤

[@leahemily4426]

Thank you for this video. I am 33 and just started truly caring for my skin the last few years. I was planning on doing some treatments but deep down didn’t feel like they were right for me. It feels good to know that the routine skin care and effort I put in daily is a great option - at this point in time I am just not ready to use lasers etc. I plan on keeping up the effort with my skin actives. Thank you doc.

[@kahleesi-queenfire179]

I agree with everything but the threads worked amazing on me and lasted a year and I prefer that over lasers and fillers but yes, nothing is forever

[@peacelove7437]

Me too.

[@vegyourself]

Could you go over a video on what early 30-year-olds should do to delay aging? Do you recommend just great skincare, sleep, exercise, and great nutrition? What office procedures are most beneficial for 30-year-olds? Thank you so much! I love your videos! I debated doing thermage but now I might skip it after watching this video.

[@setme4ree]

Ugh im 30 and my face is falling apart and i dont know why i do everything

[@katymahlum8376]

​@@setme4reeLook at your nutrition, water intake, sleep, and hydrate your skin with a good essence every day.

[@dramirkaram]

Will do!

[@vegyourself]

@@dramirkaram Thank you so much!

[@krisviers1449]

​@@setme4reeget your hormones checked❤️

[@susanlisak9018]

Absolutely be your own best advocate! Most importantly is to be your authentic self!

[@immrslamm]

I love your videos plus I learn so much about skincare. I’m 71 and over the past 15 years have tried many of the facial rejuvenation procedures you discussed here. In the end I’d agree that sun protection is key and a solid daily regimen for cleansing, etc. I use a gentle exfoliating cleanser a few times a week and wondered if that is too much abrasion for my face? Thanks for all the wonderful advice.

[@trishthedishbliss60]

I am 63 years young.This video has hit at the 🎯perfect🎯 time for me. Thank you for sharing your expertise. I am now a subscriber.

[@dramirkaram]

Amazing! Thanks for your support :)

[@genesis650]

Thank God for you Dr.. You are saving so many women and men from severe pain and suffering with this valuable information 🙏🏼 ❤ Theres nothing worse than regret!

[@TheAntiTryhard]

But the foaming cleanser by La Roche Posay Effaclar is pretty good, I'm using that for 8 years every day

[@julieannpmu]

When you are talking about lasers , you show a tech doing IPL and that can be really misleading because we both know that IPL isn't laser. Neither is radio frequency. Doctors really really need to distinguish between platforms of energy, come on you went to med school and I am sure tons of other continual education, there is no reason to leave patient's in the dark about different energy devices!!

[@elizabethwilk9615]

I had Morpheus 8 done once. It erased my laugh lines. The person who did it was a plastic surgeon. Done by the appropriate person that knows when to apply heat or how much is critical. I didn’t have more than one because I didn’t need it. It’s a bit painful. Totally dismissing is not cool. Had one session of ultherapy also and it seemed to help. I look much younger than my age according to any people. I have used tretinoid since my 20s and sunscreen. I’ve had five light chemical peels and maybe one or two professional facials. Key : sunscreen and tretinoid or retina A as they called it. Obviously diet and genetics play a role. My mother looks 75 and she’s 90 - never sun tanned and she had an impeccable diet.

[@sitidasy5710]

I love him.... I am single mom and grandma. Trying to save moneyfrom now on to do vertikal surgery. I wish he live here in Netherland. I will definitely come to him.

[@marymckinney4472]

I hope you will talk about at home devices like led face masks. I also can't wear growth factors and keep asking youtube dermatologists and plastic surgeons if there is literature I can access on all of them.

[@JanitaGutierrez]

I been an Esthetician for 2.5years and after the first video I had to subscribe! Thank you for so much info. As an Esthetician it can be easy to get sucked in into so many modalities and trends!

[@sashagemini7623]

I tried tretinoin for over a year. My skin never adjusted. I had to stop. It's not for everyone. I use a Retinal now. It may not be as strong but it's something. I'm trying!

[@dramirkaram]

That is great! It is best to use what your skin can tolerate day in and day out then over work your skin with too high concentration.

[@debbiebianco1706]

I’m 66 years old and I need all the help I can get ❤

[@Sweetiesplanet]

father time ain't no joke but thank God for plastic surgery

[@dznycpl]

I have 3 questions, 1. I know you said that you don't recommend electrical devices, but what is your opinion on microcurrent? Even if just a temporary improvement, do you feel like there are any advantages or disadvantages to this modality. 2. What are your feelings on micro coring? 3. What are your opinions on LED light therapy and its effect on collagen production, specifically Red?

[@mdw908]

I'm interested to know his thoughts on the LED light therapy too.

[@SicilyJo]

Also, IPL, too.

[@J.E.C.]

Read the research, you don’t need opinions when there are facts out there.

[@janealace]

Good advice. I have always protected my skin from the sun. Because my mom looked old quite young. The sun causes a lot of damage. And yes. The trends come and go. So your advice is so valuable. Thank you.

[@biljam972]

All valid points, but for those of us who have no money for vertical restore what are cheaper alternatives? I am too poor to pay for surgery.

[@sassafazz]

how much is it?

[@toscadonna]

Facial exercises.

[@Kat-zx1pj]

Go abroad. I live in Europe and I can afford face lift here. Prices in US are extreme.

[@biljam972]

@@Kat-zx1pj what is the correlation of price to quality? I mean if prices are lower in Europe.

[@Kat-zx1pj]

I belive you can have a lift under 30K from top doctor in UK, Germany, Sweden and other western countries, less from average and not popular (vs 100K from Dr Karam). And I don't think that best European docs would be worst. You can have 10K lift in Poland, less than that in Czech Republic from top doctor, however I don't think they're excellent, just good enough. If you live in US you can probably go to South America and it will be much cheaper and reputable doctors are everywhere although making thorough research is more difficult.

[@michelesbeautybar5732]

Thank you for your honest approach. I have been treating skin for 10 years in Canada. I would say I am a science-based person; I research relentlessly and read white papers to reaffirm what I find. This way, I relay proper information to my clients. As well as learning from you! It’s like continuing education. I stopped using Ultherapy and RF microneedling a few years ago because of the exact reasons you mentioned. I could only see negative results. The one treatment you haven’t mentioned is NeoGen Plasma. I would love to hear your thoughts. I know pure nitrogen is passed through an RF handpiece, producing “pure plasma." The heat it produces is a warm "puff.” Does it depend on the depth to consider it doing more damage than good?

[@dramirkaram]

Not really familiar with that treatment. I will look into it

[@sandracontreras9440]

thank you so very much for clarifying "expectations". I had a facelift in April 2023 and boy, am I disappointed. I don't feel fresh, rested or pretty. In fact, I am a bit depressed. My dermatologist reccomends co2 and fillers however, you just made it crystal clear that it's not a good decision. My gut kept saying NO!

[@irenalove9660]

How come? Did you not get good results? What happened if you don’t mind sharing. I’m considering same soon so any advice would be much appreciated 🙏

[@claribelp3278]

Yes please elaborate more.

[@sandracontreras9440]

my consultation said I would have a more elegant nose; nope. While it corrected my deviated septum, opening up my breathing, I still have an unattractive nose. Too conservative. I really expected better results. I still have a RBF, maybe thos IS as good as it gets. My neck still looks loose. I wanted to look fresh, rested, and better! 😢

[@橋田マリアベリア]

Thank you so much for the very informative videos, I learn a lot about skin care and what is the best to do for my skin problem , so interesting ❤more power to you . We need this kind of advices . Watching from Japan

[@2017_K___Booth]

What about growth hormone? I worked at a specialty pharmacy and we had one patient who was in her 50s. Her husband called for the refill and had great things to say about the way she looked. I also wonder about HRT delaying aging. I will be 50 in two months. Out of nowhere, my face fell down and I have extreme sagging under my chin. I also have other physical issues that just started, like hair loss and brain fog, so I'll probably start HRT. I don't want brittle bones, fatigue and brain fog! I don't think it'll help enough to keep my face above my neck and can't afford surgery.

[@Veenic22]

Thank you for this video! Im 31 and my face has drastically changed in the last 6 months due to being out in the sun all summer no sun screen! I had not skin issues prior! I have been wearing sunscreen now for 2 weeks haha! Definitely doing skincare now!

[@alyssabarajasyourrealtor]

the amount of free information you give you is something that I and im sure many are grateful for. I have made some great decisions on my skin and when the time comes I hope to see you one day!

[@dramirkaram]

I appreciate your support!

[@esperanzajuanordinas1976]

Thank doctor Kamran for the reality mistakes that I make and the result is what You explain here .A lot of money and the problem before. I like to visit You for the Natural face and understand how the skin and muscle work in the Time. Thanks from Spain .

[@steph9123]

I'm only 29 and got recommended morpheus 8 by a dermatologist.. I just wanted to treat the texture on my forehead from dehydration, acne marks.. Glad I watched videos about it.

[@hollyreedman8250]

It's great for scarring and fine lines. He mentions M8 not good for people who are after a lift or drastic tightening.

[@elizabethwilk9615]

It erased my laugh line with one treatment. The person who did it was a plastic surgeon. I recommend having it done by a doctor not at a spa.

[@Southpaw1001]

Plenty of products on the market to research to help with that.

[@gbdffr392]

Dear Dr.Karim , you are so right all that. retinol and all other peptides help only the quality of the skin but not my face saging. 😊

[@mikalorie733]

Dr. Amir i'm one of your fan who really listened and apply every adviced you told.❤️❤️❤️ I am really a very beauty conscious person . Specially using Sunscreens and vita C. I cannot afford those operations just to maintain their beauties , youngness and skin flawless. I used affordable cosmetics for my skin but i do really carefully applied everything to my face. 🥰 I don't use cosmetics with ethanol or alcohol all i used have a mild ingredients🥰. Even now 95％of the people doesn't believed me if i told my age🥰 I'm 50 🥰

[@J.E.C.]

Good genetics

[@mikalorie733]

@@J.E.C. 、Thank you so much🙏❤️

[@yolandamartinez9659]

Did threads last year and it lasted a few months. Money wasted dont do it, listen to Dr.Karam! He knows his thing!

[@truthful2293]

Applying only one time a day is better than none at all and I feel like if you don’t work outside it’s overkill to apply more sunscreen on top of each other. One time is good enough.

[@bevberm]

I was about to do all you said I shouldn’t to address marionettes & jowls. So glad I found you. Just ordered Trifecta.

[@dramirkaram]

Ahh glad you found my channel. Let us know what you think of the Trifecta!

[@amyolmsted4004]

Thank you for the thoughtful and informative video!! I ALWAYS appreciate your humble and honest communications to educate your fan club. You're generous to share your extensive knowledge. What a blessing you are to so many people. Thank you

[@maryjoolson344]

This is good to hear because usually they say don't lose more than 5 lb after a facelift

[@JS-mh1fh]

I've never been to a doctor who would prescribe retinol or tretinoin. The dermatologist I last saw for a cancer check just told me "the damage is already done." :(

[@DD-wx3ho]

Go online and there are plenty of online doctors that charge about $35 for an online appt and they will prescribe.

[@incakinca8762]

U want to say that retinol =cancer??

[@blubeachbaby]

I can't understand why there are people on this thread saying that his prices are outrageous. His price is not outrageous just because you can't afford it. His price is his price. I would pay it, and I really do believe that I would get what I was paying for. He is not promoting surgery, he is just telling the truth! He is brilliant❤ I have been following him for years. I won't go to anyone else❤

[@ksinkfield]

Brand New subscriber! I absolutely love your content! As an Esthetician this particularb video really struck home for me because I often tell my clients a lot of the same tips.…especially about the foaming cleanser. I’m located in Temecula & I’m happy to have found a dermatologist with integrity not only for my self but also for my clients.

[@dramirkaram]

Wow! Thank you for subscribing. Happy to have you :)

[@sassafazz]

do you think that japanese foam cleansers are the same as european/american? the ones that you make a big cap of thick foam with a foaming net before applying it on the face, and gently massage it over the skin without even touching skin with the fingers because of the foam's density? I find them very mild and delicate

[@terrim.602]

I got it!! Im 55 and don't do lasers or high end treatments, but I have been totally slacking on consistency - TCA peels, micro-needling, Trenton, day-time actives, and even sunscreen. I have windows in my house everywhere! Even though they have UV protection, its not enough to protect the skin from uv a,b, and c damage. (Shame face here). I needed this pep talk!

[@dramirkaram]

You got it!

[@caressas]

You are very concise and give good advice. I have thought about a ton of different things I want to try with my face, and thankfully have not had any of those other procedures you mentioned as a no no. I have though, diligently applied sunscreen on my face every day, and re-applied every 2 hours when out and about. I grew up in Australia, and sun protection was drummed into us at a very early age. You are right, it really is a major part of skin care. When I am older, I am flying to you from New York, and I am going to get the Vertical Restore. Hopefully. not for a while yet! lol. Giving all this good advice, while dealing with a busy schedule I am sure, speaks volumes. Thank you!

[@Marysmith-g1n]

What a great video

[@annebrun4628]

Thank you so much for all your informative videos, I follow you from France, I am 67, I use tretinoine at night, vitamine C in the morning, and sunscreen everyday. I Just do botox on my forehead and eyes. I follow your recommandations ! I notice that in this video your talk about the importance of treating the face as well as the neck, but I think you forgot the back of the hands and the décolleté. Thank you again, if one day I do a lifting, I would like it to be done by someone like you...

[@OceanluvOC]

I hate Retin A and can’t use prescription grade from my dermatologist. I love Retinaldehyde and it has given me great results! I use it every night and I use it on my neck as well. I use med grade stuff from my doctors office. I want to have the best skin possible so when it’s time for a facelift my skin texture is good.

[@anniesmolkin7685]

Which one do you use

[@Letthembelightpeaceonelove]

Dr. Karam- what do you think about red LED light face masks?

[@TrulsPen]

My wife gets co2 peels and her face is amazing after healing and it’s not raw either she peels mildly and says it is worth it

[@TrulsPen]

Is there a reason you don’t recommend them or is it that some co2 techs over do it and makes it harsh?

[@J.E.C.]

You probably mean co2 laser. Lasers are dangerous, can give you burns and scars.

[@RACHELORI]

I am 47 years old. I have never done fillers, botox, or anything to my face. I do good skincare, retinol & hyaluronic acid & i moisurize 3x a day. This year, I noticed the sides of my jaw sagging a bit & permanent fine lines next to my eyes, so I also spot with more moisturizer on those areas. My friend started botox at age 35 for a year & it deformed her face. She is only 3 years older than I. She looks swollen & tired and her face looks deformed, so I would never do anything other than a face & neck lift eventually. Any advice till then?

[@hettyhrvthv7581]

any mention of chemical peels??

[@clairexchoco]

As always, the most honest derm on KZbin!

[@OliaKonJo]

I love my skin. Taking care of it every day. You are the Best! ❤

[@mariaestherhernandezdoming5720]

I can't thank you enough for this valuable information. Our own ignorance makes us have mistakes all over and in any aspects of our lives. But today, you enlightened an important part of it 😊❤❤

[@222littlecat]

I wish I had seen your channel years ago so that I wouldn’t made those mistakes. I really appreciate your honest advice and agree all of them from my experience. 🙏🏼☺️

[@bnb0510]

Meh idk. I love lasers and they have completely changed my skin over the years. Granted I’m ocd about skincare and sunscreen in general so it’s definitely a multi system approach. Even with a face lift you still need to manage your skin for the overall best outcome. Sculptra over filler any day! What about Sofwave? I’ve heard and read great things about it. Seems promising!

[@mariwilson803]

Isn’t Sculptra a kind of filler?

[@birdlover7776]

@@mariwilson803it’s a bio stimulator

[@sonia417]

Im scared asf of any facial procedures lmao watching this just because I love everything medicine. This doc deserves millions of followers. Im actually sure he will get there. Unbelievably good content.