Are Fillers Ruining Your Face? Plastic Surgeon's Urgent Warning!

[@smallbeginning2]

Thanks for this. I'm so grateful that the first surgeon I went and saw at 25ish just flat out refused to do anything to me. I asked for fillers and Botox. She said my face is well dimensioned 'you're the after photo'. Told me to wear sunscreen and be happy. Come back in thirty years for a facelift if I want. Thats what I've done. Thank you lady. She could have taken me for thousands. 🙏 she was ahead of her game in 2009.

[@panderichthys_rhombolepis]

How fabulous! So good to know that there are folks like her around.

[@anyaamasova6607]

Owing to my inherent disgust for injecting stuff into my body, even good stuff (I finally started Botox, sparingly) I have never used Fillers. Ever. Any kind. I had great skin and tone, and a youthful full face for a long time, but obviously by my late 40s I had to think about the future. I started to research things, look at photos carefully (including Ms. C Cox) and thought that surgery would be the best route. And, we are so fortunate that the surgery today is light-years ahead of what was available in the 20th century. Light-years. As a side note, I read a bio of a plastic surgeon in South Florida regarding the use and over use of radio-frequency treatments/devices on the face. He mentioned he had begun to see permanent soft tissue damage during surgeries on individuals who perhaps had done too many of these procedures. His personal thought was to be careful and accept that there is no great alternative to a top-line face lift.

[@Thomassina1]

@@anyaamasova6607 . Is still new frontiers. Noticed that surgeons toting FLs are or have become anti-filler, surgery is more profitable. Not sure what to think, so keeping an open mind. Surgery has risks incl anesthesia side effects that are often downplayed.

[@anjaxtv]

@@anyaamasova6607 beautiful name ;) Anyways RF UT HIFU etc apparently damage the fat pads of the face. I've heard so many horror stories.

[@anyaamasova6607]

@@anjaxtv LOL! Thank you for the compliment, but I must be honest. My Google "handle" (Anya Amasova) is the name for the female lead character in the 1977 James Bond movie "The Spy Who Loved Me", played by the VERY beautiful Barbara Bach (aka Mrs. Ringo Starr.) Interestingly, I once saw a comment about Barbara Bach as a 60 something year old. A man, perhaps a surgeon, commented that Ringo had purchased his wife some absolute top-shelf surgery. Though Ms. Bach could pay the bill herself, I do think she has aged very well and her interventions have been the ne plus ultra.

[@illuminata8097]

Finally, we have a doctor that speaks the truth about fillers.

[@suzanneleahy1521]

Genius

[@Carvegirl]

Yes!!😊

[@kWh29]

Yessss💯

[@sheldonpaige4ever921]

Right!! I was talking to a plastic surgeon and he was trying to convince me to get fillers and that he would do them for free. I told him no bc you can see that it doesn’t go away and starts to sink in the face. It ended up being the end of our dating bc we disagreed so strongly. He was said that it’s proven that that it goes away. I never understood how no one could see what was happening to peoples faces over time. Thank heavens doctors are now speaking up!!!!

[@Cll5923]

Thank you for the honesty. So refreshing!

[@karenover50]

I think the biggest issue is that we were all told that it would go away. That it was temporary and no long term consequences. Now I know why we had to sign off before we got it. Thank you.

[@biggyziggy5777]

NO … you had to sign off because it was a medical procedure !!

[@odairjsantos5567]

so true.

[@ournewhouse876]

Did you take the time to read what you signed. It wasn't a warning sheet - you were signing because you were having a medical procedure. The burden of research still lies with the person getting the procedure. This is a billion $ industry - they aren't going to tell you what the fallout will be.

[@janice5218]

I’ve done lips once or twice Really wasn’t that impressed w the look. So in raising teen daughters I’ve been discouraged To alter or enhance. 🥹

[@aussienic8428]

You have to sign when getting basic botox as well.

[@MsMrReason]

I had a groupon for fillers and the aesthetic doctor - laughed at me. Told me I had eye hollows and should cover them with make up as I could go blind with fillers. He told me I had asymetric cheekbones and I should keep them it was unique. He refunded me my money and told me to put it towards a vacation. Further INFO for the skeptical He ALSO told me he USUALLY adds ON more proceedures for people on top of the GROUPON and they end up spending thousands BUT they need it. HE said there was literally nothing he could add to my face that would not destroy my current looks and I should come back in another 5 years - if I had aged badly he would treat me then . But I should not obssess and enjoy my face !

[@liamleblanc3169]

Lmao He was not making money with Groupon so he refunded you lol

[@stefaniaponitz5738]

that's wonderful

[@helpfulnotthehelp8778]

@@liamleblanc3169 Bitter much? Can I recommend a £20000 groupon so you will have the necessary work to be able to show your face on social media . If you have a Tesla you show it on social media if you have an ancient rust bucket you hide it. 😁😁 Groupons are given out by the CLINICS themselves - so when you refund you lose money.

[@MsMrReason]

@@liamleblanc3169 Groupons are from the clinic themselves - honey. Can i suggest you get one- I doubt it will be refunded due to the lack of photo. But at least you will be able to show your face on social media instead of hiding like an Vctorian oddity . I am happy to give you tips on being attractive - it will make you happier in every day IRL 😭😭

[@hawaiigirl8089]

😂😂😂he is incompetent the dr you saw!!!! You can fall on a stair and hurt your eye and go blind too!!!! I had eye filler by a PLASTIC surgeon, it looked beautiful 😻 turned back 20 years alone

[@psychfred]

I’m a therapist and I have seen a trend in the last ten years of people in their 20s getting treatments that have long-term effects to their physical and mental bodies, all to look younger. We have to stop treating aging as “something odd” or “unusual.” It’s normal. What is abnormal is for people in their 20s to ruin their skin and deeper tissues to look 17, and for people in their middle years to try to look in their 20s because deep inside they have a belief that aging is bad or ugly. It’s not and everyone is starting to look the same with all the fillers and surgeries and can’t manage a facial expression congruent with their emotions because their facial skin/muscles are surgically/chemically altered. Be yourself. Love yourself as you are; that lasts and you need no refills or follow-up surgeries. Blessings.

[@Yojatram]

Wow. This is so informative. I’m almost 43 and am beginning to see the jowl dropping on my face and have been considering fillers. I’m no longer considering fillers. Thank you for this video. This really should go viral. Women need to be informed.

[@AM-go4ny]

Sunscreen daily and retinol is the way to go! It is not easy to find a perfect retinol product or an ideal SPF for yourself, but god, it is so worth it. Long-term it is the best thing that one can do for the skin!

[@Annewt445]

I ve been using retinol 0,5 % for 6 months, Zo obagi skin care, and I am still all freckled 😢 plus the dry looking skin 😭 I started once a week, now up to 3 times a week. When will I see any improvement?

[@Kristen242008]

@@Annewt445 Freckles are part of your skin. The only way to get them to fade is to stay out of the sun. I have them all over my body. Just accept your freckles. There are women spending thousands to get freckles tattooed onto them.

[@christinehall6441]

Face toning pads work, or hand held toners tighten up jaw line.

[@dr.jenniferma3914]

Lift is the only way. But wait longer. Wait til after 50.

[@EllenMDallasgirl]

Wow! I just canceled getting fillers next week. I’ve had them done only a few times and have decided I’d rather try other ways to combat the aging process. Thank you for educating.

[@changeeyecolor3891]

Enjoyed this video so much.

[@kcloveonaleash]

I started using Retin A prescription dosage a year ago- huge dif and u get a natural glow which beats injectables any day!

[@bluelola4480]

I had some done in the past, did not like the result, and now see how some of the regurally filled-in acquaintances suddenly look puffy and swollen. So no for me neither.

[@kandiceblu1]

You have to go under the knife… it’s the only way …everything else is temporary and way to many “side-effects”

[@sleepingdreams5844]

Having a solid skincare works wonders! I'd recommend using Retinol/Retinoid (it slows down the aging process of your skin and can slightly reduce wrinkles) and sunscreen (as sun damage is actually the primary cause of skin aging).

[@A94-c5z]

now i'm EXTRA curious to see how kylie ages over the years

[@43623]

Her face has already begun to change from a small heart shaped to a longer looking face. She looks so much older.

[@A94-c5z]

@@43623 Yup. She already looks double her age and that's WITH the photoshop. Can't even imagine what the future holds

[@marianistor8163]

She will probably desolve them and do a facelift like her sister Kim. I’m not wory about her…

[@MariahIsSkinnyFuckBlueLives]

Minogue?

[@A94-c5z]

@@marianistor8163 Kim didn't start getting extreme pillow-face fillers until her 30s, and even at her most filled, she wasn't as filled as kylie is currently

[@marinas.1147]

When I was in my 40s I wanted to have fillers, my husband’s response was.. wait 20-30 years we dont know the side effects after 30 years, I am happy that I followed his advice, now I am 63 years old , with good skin care my skin never looks better 🥰.. oh yes I have a bit of double chin, a bit hollow under the eyes , this is why I am interrested in the good Dr. K ☺️

[@choochd]

Is that u in the profile pic??

[@nikkistahr7105]

63 where.!!!..if that's your picture in the profile then drop the skin care routine please!! Because you look 30

[@changeeyecolor3891]

Absolutely love this video.

[@marinas.1147]

@@choochd yes , I took it last month ,

[@SRTsoulsessions]

Same

[@Shaenaevely]

I’m not a doctor, or a medical practitioner and my clients would ask me my opinion on fillers as a beauty professional. Just my personal opinion, I told them that laxity and aging skin should not be filled, but instead tightened. Filling does not treat the sagging/aging and long term, you will look puffy and older instead of younger. It’s amazing to me that the medical aesthetic industry is just leaning into this… I had no experience with fillers or Botox and was able to come to this conclusion by just thinking for 5 mins. 😒

[@Lee-Lee777]

💯

[@9395gb]

Plastic surgeons and med spa workers aren't beauticians, beauty professionals, modeling agents or artists. So they do not really understand what is beautiful, facial aesthetics or facial harmony, unfortunately. They just understand the medical aspects of plastic surgery and injectables. This is a huge part of the problem.

[@tjcole6249]

sheep mentality. Everybody wants to have the ‘majority’ opinion even if its wrong.

[@anamaniac]

As medical professionals, I think it is so important to evolve and change our recommendations based on new information. Thank you for sharing your thoughts and concerns about the overuse of filler. I think it’s important to us as consumers to be given realistic expectations for procedures to choose the best ones we can access and afford.

[@changeeyecolor3891]

They are sooo interesting...

[@sharylanne7738]

After we were first human Guinea pigs.

[@anamaniac]

@@sharylanne7738 yep, volunteer ones.

[@kgao7294]

I'm quite new to this. May I ask if botox and/or xeomin are considered fillers?

[@ivette638]

@@kgao7294 no...but you can google that question

[@aussienic8428]

I am so glad to have trusted my gut with fillers after watching this. Thanks Doc for your honesty.

[@changeeyecolor3891]

I like comment your photo.

[@dramirkaram]

👍🏻

[@lisanewzealand]

Hi❤

[@angienagel9883]

Great information! I feel enraged at times that fillers are being sold as an anti aging option. I have seen and heard so many 20 something year Olds wanting and getting this done over using a great skincare routine. I think your videos will be great for these girls to watch. A surgeons advice over an injectors advice. This was important to hear . 👏

[@aleb2200]

It's not just girls!

[@ninoslanguagejourney6002]

Actually his videos motivated me to implement a good skin care routine and even do take care of my boyfriends skin (who enjoys to be pampered this way by me ^^) despite looking very young for my 31 years. And besides that I definitely will never go for fillers but just likeneith tattoos, I'd rather pay more to get things done right or not at all lol. So IF I'd ever decide to get aome cosmetic procedure done, I'd go for surgery directly rather than fillers.

[@DX-d]

Creams don’t fill your face.

[@elizabetta00]

thanks so much for being transparent. I turned 22 recently and I've always wanted lip filler and I thought I had to get it every 8 months because that's what I heard from people who do it. now I know better. i might embrace myself instead of getting any at all. xx

[@orelawson8527]

I got filler for my 23rd birthday, worst mistake I've ever made in my life. Currently trying to get rid of all of it. Its taking 1 month just to reverse it. Stay away from it x

[@elizabetta00]

@@orelawson8527 oh god, that's horrible. i heard removing it hurts a lot :( I hope its out of your lips officially very soon! okay, i'll buy more lip liner instead haha

[@janice5218]

So appreciate your opinion. I’m an RN. I’ve worked with plastic surgeons in Palm Beach. IMHO less is more. Filler face or over toned is distressing & odd. I haven’t started my nip journey. I’m 62 and lucky to have good genes based on my youthful looking parents. So thank you for highlighting the caution not just promises of perfection.

[@nikkistahr7105]

Yes I live in boca raton fl and people look so crazy omg it's sad

[@changeeyecolor3891]

Love in the future.

[@DebBelcore]

@@nikkistahr7105 Never seen so many anorexic women as I did walking around these downtown areas. It was very sad.

[@Alice-fr1ef]

There are doctors and then you have real doctors who work to do what is best for you. Thank God for doctors like Dr. Karam who will tell us exactly what will happen with what we do to our faces. I am so glad I found Dr. Karam before I have ever had anything done to my face. Thank you so much Dr. Karam for this wonderful informative and educational video.

[@changeeyecolor3891]

This is really helpful.

[@foximoxi8533]

I’m vehemently anti-cosmetic surgery/injections for myself. I usually keep my mouth shut about this topic, as it’s none of my business of what people choose to do, but I have become pretty disheartened at the normalization of these injections for young women who don’t need them. Thanks for this video

[@naturalprinciples8520]

That's good..Plastic surgery in general is ruining people in a variety of ways. I get that in the world of plastic surgery and cosmetic procedures, there are some that are better at their job than others. But please, plastic surgery is a sin before God. I totally understand people wanting to look and feel their best, stay young, etc..But it's a serious thing and shouldn't be done. There are natural ways to age gracefully. Plastic surgery doesn't last. People fall apart from these procedures and it just becomes an endless cycle of more. It goes against what God wants for people. We need to repent, Jesus Christ is real and the afterlife/spirit world is real. Repentance is truly a gift from God and has nothing to do with "religion". Sin really does separate the soul from God if you don't repent and get right with Him before death. God bless

[@foximoxi8533]

@@naturalprinciples8520 Thank you for your wise words. I’m agnostic but I have felt God more and more every day lately.

[@naturalprinciples8520]

@@foximoxi8533 Wow, thank you :) That's amazing to hear, that's how it starts, God is real and searches the hearts of people all the time to see who is open to higher truths and understanding. Evolution is a lie, an egregious one that programs in a certain false paradigm when young. And thank you for being kind and open minded, some people can get very nasty. I actually was an agnostic myself for many years. I've never been "religious" and was raised in a home where we really didn't talk about God/Jesus, etc. Then things started happening in my life, it's like things became so clear and more things were revealed over time about the reality of this world. It all clicked and has been amazing since then. Even a few supernatural things happened. Anyways, I'd love to talk more honestly, it really intrigues me to hear about because it reminds me of how things were for me before. Would you be open to talking more or exchanging info? I can write mine so you don't have to and just erase it in a couple of days.

[@naturalprinciples8520]

@@foximoxi8533 Well, I guess not then. God bless :)

[@NefertitiThomas-Director]

So glad you’re educating people. I intuitively knew long term they were bad but now we have proof.

[@stop_and_smell_the_roses]

I'm so glad you're bringing this up. I think the filler option is an easy $ for practitioners and clients. I used botox around the eyes and filler at the cheekbone one time, and my undereyes started to hollow and skin was crepey/ saggy. Prior to that I didn't have those 2 issues. I was there for something different and got talked into the filler/botox.

[@changeeyecolor3891]

Amazing. Really helpful and good.

[@Karen-ig6bp]

I had Botox 3 times and could not live with the intense headaches that I experienced in the following weeks. For now, the "natural" fat transfer has to do it even if I have to go back more often. 👏

[@Baelynnxox]

Same. I did my lips and with the remaining of the syringe the nurse started injecting my cheeks without my consent , I started to notice hollow under my eyes from over filled cheeks, mind you I have very high and perfect cheekbones already. Im never going back

[@clindsay3406]

I got a pea-sized granuloma from filler that I had to have removed by a plastic surgeon. Now I have a scar! He had to make a fairly large incision because it was more complicated to get out than he originally thought. Thank you so much for this video! I am sharing with my daughter and daughter in law. I am telling them to save their money for a proper face lift when the time comes. Every time they want to plunk down $1000 on filler or something, just put it into their facelift account.

[@victoriahamm7258]

Hi Dr Karam I watch her videos here in Germany and I am absolutely amazed by her honesty. I work for german plastic surgeons. I create their websites and know the many promises and lies that are told day after day to many clients. You are for me a true pioneer in this industry full of money-grubbing doctors who constantly use ineffective methods to make money year after year. No one honestly says, "Hey, there's nothing more we can do except a real facelift". No, they inject and laser, without long-term success. You have my fullest respect, Dr. Karam.

[@barbarasmith7432]

My dermatologist told me they don't do fillers anymore because they can be problematic. She was right.

[@fenemonia428]

Wht about lip fillers, are they also potentially risky?

[@samrousculp4306]

I have always always always believed since I was19 years old that something that is suppose to disintegrate in your body after 6 months needs to be looked at. I was an esthetician student where a women had bulgey chunks in her face, she was 70 and had lots of fillers over the years. It came out that fillers can be blocking the abilities of collegen and can linger there much longer. I truly believe if you can get away with more natural ways, or lifts, cuts, machinery type of rejuvenation with creams or prescription, do it. Try to go as natural as possible in order to love your aging! That’s why I follow this fella here .

[@qrandrea2160]

I don’t love aging .

[@angelinadrobina5037]

As much as I feel frustrated when I look in the mirror I’m very glad I haven’t gone down the filler route 🙏🏻 LOVE Botox in my forehead and crows feet but once or twice a year is all

[@changeeyecolor3891]

Your secret love...

[@thatbobbi]

Isn't botox just as bad?

[@allisonwilcox5101]

It is crazy. I stopped doing my lips around 2.5 years ago and they haven’t really gone down! It’s absolutely shocking, I used to go 2x a year. I’m grateful I got over the addiction but wow, I had no idea it lasts so long.

[@amanda5jane]

Same.

[@StaceChristopher]

It lasts 10 years even the first filler!! I used to go every 3 months for 2 years for lips, have had about 12mls injected all different kinds of products and it’s been almost 3 years now and I would say they are halfway in between my natural to when they were juju !!

[@almad4355]

They not only look fake, they look horrible.

[@ideklex]

Same!! Idk that I’ll ever get my natural small lips again

[@StaceChristopher]

@@ideklex you won’t! After filler it will never be 100% back to natural, even if only injected once, even if injecting the shit that removes it which is even worse to do. Why would you want your natural lips back anyways ?? You got fillers for a reason!! 🤩 Also I’ve been through 7 drs coz it was hard to find a good one

[@laurazacharias210]

THANK YOU for talking about what most doctors don’t want to talk about . So informative

[@dramirkaram]

👍🏻

[@mckenzie_Rockneberg]

I have an appointment for Botox this morning and maybe a little amount of lip filler. Just last night before bed I was in the mirror considering under eyes/cheek filler (I’ve had it in the past) But I woke to my coffee and this video and what a fortunate coincidence! It brings so much clarity! Thank you. I’m 42 years old and I know what needs to be done. I’ll have my Botox to the forehead but I need to ask questions about surgical intervention for my other issues like cheeks falling in/down. Great video.!! Thank you so much.

[@jamimarie6117]

I good injector will not recommend fillers for something that’s surgical.

[@gailnightowl0423]

I started getting fillers around age 43 and I'm now 62. I've never had the issues you speak of so far. I might one day, but not many people can afford a face-lift at the price you charge.

[@sandee525]

You are right, he is selling his product

[@annadogoryeva7840]

The cost of fillers over 20 years must be a way more than a face lift

[@gailnightowl0423]

@@annadogoryeva7840 Not at the price this dr charges.

[@annsumrall2593]

Now i am scared to get fillers and have appt in 3 weeks . But do unhappy with my face and hollows. Can't afford facelift. Confused now

[@kabsatdajaj]

True. All my friends have been getting fillers for years and never seen that many problems. Responsible use is key

[@nikam4167]

Cannot begin to express how appreciative I am that you are sharing this. You are such an amazing honest Dr. You are greatly appreciated.

[@quorrakai]

When I was a teenager many moons ago, a dermatologist told me that because I have oily skin, it will take forever to wrinkle. Now, years later, thankfully he was correct. Oily skin keeps you looking dewy and youthful. I've never injected anything into my face and never will. No sun and starting skincare young is key. It boggles my mind the unhealthy obsession with these fillers, especially in twenty somethings. They look ridiculous and won't age well later. I have no regrets about aging natural 😊

[@MM-gd1dw]

That's so awesome! I had very oily skin in my teens to mid 30's. It was horrible; definitely affected my self-esteem. Unfortunately, Mother Nature has it out for me bc now I have wrinkles (not too bad). She owes me big time LoL.

[@jeccym8715]

I also wish to age gracefully cos I really don't want to use any fillers or Botox

[@beyond50skin]

I am so appreciative of this video. I have had small amounts of filler (3 1/2 syringes over 2 1/2 years) placed strategically … temples, ear lobes, eye troughs + PRF, cheek, jawline. I wasn’t planning on repeating ( except ear lobes ) Now IM DEFINITELY NOT GETTING MORE. I’m happy with the outcome. Thank you for this PSA. 💜

[@dramirkaram]

Glad it was helpful!

[@cheekymonkeygirl3378]

I'm so pleased to know adding more fillers can make a person look older because it makes a face so much heavier. This information is gold.

[@firstnamelastname7596]

@@dramirkaram I'm scared now. I had a re-do after the first time fillers and botox. It just didn't last past one month. 4 months after, I reached out and while they said no refund they offered the redo with the nurses from one of the supplier companies showing techniques. Now my cheeks are lumpy and hurt . I feel like my eyes are being squished and I think/see my face looks swollen. I got covid a week after so I havent been back for them to follow-up but I'm going in today. I think I have a sinus infection. I regret doing this and spending the money.

[@ayah1541]

Was the PRF worth it ?

[@psychmatisa]

Thank you for giving us this PUBLIC SERVICE ANNOUNCEMENT. I want to see more

[@dramirkaram]

Thank you! Make sure to subscribe.

[@ournewhouse876]

Here's my question - when filler is injected is ALWAYS looks like the injection is VERY superficial. I have never seen a needle go really deep. So are you saying that the filler settles down into the lower layers of the face past the tissue, collagen and muscle? This video is GREAT! I'm a fat transfer gal - no more filler in my face.

[@elib2249]

no many injectors go down to the bone. it depends on what you're getting

[@noelle9685]

I always think I want to try fillers bc I’m insecure about my appearance but this really sealed the deal on my not getting any, thank you.

[@denisemc607]

Thank you for your gentle directness and treating your audience like a friend 🥰 So disappointed tho filler seemed like a economical solution with less downtime.

[@changeeyecolor3891]

I like your quote a lot.

[@dramirkaram]

You are so welcome!

[@IAmEmber]

Me too. I doubt I will be able to afford a facelift so will just focus on skin care like he suggests in other videos.

[@mariannewm26]

Maybe I just haven't seen the video, but I would love a deep dive like this into botox from a plastic surgeon's perspective! Even before this video I was worried about trying filler just from seeing blister-like spots on lips of people I know that got it, and filler outside the lip line that didn't look natural

[@vanessarose9692]

The Budget Dermatologist has a video on Botox and why she won’t personally do it to herself if you were interested!

[@mariannewm26]

@@vanessarose9692 thanks! I'll check it out!

[@changeeyecolor3891]

I love your teeth.

[@inactivejonadenz-hamilton2117]

But--Botox is not a filler; it's a nerve-paralyzer.

[@mariannewm26]

@@inactivejonadenz-hamilton2117 ya, I just wonder about the risks including atrophy

[@jillsuzanne7625]

Thank you for being honest and bringing awareness to this issue. For those who have done a lot of filler, what are some solutions? You said the patient you were giving a lift did not have tissues strong enough to pull back due to the oozing filler causing damage to her tissues. What is the solution to repair your tissues? How can the filler be removed? Can it be removed? I heard from other specialists it cannot be removed completely, even from hyaluronadaze (sp.?) Are those who did too much filler completely screwed?

[@LahmacunNsushi]

Thanks to your informative videos Mr Karam. I am 35 and have nothing, saw a doc this week and he offered me everything that you say NO. I am so so glad I did not fall into this trap. Can not thank you enough and mention your name all around the world.

[@cynthiarobin2291]

Thank you....your authenticity and honesty is so refreshing in today's world. I worked in the Plastic Surgery/Med Spa industry as a Medical Aesthetic Sales Rep for over 20 years and often transparency is a rare quality. Very grateful for your honest opinions, insight, wisdom and directness....thank you!!!

[@nikkistahr7105]

Hi Cynthia, thank you for sharing. May I ask, do you enjoy what you as a Medical Aesthetic Sales Rep? I'm in my mid 30s a Registered Occupational Therapist and have been looking to break into Medical Aesthetic Sales..I really need a new beginning/a new challenge that interests me. I sincerely appreciate any advice or shared wisdom, thank you. Peace & blessings Nikki

[@changeeyecolor3891]

I love your face.

[@aliciamichelle955]

So true.. so many celebs started getting filler and looked SO good at first and after less than 5 years ended up looking weird and botched

[@Refiningforge]

Now when I see overdone face filler I’m going to think about oozing filler

[@Benegesserite]

FRESH OOZING FILLER 😂

[@randd3217]

Lol😂

[@wandanichols1187]

Ok now I have changed my mind on fillers lol .. the visual.

[@TheGlamRoomTv]

I was considering getting fillers but now that I’ve seen this video I’m going to take the surgical approach……Thanks for sharing 😊

[@denisest.pierre3854]

Great video! Those girls at the medspas really try to "sell" filler. I am glad you are telling us the truth.

[@irinairinskaya6150]

The new trend is Tox( botox) party. With light fare and bubbly girls from the spa organize “ a conveyor “ to make 💵 even faster

[@ritaknk]

Not only is this video informative and education but very frightening !!! I’m so so happy I didn’t go down the path of fillers. This part: Not only can a filler be stored in tissues for up to 20 yrs but it also destroys you tissues too ! That is very scary. I’m so happy you talk about it so openly. People deserves to know the consequences and the detrimental effects fillets have.

[@js5787]

Thank you for being honest! My M.D. does fillers also, I threw away the card. I've noticed that many of my favorite movie stars, men & women look like lions, huge jaws, unrealistic cheekbones. I'm 67 & I've never had fillers, and I'd rather have a facelift. I have a nice face, maybe I'll forget the facelift, and go on a vacation!

[@deborahfischer5708]

Wow! This is so good to know. Love hearing good advice to save from having major regrets. Love these videos and this channel!

[@changeeyecolor3891]

Please make more videos.

[@Restorationdreams]

I agree. Fillers will be a nightmare for plastic surgeries

[@changeeyecolor3891]

Brighten your smile with love.

[@qrandrea2160]

@@changeeyecolor3891 What’s wrong with you ?????!

[@BB-zw7me]

The only doctor I can watch and and actually listen to while staying entertained! Thank you ☺️

[@angiejohnson7228]

This is a great video and I'm glad you explained this so thoroughly. I always imagined that adding fillers to the skin to plump up cheeks for example, would actually stretch the skin and once the visual effects wore off I figured the skin would be even more saggy as a result.

[@dramirkaram]

Glad it was helpful!

[@Evowoman1]

I’m a 58 yo woman who has embraced the aging process with some resistance. I stumbled upon your KZbin channel and can’t get enough of all you post. I love that I have done what you’ve described by protecting my skin (after 30) to protect the most controllable part of aging, my skin. I’m going to try your trifecta and am completely leaving a face rejuvenation surgery on the table. I’d even consider a trip cross country from Florida to see you, though you’ve done your job to educate me should I look for a more local surgeon. Thank you Dr Karam!! You ROCK!!!

[@dramirkaram]

Thank you so much for watching my videos and supporting! I hope you love the trifecta, please feel free to DM me or email with your thoughts on the Trifecta!

[@edena2769]

Such an important video. Thank you so much for all your videos. I was thinking a lot about getting fillers 2 years ago, and changed my mind in the last minute, and never had it because one of your videos. So happy I do not have fillers. Will never do it to my face.

[@UltraVTV420]

DAMN, am I THANKFUL that I never had any fillers. Will this mean that any facial surgery that I might have, may go better? Love your videos and your work. Wish that I lived closer would love to have you work on my face.

[@changeeyecolor3891]

Love your teeth...

[@HealingHeart_61]

Great information and very helpful to know. It's truly a public health announcement. I have a 31 year old niece who gets fillers and I will share this with her. Thank you for such an important video. As always,, you explained everything so well.

[@Vicatoli]

As an academic artist - never wanted fillers cause aesthetically they don’t make your lips prettier or natural looking(the look of everted lips is just not what’s looking attractive) Good point doctor about bigger and puffier lips/other face parts - don’t make you younger 👏🏻 hopefully I will see less people with fillers around 😅🙌🏼 yay!

[@applenotinthephonebook2342]

He is so good & honest

[@jenniferschneider6979]

You are a gem. Thank you! I am 62 and would never get fillers. But I will get a Karam vertical facelift.

[@dramirkaram]

🙏🏻❤️

[@stefaniaponitz5738]

I always feel so sad for those people in their 30's and 40's that have a completely bloated face and I guess this is the reason for it. Glad to see the honesty here so everyone can make well informed decisions.

[@carolnewlands8630]

I am71..I get filler once a year..1 syringe almost on top of my cheek bones..no where else..all it does is give me a more chiseled upper face look..that is all I have done for 15 years..and I must tell you it still looks beautiful..and I have strengthened my jawline by execise gadgets alone..so if it is a little and NOT on the mid to lower face I think you never have that overfilled or odd looking face!

[@kristinab1078]

Do you feel the jawline exercises have helped minimize drooping and skin laxity in that area? Do you mind sharing what you use?

[@carolnewlands8630]

@@kristinab1078 Of course I will share..even my Derm's staff bought these gadgets they thought I had a lower lift LOL..I am 71..I have been using the first one listed for many years BUT!!!I noticed a droop recently and bought a newer gadget and it is magic..also I collagen load ..I take twice as much 5 days a week..BIG help..I am a holistic health coach so I learned a ton when I went back to school for it 10 years ago.. OK here goes..First cheap gadget...both you can get on Amazon.."Neckline slimmer" A french man invented it..I think it is around 10$..newest is "FACEFIT" around 22$..this is amazing..I bought both strengths but please start with the lower resistance it is a workout..I never do facial yoga..I think it stretches the skin..Just my thoughts..Let me know how you do..!!

[@kristinab1078]

@@carolnewlands8630 Thank you so much for sharing what has worked for you. I'll look into Facefit. I would like a little skin tightening around the jaw and a bit more padding on the cheek bones. Perhaps this tool will be effective for me. ☺

[@seamoscomplices]

I've seen so many photos of celebrities and ordinary people who end up disfigured from so many things that are done to their faces.

[@ylvablom4509]

I got fillers in my lips about 8 years ago. And my lips are still bigger than before the filler. I was told it would dissolve, now im so happy I only did it once and never in other parts of my face

[@review_raider6866]

What type of filler did you get exactly and how much?

[@ravenstonepostoffice3567]

valid point! Volume does not play a role in making someone look younger . I have seen many people in their 20s with folds, and hollows, although look their age. And people in their 50s with overfilled faces with fillers to look younger but still look their age or worse, older. The problem is the clinics are offering discount rates on the more amount of filler you have, the cost is expensive alone. Doctors don’t like administrating 1ml filler to be distributed overall in the face. It is not always necessary to be overfilled in a particular area. The amount of time I have heard 0.5 will not be enough or will wear off in matters of months. When in fact, fillers hold on to water that’s why it can always seem one’s had filler again when their face is hydrated. Facial yoga can help face shapes and I’m also a huge believer in bio-stimulators, and feel they will play a huge role in the industry going forward.

[@philippillis9393]

Exactly HA attracts water it's terrible especially in dynamic areas of the face. Raidesse and Sculptra gives much better and more natural results and are actually regenrative, meaning they promote tissue healing and collagen/elastin synthesis. I prefer Radiesse as it's biocompatible and doesn't work through inflamation like Sculptra and you can dilute it as much as needed. Either way volume DOES play a role in aging, anyone who had sudden fat loss due to energy treatments or HIV treatments knows it, that's why Radiesse and Sculptra are FDA approved for fat loss in HIV patients. When you face looks like a deflated baloon all of a sudde, it makes no sense to think all of the tissue started to sag, if you lift them up you can definitely improve but you will still lack volume, cheekbone projection and that toned, scaffold volume underneath. Every doctor will try to sell you his perfect overpriced recipe but in reality an holistic apporach is always better.

[@IAmEmber]

Are they unable to “save” filler? Ex. You have to use whole syringe. What if you want to only try half in one spot. I understand there isn’t much in one syringe but just wonder if they are allowed to do that.

[@philippillis9393]

@@IAmEmber I have a friend who's an injector and she can saves viles for specific patients with their name on it. But usually it's better to have a vile opened in front of you every single time. better to pay for the whole vile and waste some of it.

[@Maelu-op9gf]

I watched a vid of a woman who was getting ready for a facelift and the plastic surgeon dissolved filler prior. Now this makes sense why he did this

[@marianistor8163]

Hey can you give me the link please ? Thanks

[@Maelu-op9gf]

@@marianistor8163 I'm sorry.. it was so long ago. I can't find the video now. She had the filler dissolved a number of days before the procedure. I tried to find it but no luck :(

[@marianistor8163]

@@Maelu-op9gf no problem thanks 😊

[@Conniealvare77]

This is so refreshing to hear. I think fillers distort the face, and I've always been wary of doing that. When I'm ready I'm going to head straight to your office for a surgical lift Thank you for all the excellent information regarding these things.

[@ExposeClothing]

For someone with no fatty tissue on the face, we very much want the filler to remain for ever. I started filler at 24, I'm 32 and I just have no fat or volume to even sag. I've never wanted to look younger, I just want to have facial balance and volume.

[@stephp7778]

Not to be rude or to offend...but a thin face usually goes hand in hand with weight...I notice when I'm fuller figured my cheeks are plump too with a healthy glow...I'm over 50 and my only issue is my lips. I know everyone is different but good nutrition helps including proteins.

[@wendeesaunders]

I am so grateful for the education in filler before I got to much. I am not going to get any filler anymore. Thank you Dr. Karam

[@rondaborgert5170]

I love your honesty, thank you. I thought about starting fillers now at the are of 62 but after listening to you I will just age gracefully.

[@changeeyecolor3891]

I love your job.

[@beautifulinfinidee7233]

I'm 43 and have never had anything done and have only recently started to consider having any fillers or work done. I think I'm still pretty happy with my face. The only treatment I think I'd do is a little botox in between my eyebrows and that's because I've heard it helps with migraines. The cosmetic aspect would just be a side benefit.

[@rosalindc9651]

I had all my fillers dissolved 3 years ago and I’ve never been happier!

[@tiffanyburson2106]

Me too!

[@changeeyecolor3891]

I love your smile.

[@dramirkaram]

That's great.

[@mijuajua4820]

Now my procrastination has finally paid off..by not getting fillers. I am 51 & I’ve always meant to get fillers but I just procrastinated, now maybe it was really my intuition at work here; either way I’m glad & my skin looks pretty good despite never having any injections at all! 😊

[@heatherjohnson955]

Dr. Karam, I am an esthetician and I really appreciate your videos. I often refer clients to your channel to help them understand the basics about plastic surgery. The surgeon to whom I refer in the Bay Area is very PRO fat transfer and will do fillers but only very conservatively. Personally, I cannot get any longevity out of fat transfers even with PRP. I have done the temples maybe 3 times. It simply does not last so I have turned to filler. I am a slender woman, I like to exercise and at age 54 volume loss is a real issue. This video gives me pause about continuing down this path. I had my first lift at 52 and that addressed the lax tissues but the fat transfer part of that procedure did not last. Might you speak to this is a video?

[@changeeyecolor3891]

It is incredible...

[@Downy22]

That is really interesting to hear. I hope he will discuss this issue about fat transfer.

[@normasantizo7428]

I love watching this guy ❤️ he seems to know his stuff very well I just wish I had the money to get his services 🤣

[@changeeyecolor3891]

Great work as ever.

[@dearmeecha1310]

Your videos have been so valuable. I’m 45 and had been considering fillers and other things. After watching you for a year or so I now plan to the the VR as soon as I can. With you of course. I’m thinking around 48/49 I will have saved enough but I plan on getting a consult soon. Thanks the information you provide!

[@klove20231]

what is VR?

[@dearmeecha1310]

@@klove20231 vertical restore

[@erinek1449]

I’m sure this is exactly what he wants to hear $$$ you have to take in his own ulterior motives…

[@dearmeecha1310]

@@erinek1449 yea I understand. It seems his patients are very happy with the results and they look much more natural than some tother Drs work I have seen. I wonder how much it runs. I imagine quite a bit.

[@dearmeecha1310]

I know it depends on how much you get done but I’m curious about the starting range.

[@yovkashopova6801]

This video made me so glad I haven’t done anything to my face. Thank you for your honesty.

[@elsaucelloron1922]

👏🏽👏🏽👏🏽👏🏽

[@virginiaferrigno571]

I'm glad you've covered this, because I never felt fillers was the way to go. Never did it, now I'm glad I listened to my instincts. I just have sagging skin. Will call you over the summer for consultation.

[@changeeyecolor3891]

Loved you as a baby.

[@derrick2251]

He’s scaring you into booking with him. You’re a fish if you fall for it. Please don’t book with him. He manipulated you meticulously.

[@sophiadefrancesco4941]

I’m so glad I watched this. I’ve used filler for the 2 years and I won’t be filling my face after learning this information.

[@magdagoldstein5548]

Honesty appreciated.

[@dramirkaram]

🙏🏻

[@TRAN_S]

This needs to be shared more 👏

[@dramirkaram]

Share my videos with your friends and family! Thank you for watching!

[@daisymazie9642]

I’m 75 and have been getting fillers for 2 years. I refuse to have a facelift because I don’t want to have surgery unless it is medically necessary. I realize fillers are temporary but I am fine with that. I like the way they make me look and I will continue to get them.

[@romanireva]

I believe that once we get older filler can be ok, but the trend now, is to get them as soon as 20 yaers old, and that is ruining our future faces …

[@daisymazie9642]

@@romanireva I totally agree. A 20 year old face or a 30 year old face does not need fillers.

[@ajajaiteh8270]

Thanks for the education. I have been following the Australian doctor who was the first to talk about this on KZbin. The message is everything is moderation - not everyone can afford a facelift of nearly a hundred grand and not everyone needs a facelift . So we should normalise ageing grateful if filler is not the answer. Also get an ethical doctor, not all of them will want to fill you to the brim. It’s hard getting old, just take care of yourself please❤.

[@jademcqueen5474]

Just had my cheek filler dissolved, my face looks so much younger without it, I never thought I'd say it. I definitely over filled and only needed a tiny amount, once a year, it builds up and you don't notice it happening.

[@jademcqueen5474]

@@baseballboys6401 liberating!! You don't feel it, but you see it dissappear infront of your eyes

[@Destinedmind]

I was just about to schedule a first time fillers appt. Glad I watched this!!

[@biguy47905]

Dr Karam did an excellent job of educating us on the use of fillers. Though perhaps too personal, I'm wondering whether he has had any procedures. Great skin, but also no hollows, folds, jowls, under eye bags, upper eye hoods, etc. I'll have whatever he's having!

[@IAmEmber]

Oooh yes I wonder as well

[@borderlinefunny4632]

Thank god(s) I bumped into this video! I was literally looking for a new provider because I just couldn’t get what I got when I first started with my provider! I’m 40 in 2 weeks. And I’m definitely not going to do any more treatments until I get back down to my baseline! I am not interested in looking wackkkkK instead of looking old! Old is ALWAYS better than wack!🤓

[@OceanluvOC]

Interesting! My doctor uses fillers sparingly in the areas you mentioned maybe once a year. I have never done heavy fillers on my face. Thankfully I have good genetics and good bone structure.

[@changeeyecolor3891]

I enjoyed reading this.

[@dr.jenniferma3914]

I don't recommend fillers. A small amount in the lips but it's absolutely true that over a certain amount and you're really getting risky with how it will 1.migrate 2. settle 3. droop

[@ck7130]

This was an eye opener. I’ve had fillers once& it’s been about 2 years. My next step will be a consultation with you. Thank you for the education!

[@briannehofmann9986]

Go get it dissolved it’s still there

[@derrick2251]

He just sold you on his product lol! He scared you into booking with him. Talk to other doctors. If you go absolutely nuts with the fillers then yea you’re likely to see some weird changes in your face over time. Moderation is key. Please don’t be a fish.

[@AstralConnections.]

@@derrick2251was waiting for ONE person to say this. And now I’m signing off 🤦🏻‍♀️

[@eckankar7756]

Great information, Dr A is a good teacher. I just accept what my body is doing as I age. If my face will make a difference in my acceptance by those around me I'm willing to let those people go on their own way. If I need surgery to be appealing to someone I will find others to associate with instead. It would not be me anyway, that they'd admire, but a surgeon's skill. I'll choose to be a person rather than a painting.

[@cavgrey8]

Personally I disliked the feeling of filler. It was being utilized to fill horizontal bilateral drape lines from a 25 yr old chin implant. My body broke down the filler in less than 6 months. It wasn’t worth the pain and expense. I will clarify that it was done by a double board certified cosmetic surgeon. The final solution was 12 months of CIT & BBL treatments. The bilateral area involved is barely visible a year later.

[@lam9129]

Dr. I watched this video 2x and am so grateful for your education.

[@dramirkaram]

❤️

[@lrdigitalsolutions]

Wish I would have seen your videos on this topic before getting fillers done. I’m 57 and recently had fillers (3 syringes to be exact) in my cheek area and now regretting it! I see myself in pics and I feel like a chipmunk who’s filled their cheeks to hibernate for the winter 😢 how do I fix it? How can I setup a consult with you?

[@dramirkaram]

I am sorry about that! But, thank you for your interest. The most efficient way to get all the information you need and request a virtual consultation is by clicking on the link below. You can get pricing and downtime info and learn more about the procedures. If you decide to request a consult, you must submit the contact form and your photos and we will asses your candidacy and move forward from there. Look forward to meeting you! www.drkaram.com/getting-started/

[@lisatompkins9588]

Oh wow! Hopefully you can get it dissolved. I’m 55 And I’ve had filler as well I stopped because it just doesn’t lift anything. And agree just made my face look chubby

[@debbiedejager2948]

Glad to know this about the cheeks as I was thinking of having filler done in this area as well because of excellent results having had 0.5 ml filler under each eye to get rid of the hollows. It’s the best thing I ever did when it comes to fillers. But that’s all I’ve done. Having listened to this video I think face lift is the way to go if one is thinking of it of course. In the US I heard about the EVE lift. Very non invasive. Has anyone had this procedure?

[@absolutelyridiculous6743]

About time!! All we hear about are praises for these fillers or warnings about extreme cases.

[@bnb0510]

I’m 45 and am an RN that works at a med spa. I have had lip filler (which i just dissolved today and omg the pain), Botox and Sculptra about a month ago. I am avoiding filler in my face at this moment. I’m so afraid of it looking ridiculous, migrating, etc… Hoping for good results with Sculptra and prf gel.

[@naynay3174]

I'm scheduled for Sculptra next month and super excited but now I'm wondering if I should reconsider after watching this. Is Sculptra different from the fillers he is mentioning in this video?

[@Hibernia2324]

I follow a KZbinr wgo started off years ago doing makeup tutorials from her bathroom studio. She started doing Sculptra several months ago. Her face looks like bread dough now.

[@angelamarkopoyloy7546]

Consider skinboosters instead

[@legendofbillyjean]

@@angelamarkopoyloy7546 Skinboosters are amazing!

[@marianistor8163]

@@naynay3174 well sculptra is not a filler. But I would love to hear his opinion on it. He never talks about sculptra bellafil or renuva ?

[@jamo12345ify]

I was thinking about getting sculptra. You saved me. I was told only the benefits none of the cons. I’ve never had fillers and don’t want them now. Thanks for being honest.

[@bombshell317]

Thank you so much for posting this! Is this a concern with Sculptra as well or just HA fillers?

[@bnb0510]

Good question bc I just got Sculptra. Lol I would think it’s just filler though as Sculptra is more like planting a seed and growing collagen.

[@IAmEmber]

@@bnb0510 can you pls share what cost is for Sculptra?

[@bnb0510]

@@IAmEmber depends on where you live. Where I am it’s about $650-$750 per vial, several vials and treatments spaced apart are needed.

[@Hannah-ui9hz]

Thank you! I was looking into fillers and the information felt so contradictory and no one really explained the how and why. Definitely avoiding them and embracing sunblock instead now!

[@ruthiesmith2513]

Wow! Great cautionary advice! I’m sending this to everyone I know. 😅

[@dramirkaram]

Please do! Glad you liked it.

[@sammyocgirl7411]

look at lisalisad1 she looks so old, her face is messed up

[@audreypistor4610]

Thank you for being so honest you made allot of sense.

[@dramirkaram]

❤️

[@arganiaspinosa9122]

I knew fillers were no good and have been saying it for YEARS. Ever since I first laid eyes on pillow faced celebrities. These celebs have access to the so called best cosmetics doctors yet they are running around with these massive faces looking weird AF and convincing themselves that they look good. I remember reading a while back that fillers shifts the natural fat pads in the face over time, making you look older than you are. This video pretty much painted the full picture of the damage it can do. I am all for cosmetics procedures, but GOOD ones that won't have you looking strange over time. I am 40, luckily no wrinkle issues, but I feel like before I turn 50 I might just want to have a mini cheek lift and I will be good to go for a few decades if not the rest of my life.

[@marybell9358]

Have you seen Elon Musk face.. big and odd looking.

[@MrsAnaelimont]

I had lip filler 3 years ago and I still have it. When I want a little "umph"... I get a botox lip flip which lasts 1 month. I will get more refilled when I actually think I need it ..but I'm basing it on how it looks or feels and not just cse "1 year passed"

[@SylviaRR]

I'm 61 and have only had filler 1 time in my life, last March. I loved the way I looked but don't think I would every do again. My lips were great, My labial folds awesome, but the lumps from the filler that formed close to my eyes scared me to death. Took about 3 weeks for them to go away. The person that did it said keep using ice and rubbing them outward.