How to avoid Madonna's strange 2023 Grammy's pillow face!

[@ana-pi6ut]

Thank you! I don't understand how so many celebrities have BAD plastic surgeries and they have all the resources available.

[@sherleyann1]

same they have the best doctors and resources to look their best so I don't understand why they don't

[@consciouscrypto3090]

That's why. We all have limitations of money that slow us down. They just do whatever, trying to look 21 forever. We know we're lucky if we can simply achieve 20 years younger than whatever age we actually are. So at 60, we'd be aiming for 40 not 21 and would know we can't possibly afford to look 21 even if it was technically possible for us.

[@Chris-hr3fc]

Michael Jackson had his own doctor and he killed him. Sometimes because they are so rich, the doctor stops giving them good advice and just does what they want done.

[@RussiaIsARiddle778]

Agree with all said here. My worry about Madonna is her behavior overall. To be laying on Kimmel’s desk writhing like she is in heat is beyond the pale. 😢

[@melissajanaemiddleton6811]

@@RussiaIsARiddle778 Agreed

[@Joeyz088]

Agreed. I’m over this trend where nearly every woman on social media now looks alike. The days where we all had our own signature look is gone.

[@MsHolmi]

I totally agree👍

[@gwynedd-1]

I agree. She looks scary now like something from a psycho horror movie.

[@nannem9716]

Exactly. It's all very cookie cutter. No one seems to have their own face anymore. They all look alike, and it's not pretty. Especially in younger women, it's that same overfilled lips & cheeks, plastic blow-up doll look. The fake gigantic lips and big plastic breasts are atrocious. I always wonder how much worse they are going to look as they age. There are whole generations of women sporting or wanting the Kardashian/Jenner look, when the Kardashians & Jenners stopped looking like their true selves a decade ago or longer. I don't think there's anything wrong with having plastic surgery, but stop the madness!

[@CherDavis-pk5sn]

It's true. They look like clones of each other.

[@raisa_cherry35]

@@gwynedd-1😂😂

[@deniselebeau9874]

I am 70….(since original post I will now be 72 in November) I still look like me but just older and I’m ok with that. My face matches my hands and my body. I do my hair and make up, dress nicely and I smile when I am talking to someone. No regrets. ❤😊❤

[@olgatrilogymartin3143]

You are beautiful

[@deniselebeau9874]

@@olgatrilogymartin3143 Oh sweet Olga, you are very kind. Thank you.

[@Tiburon876]

Do you FLAWS too. probably more important..no mouth 👄😺 smell..the good doctor didn't explain the whole story..but keep smiling.. CRITICAL.. DON'T EVER GET GRUMPY..hell.breaks..lose..madonna was clueless to the challenge and she hooked up with an amateur.. like most people do . especially when doing tattoos and photography..all one of the same . you must incorporate PASSION AND ART.. from the master's hands and eyes..not yours you will f...it up!is how it works

[@Tiburon876]

FLOSS!!

[@deniselebeau9874]

@@Tiburon876 hi David…. You are soooooo right!!!! And yes, I do floss and have all of my own teeth!! Madonna is a strange woman… she makes love to boys that could be her grandchildren. Hollywood sends a very bad message to their group. It is best to stay away from that town and live elsewhere.

[@jlkitz1775]

We (women) have GOT TO shut down the external noise & stop letting society tells us what we're supposed to look like aging. Be well in mind, body & spirit ✌🏾❤️

[@annnee6818]

Yes. All the equality we've appeared to achieve is to rope men into the same bs. I use skincare and sunscreen and am still waiting for my first wrinkle at 42, I'd be way too chicken to have surgery I think so ageing it is. Have a good day, friend

[@ah2522]

nah, I prefer to look young, society or not

[@helengore7621]

Yes!

[@JosephKalina]

don't blame everything on society, women are doing it to themselves while men sit back and watch them make bad decisions

[@deeeeeere]

People like what they like, its upto women if they should be desperate enough to get mutilated for that. Mostly these famous actresses can't handle some new girl basking in all glory, at our side there r actress above 55 now nd they try so hard to look young but it looks extremely pathetic. Like plastic coating on face nd its unnatural to look at. I've seen normal women look radiant in their late 50s without any kind of bs. I guess its mostly upto the person how they see themselves. One's value should be in own eyes, world doesn't even spare god, us mortals shouldn't even dream of being everyone's s favourite

[@marciasagadore2158]

Regarding Madonna, I'm surprised you didn't mention the obvious face lift and brow lift which completely changed her hairline, along with the fillers and giant lips. I'd be surprised if she didn't get her jaw shaved, also, which I've seen in many other female media stars do now. Actually, she scared me when I saw her.

[@auntyvenom133]

She is scary looking

[@salvation4095]

Ugly is the adjective I would use

[@nikkix2896]

@frankthinnesPete Burns was in on the joke where as Madonna isn’t and it’s sad because she was attractive and she would’ve looked great with just the face life she had 15 yrs ago. She just seems like a person who’s never been satisfied.

[@t.annebowden4606]

@@nikkix2896 I'm fairly certain that she's terrified of becoming older and/or irrelevant and in a vain attempt to fight that has sadly become a parody of herself. =/

[@bridge2space]

She had a facelift like 20 years ago and looked fantastic afterwards. There’s been nothing done to her jaw. And her hairline looks fine. It’s just the puffy cheeks and lips that are the problem and that can go away if she can manage to let go of her addiction.

[@carlamoore2710]

Thank you for telling the truth. In the United States we are obsessed with looking like we did at 25 and it is causing a lot of body dysmorphia and other issues. I am 58 years old and I am learning to love who I see in the mirror because I see people taking chances and doing risky procedures to look 30 years younger and it's unattainable. I am going to gracefully and gleefully turn 59 in July and continue to love who I see in the mirror. Listening to the wisdom that you are sharing has made me confident in my decision.

[@dramirkaram]

Thank you for watching!

[@DebbieTDP]

It's mostly a USA thing 😢 all this plastic surgery 🤷🏻🙄

[@debbielockhart7762]

​@@DebbieTDPNot really. There are other countries that have lots of plastic surgery.

[@acooksla]

Not just the states, not at all. I live in Spain, there are many women here who do it as well,

[@Jillian15]

If you are not interested why even come here.

[@biljacarica1]

You explained everything very nicely and truthfully. I am also a doctor, a dermatologist and I completely agree with you. It's amazing how many people don't see the impact of the pharmaceutical companies that make fillers, it's become like taking drugs.

[@Sufferingsassafrass]

Truth! 😢

[@jelenaforfree]

People are most probably not aware of the inflammation processes that occur in their skin and tissue due to fillers, or they think that it is a temporary effect. I can't help but remember the film 'Catwoman' (with Halle Berry and Sharon Stone).

[@biljacarica1]

@Joan Arc My favorite method, of all time, is microneedling, when we talk about needles😉

[@annehedonia156]

​@Biljana Medjedovic Yes, doctor! But without heat since that destroys fat, correct?

[@biljacarica1]

@@annehedonia156 I can only say personal experience on my own skin. I have been doing microneedling (dermaroller or dermastamp) without any combination with heat for 15 years. I hear various experiences from my colleagues, regarding, for example, RF microneedling, mainly that the device itself is not adjusted properly, so fat reduction occurs. In any case, I very much agree with Dr. Karam, as far as the skin is concerned, microneedling, chemical peeling, certain lasers, fat grafting for volume and later a perfect vertical lifting.

[@teenamalanga5342]

I know Madonna won’t see this comment, but if she did…I would tell her that people weren’t being ageist about her looks. People were shocked by the disfigurement she’s had done to her face. Plain and simple. It’s hard for some people to accept that they’re aging.

[@Brittshow_AK]

I agree. I think ageism would look like if she performed looking closer to her natural age and people were dunking on her for it and complaining that she looked old. Being surprised and a little uncomfortable by her completely different and unnatural look seems normal... I'm not advocating anyone be mean about it, but I get the recoil factor.

[@nannem9716]

Exactly. It wasn't ageism. It was what-the-holy-heck-have-you-done-ism. It would be impossible for people not to notice the change.

[@slickchick5811]

just ego "I do what I want and you're all jealous because you can't."

[@anthonymejia2549]

I completely disagree with you. People have been calling her old since 1993. I have magazine covers where they called her grandma Madonna when she was 34 years old. Let that sink in. If you were called old while you are still in your mid-30’s you would be traumatized as well.

[@Holodoll]

@@anthonymejia2549 People called her older looking because she was older than she claimed..in 1993 she was 41 not 34 and she was 44 in 1996....I remember when MTV announced her exact age on her birthday in 1996 and let the cat out of the bag. My friend who worked with the Sex Pistols knew her from the London music scene in the 1970s. She is 71 yrs old this year.

[@margschne6601]

I think the main problem with fillers, especially in the upper and mid face area, is that they cause the eyes (which already recede with age) to be dwarfed by all that added volume. Madonna is a great example. She never had a heart shaped face to begin with, now she does. But her big, wide-set expressive eyes now look close-set and beady. Like buttons in a pillow - that’s the effect.

[@mariafantasia1191]

You don't have to do anything. You can just age gracefully and be grateful.

[@parler8698]

❤️

[@gigigiseleworld]

She's a public person.

[@lvettesonai]

I'm 55 and naturally look 15 years younger thanks to my family genetics. *praise God* But, I'm not against cosmetic procedures. That said - Madonna has gone beyond! She's turned herself into a monster face. Sad.

[@zanapwilliams9388]

Amen

[@Itsme.KatieG]

You don’t have to, but you also have the option to use available methods to reduce signs of aging. I’ll choose the second option.

[@deepthoughtswithjessica]

I spend my life trying to avoid inflammation and people are out here purposefully inflaming themselves just to meet society’s shallow beauty expectations. Hard pass.

[@johannesswillery7855]

Well said.

[@mariahoelzel3872]

I had a similar thought: Doctors allways say inflammatory processes in the body are bad for your health. If you have a bad tooth it can affect your heart and so on. But inflamation because of filler? Who cares? Really???!!!

[@ericachitwood2465]

Inflammation isn't always a bad thing + toxins are everywhere unfortunately.

[@whitneyanders5945]

You have such amazing hair. Long and vibrant 😍

[@kikyomoon2996]

What devil had over he want that way why think devil rules hollywood he miss lead people follow this path use these celeb change yourself hate what God create you look like I'm 28 still look good look 18 years old not drinking or smoking

[@petersonltr1]

I'm 56 years old and I never had anything done to my skin. What I use are 3-4 different moisturizers morning and night. I apply them in an upward direction on my face, neck, and decollette area. I purchase them at WalMart and Amazon only spending no more than $35 - $50. This has worked well for me since the age of 50.

[@cathypower1681]

Me too...I also drink lots of water, don't smoke, don't do drugs, or drink alcohol..

[@mabella3437]

Me too ! Plus I do not smoke, do not do drugs and do not sun bath ! I often receive compliments at the make up counter at Macy's . Careful about going to the dentist now many try to talk their patients into getting botex & fillers from them directly !!

[@DionisoBaco.]

You guys need to search about Annette Larkins. She is adept of the raw food diet and has a lot of energy and youthful.

[@andreeanovac1328]

This can'ot dolve the problem of saggy skin and cheeks.

[@andreeanovac1328]

From a certain age moistures are nor enough anymore

[@catvonderahe1836]

I was so shocked to see what Madonna had done to herself. I don’t think she accomplished a “ youthful” look, but rather looks like she’s wearing a mask. It’s too bad.

[@cwb1400]

Yep it looks like she’s wearing a rubber mask. It’s so cringy and creepy.

[@rozalilu1]

Alien

[@NB-dh6hv]

Her face look puffy, I was shocked too when I saw her Instagram profile totally not like her at all

[@nadinequinn7912]

I've never seen anyone that has successfully looked younger as a result of plastic surgery. Just different.

[@rebeccabravo8616]

Yes, the face from the ‘Saw’ movie 😮

[@KelLAkiwi]

Some of the best practical advice about fillers and face-lifts I've ever heard/read! Thank you Dr for putting it plainly and succinctly with real life advice.

[@andyroo9381]

Dr. Karam, this is one of your best vlogs, to date! Most of us grew up watching Madonna. To see her latest appearance was shocking and disappointing. I think this one vlog has opened the eyes of so many people. We can all see the difference from the younger Madonna to now.

[@lulumer6945]

What’s really sad is that so many women (in particular) seem to be the most ageist in western society. As if an aging woman can’t be beautiful unless she looks like she’s less than 40. Of course ironically they are often making themselves look older.

[@wsdwsd5092]

I wish I lived in America. I would see you in a heartbeat, your medical manners are reassuring, and your honesty is humbling and trustworthy. You are a true medical surgeon who lives and loves his calling. Sending you good health and sunshine

[@spaceycrystal]

This was very helpful as someone who is 30 and starting to see volume loss and wants to avoid the filler disaster route!

[@candicewatson5508]

Madonna looked good for years with filler until she overdid it.

[@MummyBrown]

@@candicewatson5508 people keep saying she overdid it. As he clearly states here, “fillers leave behind a footprint.” ( 10:04 ) She’s been getting work done since she was in her early thirties, it was just less evident than it is now. You have to redo your work roughly every 10 years. When you do, something else goes cray and you need to get THAT done. It’s the way of plastic surgery. The lesson here: don’t even start getting plastic surgery or, if you do, wait as long as you can to start because it’s not a “one and done” thing.

[@gigigiseleworld]

Cellulite is a better option...it's from the body. Not a chemical compound..that could damage the tissue under the skin, muscles and nerves in the FACE.

[@candicewatson5508]

@@MummyBrown fillers aren't surgery. all her surgical work is very good. it's all the filler she hasn't let settle before piling on more.

[@MummyBrown]

@@candicewatson5508 I know fillers aren't surgery. As he clearly states here, “fillers leave behind a footprint,” (10:04 ). She has ALSO been getting surgeries since the 90's.

[@juliastephenson173]

Very helpful. I am disappointed that cosmetic doctors are still not telling patients that filler doesn’t really dissolve. It feels most unethical. I’m sticking with profilo and facial exercises

[@dramirkaram]

Exactly!

[@ZoeMelisa]

You should do a whole video about the inflammation and scar tissue caused by fillers because I think people would have second thoughts that they don't know they may need to be adding to the mix in their decision matrix! Wow

[@micheles1812]

I agree, wholeheartedly.

[@janelopez7010]

You think people don't get them from facelifts? All of these procedures give you scar tissue, making people age faster.

[@gigigiseleworld]

Exactly.. because after that injection. It must cause issues. The body isn't used to chemicals..and the nerves, muscles must be affected. Her face is swollen and the facial tissue..might be rejecting all that filler.

[@lelia660]

Dr. Karam, you are such a sweetheart. You're trying to be so diplomatic! Bless your heart! You're very honest, and very kind.

[@Alice-fr1ef]

Thank you Dr. Karam for such a clear explanation of fillers and what they can do to one's face. I will never understand how people who can pay for anything they want make such bad decisions and settle for what is bad for them. I am so happy that I found your channel and your skin classes and the truth of facelifts and aging and all treatments involved from day one of aging. We are blessed to have you and they could do the same and just listen and research a bit. Thank you so much for this educational and informative video Dr. Karam.

[@teapartywithConnie]

Im glad I didn't get hooked on fillers. I look pretty good for my age . Ive tried 3xs to add fat to my boney hands. My hands look like theyre 80. Ive worked so hard all my life sewing, cooking, cleaning gardening, painting ( houses) etc. My hands cannot be fixed to match my pretty good skin. If & when I get the courage Id go to Dr Karam. Your FACE is NOT THE PLACE TO SAVE $$$ CUT back on eating out, clothing , new car but when you've got to look your best dont cut corners on your FACE!

[@pattylyons9645]

I had some minor work several one years ago. I also have used Botox and Restalyn in the past. You have to be very specific with your doctor and take their advice. Many celebrities do too much too often because they don't want to spend even 5 minutes looking older. I've always believed for us regular folks, it should be on an "as needed" basis.

[@dylansousa5571]

You are very beautiful

[@skicouture]

Obviously there’s so much pressure on People to look a “certain way”😕 And while there are amazing results within skilled hands, unfortunately people can make personal Choices that may lead to regrets too.. Appreciate this Doctors nonjudgmental attitude n offering his Professional perspective with a Common sense approach to looking our best at any age♥️

[@giuseppemariocescutti-fitz5835]

There is NO pressure for people to look a certain way. what bullshit! Vanity is the pressure to look a certain way. And have the courage of your convictions. If you have surgery and its a fuck up, dont blame the fact that you are now an aging celebrity and blame AGEISM CRITICISM. No one forces anyone to have cosmetic surgery. Lots of people dont.

[@gracerichardson3047]

I’m so glad I didn’t take the advice of a plastic surgeon in my area who recommended cheek filler when I was 49 to lift my cheeks ! It seemed like bad advice and this reaffirms for me that I made a good choice. No question that your posts and videos are extremely informative and provide excellent guidance for prospective vertical restore patients 😊

[@tatianakona3357]

Doing fillers and overdoing them are two different things. A little bit of filler would do wonders to your face

[@pnevlud]

@@tatianakona3357agreed

[@TheSalonLife]

My god, you make so much sense! This is so refreshing! Thank you so much for educating us. I wish I could afford a surgery with you but now I know what to ask for and what to avoid! Thank you very very much!! ❤

[@aboutfacesusan]

You're always a class act, Dr. Karam. Thank you for being a doctor I can respect. Licensed esthetician here.

[@jccgold]

Great video. Highly recommended for anyone thinking on putting fillers in their face. Too much botched unnatural results out there, this video tackles that problem

[@JaneDoe-ql7sc]

This doctor's exposition is brilliant!

[@rosebuddloved]

It’s a shame that Madonna hadn’t met the current Dr. Karam in her early 50’s or even 40’s. It’s sad that someone or more people did that to her beautiful face. Fillers have always freaked me out 😬 I know they have come a long way but still…

[@thewalletwarrior]

They might have known that fillers could do that back then

[@kdmarrison8845]

Madonna’s face has been her fortune & this is true for all female performers in the limelight Facelifts can produce fantastic results but there is a limit to the number of procedures before everything goes south & one looks worse than if none had been done but that’s the price of celebrity & wanting to look good & arguably worth it if your livelihood depends on your looks

[@laurieszentirmai4511]

Good info. Thanks, now I know why some people look so odd after years of filler and thank goodness I haven't let someone put filler in my face since I am 58 and do exactly what you said with lifting my face and saying wow. Now I know with my age and state of my skin fillers are not my answer. I think I will continue to take care of my skin and "age gracefully"

[@yesiamsharon]

I appreciate how you approached this. As a woman in her late 50's, I would have appreciated her embracing aging as an icon.

[@Sufferingsassafrass]

Me too. Made me sad to see as I’m a huge fan and have been since the beginning. I’m 59 so I understand how aging and vanity are hugely challenging. She just went waaaay too far and has been on this road for a while lately. She can’t see it anymore. 😭

[@bereal6590]

Definitely, I love celebs who set that example such as Jamie Lee Curtis and in a brill movie franchise. She is lines grey and she rocks it, looks like Jamie had a lot of struggles in her life and looks like a normal woman ✌

[@graphiquejack]

I believe the swelling will go down and she’ll look fine by the time she tours this summer. I for one don’t care for plastic surgery but M has earned the right to do whatever the hell she wants, as do all women, really. It’s her body, her choice. What we think about how she looks doesn’t matter if she’s happy with it, I guess

[@saintejeannedarc9460]

@@bereal6590 Helen Mirren is another actress, and one of the best at that, that has let herself age normally. Meryl Streep still looks amazingly young. I'm guessing she must have done something, but she's been very careful to not let it change her look. She doesn't seem to do botox either, and her face is still animated and expressive. There's nothing more unsettling than watching a person try and talk who is all botox frozen. It looks like their eyes are trapped in a frozen face. I have no idea why so many younger women start doing it.

[@anna.phylactic]

Comments and replies I’m seeing are… delusional perhaps? I think people like to forget that she has had a solid 4 different faces over the years. By the 2010s her whole face had been touched multiple times. It has only NOW become a problem for people. Old people don’t need to age like an icon, old people can do as they please

[@womanofacertainage5892]

I'm nearly 60 and at least for now, I'm good with smiling a lot. Smiling is a risk-free facelift. And it costs nothing, True, my neck still sags when I'm smiling but I'm ok with that for now. I never say "never" to a surgery but for now I'd rather avoid the financial cost, spend that money on other things, and love my wise and aging face and neck. :). I do love your videos, Dr. Karam - I've learned a lot, especially about what to avoid (fillers, endless botox, etc. I've not had anything at all yet, no botox, no treatments of any kind to my face.)

[@teresatano193]

I have friends in their 60's who look amazing and never had ONE THING done.

[@NicE-jq3wv]

So they say 😉

[@mm0901]

Same

[@annebonney463]

This is the best way of explaining the basics of the influences of fillers, etc. For me this doctor explained what that person wanted, and how these fillers can be used in the wrong way. I think the more these procedures become more available people do need to understand the does and don't. This doctor is a natural lecturer on the subject.

[@monicag7803]

Nailed it again. There are better ways like using your own fat, PRP or a facelift by a professional like yourself. When I started to see these trends, my gut instinct was uncomfortable, I always knew this was wrong. These "celebrities" have the money, resources & connections, yet the lack intellectual wisdom. I am glad you are waking up people! Thank you Dr. Karam.

[@claudiokabanata3325]

PRP is a great treatment!

[@wahoo4uva]

Madonna is highly intelligent. It’s probably emotion (fear) about her aging appearance that is overriding her intelligence and motivated her to choose going this far with the filler. It’s human to allow feelings to supersede logic (common sense) when making decisions. Intelligent people do it all the time. She’s found someone to help her do it with this.

[@korykent5645]

This video is so enlightening regarding face shape. I was worried that my weight loss surgery would make me look old (I mean, it is a common side effect) but I am just 33 and my weight loss so far has actually brought my jawline back out and I have an actual face shape again. I think I look younger now ^.^

[@gavingerard2053]

late 30's is when facial volume loss becomes more obvious - but we all age so acceptance is a big part of staying content.

[@beulahboi]

Genetics is really more important than anything in my opinion. A lot of people don;t take that into account.

[@jessicahitchens6926]

Not if you have a good face and jawline with fantastic skincare. If say mid 40s to late.. the volume loss is due to bad habits and lifestyle. And decline in hormones. That contributes the most.

[@ClaraSunshine]

Agree! Great analysis, thank you. A very smart way to work. I love the fact that you keep the face looking natural. I live in Canada and I want a deep plane facelift. The surgeons I have met never explained to me that priority, "keeping our personal features" the way you explain it is brilliant. This is exactly what I want, and still be myself.

[@tammyschwarz6388]

You are a true artist which is needed in your field.

[@melissajanaemiddleton6811]

You are just so well spoken, Dr. Amir.... all was said clearly, eloquently and diplomatically! And as always, your message makes consummate sense. I hope that one day I might be able to afford to become one of your lucky patients, because, having seen so many befores and afters, I can say that you are equal parts Master Artist and Master Surgeon ❤

[@dramirkaram]

Ahh thank you so much!

[@l.270]

He is 100% spot on. Thsnk you for your honesty and help. He convinced me to get a face lift neck lift 7 mos ago. I'm thrilled!

[@dramirkaram]

I'm so glad!

[@mmcs4973]

Thank you for such a sensitive discussion on the subject of aging, and why fillers have a really limited shelf life in that process. I find it mystifying that the average person, like me, can get such superb advice for free, and yet so many with unlimited resources end up with strange, unattractive outcomes. Frederique Bros, Utuber, recently underwent full face eyes lips neck lift with great results, and she begged anyone considering procedures to watch your videos before making a decision. I wonder how many plastic surgeons hear the words " but Dr. Karam says...." !!

[@Christina-yu3gu]

Super helpful. I agree too much filler is not the answer after 40s. ❤

[@Robindalmiras]

This Dr is amazing! His work speaks for itself! I only wish I could see him. 😊

[@joannerivas1034]

I’m so happy to have found this video! I was thinking of doing filler but at my age I now understand that is not the answer!

[@elizbeer]

WOW, always learning with you, Dr. Karam. Greetings from Mexico 🇲🇽

[@dramirkaram]

Hello! Thanks for watching

[@joli395]

I really like how honestly you explain everything and don't give people any false hope, Dr. Karam! An honest plastic surgeon - how refreshing!!! I just subscribed to your channel. I am 60 yrs old now and never had any fillers in the past, but I notice slight sagging starting to happen on my lower face, jaw area. Where are you located??? I wish you could perform a vertical restore and fat transfer on me and make me look they way I feel. I hope I get a reply.

[@calistiae]

This is a great description of what happens when adding more and more fillers. Thank you for this education!

[@dramirkaram]

Thank you for watching!

[@Thin_Mercury]

Can we have an update on this? I saw Madonnas recent tour videos and the pillow face was totally gone and she looked amazing. I would love you to explain what she did to make such a drastic improvement.

[@jupiterlegaspi7528]

Thx Doctor ! Btw, could u do a video on what procedures you’ve done on your face to slow down the aging process ?

[@Riseabove22]

Yes, Dr. Please do a video on Facial Exercises.

[@jameshall9402]

Because of chronic medical issues, I was not supposed to get old. Now when I look at myself in the mirror i see an older person that I always wanted to see. I resemble my mother, my father, and my grandparents... I wouldn't have it any other way. 😁

[@vikker8274]

I miss my mom, but now I see her in the mirror, I’m Just a lot taller. It’s comforting actually

[@mm0901]

Beautifully said. So happy you’re still here! ❤️

[@pamlomeli1360]

I love to watch your video’s. The way you clearly explain everything with great examples and your Vertical Restore technique is amazing. Makes a lot of sense and you can clearly see the passion and care you have in what you do.

[@dramirkaram]

Thank you so much for watching!

[@mariapolanco9652]

Thank you for educating us! Love your new background design 👍

[@baddie1shoe]

I wish I could afford to see you for a vertical restore facelift. You seem like the best doctor l. The people who see you are very lucky. :)

[@claudiokabanata3325]

Current Madonna has Overfilled pillow face. IMHO early facelift and minimal fat transfer is better than filling the face through the years.

[@philippillis9393]

Fat transfer is the most dangerous filler you can get, the one with the higher risk of disfiguration or asymmetric results and you can gain weight in differently in differ areas of the face as fat is not from the same body part. It's awful, fat cells are very delicate and better be left alone.

[@michaelhenderson1878]

This is super informative. I was thinking it was going to be a total breakdown of Madonna’s face and kinda mean , but it wasn’t at all. Again, very informative, and thanks for the tips! I’ve done fillers a few times but very conservatively and now I’m thinking of a different approach. I’m at the end of my 40’s and it’s time!

[@andrewdavid5928]

I'll always remember Madonna the way she looked in the film "Who's that Girl" because Italian women always look better when they're well fed.

[@wadewave4323]

Nice overview. I’m am a 58 year old man and have been doing Botox and a bit of fillers over the past 15 years for Botox approx 8 years for fillers. Love your approach. I always hated my chin so my practitioner re did my chin and I love it. She said always said less fillers is more. Wish I lived closer to your practice as I’d love a consult.

[@TheePrettyGirlSwag]

I swear by collagen peptide powder, bone broth powder & the carnivore lifestyle. I exercise a little. I’m 49 & my skin has actually gotten better than my early 40s with consuming the Standard American diet (SAD) especially all the sugar I use to eat.

[@izabelalaskowska8373]

Thank you so much you talk to us and explain ❤ I am very honored I have the opportunity to listen to you. 👌👌👌

[@rowan3946]

I admire the British. They appreciate the character of an aging face and they have beautiful skin. Helena Bonham Carter comes to mind.

[@margerykirner5604]

I They get plenty of plastic surgery as well ! No thing wrong with the right plastic surgery

[@kathleenholt6008]

But their teeth though 😂

[@glowpony]

​@@kathleenholt6008Gee, thanks. Maybe we prefer characterful smiles too.

[@jessicahitchens6926]

I'm sorry but I'd rather have normal teeth than piano keys. Disgusting.

[@MB-yi5oy]

@@kathleenholt6008 I have beautiful teeth. Thank you and well cared for as do my children.

[@sarahg8077]

Thank you for this. I see faces evolving this way around me. We have colleagues doing injectables and it’s A LOT of filler. Sincerely, thank you.

[@Natrsamson]

So sad what she’s done to herself 😢! I’ve been watching her old videos lately so much talented! That’s so ashamed what doctors did🥺!!!! All for money! That doesn’t take away what a great artist she was and still is!!! Hope she’ll get better because I this he needs help😭❤

[@hazydreamer7965]

Thank you for your accurate and wise advice. I wish more people would realize these things and not simply go ahead and make an appointment with just any doctor.

[@micheles1812]

This was very helpful because I have thought about getting fillers. I had a little lip filler, but I wasn’t that impressed with it. Thank goodness it was a small about. My eyes looked tired when I was in my 20’s, and I have always been self conscious about it. I would be out in public, and even strangers, (grocery clerks, waiters, etc.) would say, “are you tired?” I’ve wanted blepharoplasty for years, but couldn’t afford it. Then I got my uppers done due to an eye appointment, where my eye doctor thought my eyesight may be impaired. My insurance paid for that. I’ll be 58, so definitely would love to get my old face back, but not to look like some of those celebrities. Thanks again for this video.

[@elliotoliver8679]

People ask me if I am tired I say yes can I please go to sleep now

[@Boertje247]

I really like how you explain the aging process. I’m 71, and I would TOTALLY have a facelift if I could afford it! Great video!

[@dramirkaram]

Thank you so much!

[@larahuffmaster5857]

It's so sad. How can women not see that they look completely fake when they do that?? I'm asking an honest question.

[@TheSalonLife]

No, its usually a very gradual thing and many times we are being told that fillers will lift and botox helps to remove the wrinkles but really, that's not what we really need to make us look how we feel (like in my 30s, that's how I feel)

[@korykent5645]

It’s not about “women”, it’s about Hollywood celebrities and other rich people having body dysmorphia and having the money to achieve whatever vision they have for their look

[@victoragustinmedinaneri4598]

Hello doctor, how are you? Thanks a lot for being a real human being and honest. God bless you. Regards!

[@carolhern]

I agree. I had filler put in my under eyes to try to smooth out my under eye bags. In one eye, i could still see the bag after the swelling went down. My eyes looked smaller as well. I figured for $2k, it was probably better to just save and do the surgery. Pandemic then hit, and I haven't done it yet, but probably will soon.

[@dylansousa5571]

You are very beautiful

[@bettymorcilla3870]

Thank you!!! Es la primera vez que escucho a un Dr explicar tan claramente el problema de los fillers. Especialmente con la gente que tiene mas de 60 a~os. Gracias!!

[@Ariadne76-k3d]

It would be so much easier if it were just acceptable to look older! I guess people have always fought against ageing though. I read that Cleopatra used to take milk baths to try to look younger.

[@user-zp8sk2rc4m]

Yes! and don't forget the gruesomely macabre and mythically based stories of Lady Bathory retaining her youth by bathing in the blood of virgins!🧛🏻‍♀😱

[@grazynkatodisco4916]

Cleopatra used goat milk in her bath..😜

[@korykent5645]

Well the truth is we become less physically appealing as we age. That’s why people will always obsess with looking younger in other words “more beautiful”

[@user-zp8sk2rc4m]

@@korykent5645 Truth or opinion? 🤔😏

[@t.annebowden4606]

Bravo for explaining alternative treatments clearly while remaining tactful and professional. If I lived closer I would gladly seek out your services!

[@DeborahCarlston]

I think limiting the effectiveness of fillers to just the 30s and 40s is misleading. Many people in their 50s look well and refreshed with a little strategic filler and botox. It all depends on genetics and how well someone has taken care of their skin. However, Dr. Karam makes an excellent point. There are some things that can only be fixed surgically, if someone wants a more youthful and rested look. Finding the right doctor is a huge challenge though. Getting a more rested look that will make you still recognizable isn't easy. I'd like to see a video on finding a good plastic surgeon no matter where you live. There are many in my area. It's hard to know where to start Thank you for the video, Dr. Karam. 💚

[@TheSalonLife]

The way I understood is that in your 30s and 40s filler and Botox can "fix" what you wanna fix. But later on they can help but alongside of face lift, not alone. Basically they won't make someone look any younger. And I have noticed that lately. Many people I know get botox and fillers and the lines are gone maybe but they really don't look any younger and not really any better and I'm not trying to be mean at all. And I'm not judging either, we all have different goals, I'm just thinking that these procedures like fillers/botox will not really solve what I would like to solve (which IS like he said, sagging in the lower face). I did them in the past and they helped but I don't think it's the solution anymore.

[@DeborahCarlston]

@@TheSalonLife Depending on the skill and experience of your dermatologist, and upon your level of sagging, some people get amazing results for jawline with Ulthera or Thermage. In addition, some neck aging signs like cords can be relaxed with Botox. I know. I've had them all and looked significantly better than my peers into my 60's. Restrained use of fillers in marionette lines have been aces. And Botox in my forehead, neck and around my eyes has continued to prevent deeper wrinkles from forming. I have reached the age where I will need a facelift to manage my jawline and neck and for a refresh. I'm 71. My picture, unfiltered, is online. I don't look like I'm in my 40's. But those treatments have helped me preserve some of what I had, without surgery. And I didn't have any of them until I was 50.

[@DeborahCarlston]

@@TheSalonLife My dermatologist is Elizabeth Tanzi, located in Chevy Chase, MD. She errs on the side of being conservative. So no freakish results. I highly recommend her. Until I can afford the downtime and bucks for surgery, I'll keep seeing her. Even now, some of those treatments are effective. But everyone is different. These are medical procedures. They are best performed by a doctor trained in dermatology of cosmetic surgery. Everyone gets different levels of benefit. But the odds of a beautiful result ate much better with a great doctor.

[@amyolmsted4004]

Excellent video packed with streamlined facts. You're a gem to give this time and knowledge. Your character is as impressive as work, beautiful work!

[@emilyevans6989]

I respect anyone who has any work done that they feel necessary to look and feel their best. I’m going to pass on everything except good skin care, good nutrition, and a happy life. I’m almost 60, and I look my age. I’m okay with that. I find these videos very helpful and interesting. Thank you!

[@dramirkaram]

Thanks for watching!

[@SarahAdam-h5h]

Wow dr karam you have done great work to this women. You are so talented

[@Elizabeth_lowkeyluxuries]

Thanks for sharing! Very helpful! I'm almost 46 and hoping to do an S lift or vertical restore when I'm 50. Just have to see where things end up by then lol. Fabulous work Dr.!

[@dramirkaram]

Thanks for watching! Glad you enjoy

[@trudi104]

@@dramirkaram Brilliant explanation

[@GetReady4LiftOff]

young girls are unaware getting botox in late 30s, 40s will result in cement like scare tissue w ea injection. hope more girls see this.

[@moonfaze]

I believe one of the biggest problems is that these (mostly)women want to be the weight they were when in their twenties and thirties - which NEVER looks healthy as we age. This fanatical dieting to be sticklike, affects the aging face in quite a negative way - hence the haggard expression (besides that from simply aging) The fillers replace the 'baby fat' look to make the face look plump and youthful...so they THINK. It really just leaves them with a weird, 'lollipop' sort of shape. Keep an extra ten pounds or so as you age, and your face might be better off!

[@julieplummer6611]

I like the Doc s honesty. The post inflammatory process will indeed be ultimately, counter productive!

[@sundaygirlsez]

I'm old enough to remember when Jocelyn Wildenstein used to be the exception, not the rule.

[@edileidecathcart7676]

My body did reject all of the fillers. My wish would be to be able to have a facial lifting procedure done by you Dr. Amir. It is already in my wishing board.😀🍁

[@mariabalderas5785]

Thank you for your advice, very good points !!

[@dramirkaram]

My pleasure!

[@jessicasanchez5765]

Love his point! I just want to see myself again! Hate not recognizing the person in the mirror.

[@alexanderh9878]

Madonna should sue her doctor. Dear God.

[@Monalisa0622]

Wow the example of your patient looks amazingly. The first thought was she looks more like herself after surgery than before. So happy for your patient

[@michelles2299]

I feel sorry for Madonna that she has felt the need to go this far 🙏🇬🇧

[@moniquedemers328]

I agree , she was a beautiful woman , and talented , her beauty was very unique Very exotic,

[@Chris-hr3fc]

She has a great family and a wonderful life. I don’t think she would want you to feel sorry for her. Madonna is the queen of change just for the attention change brings. She’s marketing herself, still relevant at 60. Pretty awesome really, as she sails away on her private yacht to the Mediterranean.

[@clairechloe5294]

​@@Chris-hr3fc- Thanks for your lovely comment about Madonna. She is a very kind hearted, strong and extraordinarily talented lady. I am so glad I had the chance to grow up listening to her music.

[@michelles2299]

@@Chris-hr3fc she is 64

[@Nortongroove]

Never trust a person who openly, on national television, supports the use of oxycodone. Scary

[@maleka58]

I am 65 now and have been lucky enough that people think l’m in my 40s l have had filler in the places you say are correct but now feel l need a face and partially a neck lift. I keep fit, run about 7k 5 times a week and go to the gym. All my friends tell me I don’t need a facelift, however, I think I do and I am lifting my face up as you describe so hopefully at the end of the year I will go and have one done and I know I personally will feel better when l get it done. Thanks for posting. And l’m Still a mad biker chic😂😂😂

[@rtncg]

Madonna was always criticised about or almost accused of aging at least for the last 20 years even when she looked very good. So she could never be sure if she is aging good or bad I think. And this is the result.

[@superfreakmusic7681]

I agree-ageing is a hellish nightmare and anyone who says otherwise is obviously very lucky to have not suffered any of its nasty effects.

[@PatriciaStambaugh]

Your patient on this video looks very nice good for her hope she was happy with the results ......😊

[@mimiyilma9211]

She needs to contact you ASAP to do everything undo you the best always 🙏🏽

[@70sladyalways25]

Please don’t retire Dr. Karam before I need your services 😊 Your work is beautiful!

[@dolsiemercado3140]

The thing is I don’t recognize Madonna anymore. She was very lucky being born with a beautiful face. Her fans are concerned. The hairstyle was very different as well.

[@briannadickson2884]

She's lost her damned mind!

[@lisaschavey9575]

Oh my gosh, I am not sure how I found you!!! I am considering fillers and/or botox or a laser procedure as I am starting to look tired... I mean I am but I do not want to look it... I am 58 and I was afraid of not looking like me with fillers...so glad I watched this!!! I love the vertical lift and am going to look into that along with the fat transfers!!! thank you for sharing!!!

[@dramirkaram]

Glad you found my channel and it is helpful!

[@lisaschavey9575]

@@dramirkaram Me too... I am waiting on my Trifecta order to arrive!!!! xoxo

[@dylansousa5571]

You are very beautiful

[@nannem9716]

My position has always been that I would rather have a full fledged face lift than ever use fillers. A great plastic surgeon, like Dr. Karem, is the only way to successfully reverse the signs of aging. Period.

[@2shadowcats2]

Unfortunately, he charges around $80,000+ for a vertical lift facelift!! Too rich for my blood!!!

[@lilyLily1824]

I'm coming to see you! I don't want fillers. I want my face lifted and my eyes lifted. I can look up and see my excess skin! I dont get these Drs that do this! taking advantage of desperate women is wrong! I love your explanation. I feel i could trust you!

[@paulherbert8809]

This dude sounds like he knows his stuff! 👍🏻

[@BiodanzaMalta]

Beautifully clear....

[@madcrabber1113]

It's sad seeing so many beautiful women destroying their faces.

[@kathleenking47]

Young women too😢

[@lulumer6945]

You are such an excellent communicator. Thank you. If I ever do something, I want you to be the one.