Are your in office anti-aging skin treatments not getting you the results you want? Do THIS instead!

[@dramirkaram]

Learn more about steps you can take to keep looking youthful and vibrant here: kzbin.info/www/bejne/jHeul4yvft-sasU

[@IleneSands-hv3jn]

At 70 I know that skin care cannot do everything. And I 'm too tired and don't have the time to use those non productive microcurrent and radio frequency devices. I've saving my money to get a vertical face lift to book an appointment with you.

[@laura_retired_at_last7532]

I am very grateful that my cosmetic dermatologist prescribed tretinoin/Retin A a couple decades ago. She also told me to use sunscreen (physical barrier) every single day, rain or shine.

[@lucytrethewey4974]

Dr Karam, no BS you are the best Dr. on youtube . You just tell like it is and do not sell what we don't need. I thank you so much for being who you are. And by the way a very handsome Doctor, we all due respect.

[@Thomasina-39]

What about skin glycation? It would be great to hear your thoughts. I’ve always tried to eat healthy and watch my sugar intake. I’m not a diabetic. I’m surprised that I have it. I love my fruit and I enjoy a treat around the holidays.

[@miz6229]

Spending $2k with lasers to last several years is more affordable than $80k+ on a facelift. You can only do 2-3 facelist in a lifetime because there's only so much you can stretch your skin.

[@Apexpurrfection]

And, his facelifts leave a lot pf patients with saging skin. Theyte going to need another 100k "natural looking" lift in 5 years..

[@miz6229]

@@Apexpurrfection what proof do you have of that?

[@kdstone8230]

I hope your opinion is right because the lasers fr’kn hurt! Skincare feels good. I’ve paid a lot of money to inflict pain through lasers and like skincare, it’s a subtle improvement.

[@rebeccabrockway8258]

In-Office Treatments + Consistent At-Home Skincare = Gorgeous Results:)

[@MsOka007]

What do you think about face exercises?

[@dramirkaram]

I made a video about my thoughts on that topic kzbin.info/www/bejne/g4i2qKCvgpWaf6s

[@Sarah_ef]

Is retinaldehyde just as good as retinol for daily use? Will I get the same benefits using an over the counter retinaldehyde product daily as I would a prescription retinol like Tazorac daily?

[@vampira1816]

Dr. how much is a facelift

[@beyond50skin]

Haha, Me: I'm officially upset!, JK You: "I think I'm right!"😆 Appreciate your perspective, as always; However I love home devices in between office treatments + skincare 365, ofcourse. All kidding aside.. It's true! Skincare on the daily can do Soooo much to help our 50+ skin reverse course. Due to unprotected sun exposure my skin was very aged at 50. It took me about 7 years of skincare and occasional in office treatments; but at 58 with a great skincare routine in place my skin looks SO much younger than I did at 50....

[@dramirkaram]

I love that. That’s the point. You have to do the at home stuff or you aren’t getting anywhere. Do both and you are making real progress :)

[@Jillian15]

Skincare does nothing except cost you money. Butter or margarine is the only skincare I use and it's all natural 😂😂😂

[@avitalsheva]

No NOT ALL ALL. We are not surprised. As you want to sell your products for skincare . So we do know the reason for that statement We would be shocked rather if you would recommend treatments you yourself do not do in your practice or sell as your product

[@kckc4955]

This is true. I’m 54 and started taking care of my skin five years ago and wearing sunscreen daily. My skin is smoother and pigment is evening out. I look younger than five years ago. I don’t look 40, but you can improve what you have with sunscreen, healthy skin barrier and retinol.

[@providencephelps1497]

Exactly! I did the same thing and m 55 years old. I use sunscreen and do red light therapy and I get a lot of compliments

[@selyemperzsa1]

+diet+exercise- blood glucose control completely changed my skin since I have became an insuline resistance patient

[@shanebowers2768]

Agreed

[@rashaahmed3633]

وانا ايضا

[@AlinnaIrimia]

💯right

[@moniquemichelle7295]

Controlling blood glucose is a great goal, causes so many issues. I’m working on prioritizing Whole Foods now.

[@sheilastevenson4823]

Yes but not everyone can afford a 90,000 facelift

[@lindacarlson4876]

Facelift isn’t for the skin. It’s for the structure of your face. Skincare is a different issue.

[@beyond50skin]

That's true but just with occasional office treatments and skincare 365 I COMPLETELY turned around my 50 y/o skin and look much better at 58 than I did at 50. I want to encourage anyone who cant pay for office treatments that skincare is very helpful.

[@MarniMedia]

There are plenty of highly qualified plastic surgeons in the US who charge substantially less. His $100K price tag is driven by social media popularity and geography, which is great for him if HE can charge it. But please know that you don't have to pay it to achieve amazing results.

[@Nanshashakadi]

In Europe, it costs +5k€ and your flight and hôtel is 1000€

[@janereinhardt4715]

Mine was less than $12,000! I saved up for it over my career, just a few dollars per week.

[@marre6057]

Soo you could stop the aging with HRT if you start before that happens 😊 and then you don’t get that loss of collagen or the bad skin Much cheaper than surgery

[@moniquemichelle7295]

This is it right here. And skincare and eating right and exercise. I plan to start HRT next year. Still researching.

[@os5634]

I was a sun worshiper most of my life. At the age of 50 I looked in the mirror and did not like what I saw. I started to take care of my skin from that day forward I started taking care of my skin. I am 63 now and my skin looks so good. I also wear sunscreen everyday even if I am inside all day and it is raining outside. It is a part of my daily regimen. Very happy with the outcome.

[@Jasmine215100]

It sounds like you were lucky with your skin and maybe always had very clear and perfect skin without any diseases! Skin disease can be VERY Disfiguring!

[@tektako]

Why the fck would u wear sunscreen if you are literally inside ALL day???

[@os5634]

@@tektako I wear sunscreen in the house because with the windows open you still get the UV light through the windows. Do the research. Also, if you make it a part of your daily regimen , you’ll never go outside without it. That’s why the fuck I wear sunscreen in the house.

[@Anon-eg7wt]

@@tektako UVA penetrates glass

[@tektako]

@@Anon-eg7wt she doesnt live in a glass box

[@cathybilello2724]

Caster oil is amazing for skin! Love this Dr he is so honest!👍

[@jmh8510]

Kudos to those ladies 60+ who have $100K excess cash to spend on this…🎉!!! Just wow. He’s clearly a fabulous, creative, skilled surgeon…but clearly we in the unwashed masses I guess need to learn to love our aging bodies. no amount of skincare can undo aging appearance at our age. 😢

[@KJ-zt9ik]

What's your thoughts on the Snail Mucin products for the skin?

[@laurieelle1420]

Came across a U-tuber ( everyone knows her, age 61) a few years back accidentally, started her skin care recommended ingredients. Same as what he just said. So they do work with consistency, and my skin is totally transformed from them. I look at side by side photos and it’s pretty remarkable what a difference it makes. Stay out of the sun, and use the ingredients he mentioned. I just may try his soon. Pricey maybe, but if I add up each ingredient bottle to make his magic potion is not that much cheaper anyway. And as far as 90k vertical restore , nope, I would if I could. Doing something is better than doing nothing😊

[@pippa212]

His are nothing special. Don’t waste your money.

[@laurieelle1420]

Have you used them?

[@Mary-gg9mj]

Dr Karam I just had an ultra clear laser. There was little down time and I’m pleased. I don’t think it is worth the money. But, my skin looks very soft and refreshed. The coloring looks much better. To get any more improvement I’d have to have a facelift.

[@Thomasina-39]

I am thinking on the Ultra Clear Laser. I haven’t been told how much it is.

[@faysalals1]

What are good examples of non-hydroquinone lighteners?

[@Sihampandoralovely]

Last night when I saw a documentary about sunscreens, in some countries they have 80 spf protection.

[@moniquemichelle7295]

Do you remember the name of the documentary? I’d love to watch ti

[@Sihampandoralovely]

​it was a French documentary. They said they use a 80 sunscreen because the uv sun is more important in Brazil so they need a good sunscreen.

[@moniquemichelle7295]

@@Sihampandoralovely I’ll search for it. Thanks for the reply!

[@patriciateague8677]

I get a Diamond Glow treatment every 6 weeks and daily skincare that includes C, Retinol, Hyaluronic and occasionally lactic or salicylic acids as well as azelaic acid and SPF 50 sunscreen. At 68 my skin has never looked better.

[@rosiesingleton6480]

What is a diamond glow treatment ?

[@patriciateague8677]

@@rosiesingleton6480 its a dermabrasion treatment that exfoliates, extracts, and then infuses customized SkinMedica® serums so you leave with a long-lasting glow. I started going for hydrafacials but I have sensitive skin so the Diamond Glow isn't as irritating for me.

[@susanhoffman7921]

@patriciateague8677 what is a diamond glow treatment?

[@patriciateague8677]

​@rosiesingleton6480 a dermabrasion treatment that exfoliates, extracts, and then infuses customized SkinMedica® serums into the skin.. I used to do hydrafacials but the Diamond Glow isn't as irritating to my sensitive skin.

[@patriciateague8677]

​​@@susanhoffman7921See my response above..

[@michelleostler9203]

What about skin on the rest of the body? Do you recommend the same products for arms and legs?

[@Shan72393]

I love glycolic acid for the body! And dry brushing!

[@Shan72393]

I’m a big fan of AHAs - good quality AHAs can transform the skin!!

[@AshisLydia]

Oh dear, if am not bordering u, will u please tell me the one u re using please? Or the one u think is best to use, I would really appreciate it. My skin needs revival, rejuvenation, hydration and plump thanks 🙏.

[@toohak6273]

Thank you for all the videos, your time and beneficial information. I have heard that if we are on regular use of collagen oral powder or capsules or liquids for a while, if we stop it, it causes withdrawal effects of hair loss joints and muscles aches and damaged nails, I mean same symptoms that already patients had before starting on collagen oral therapies, is that right? We trust your opinion I want to start on it but I am hesitant after hearing this feedback from patients Thanks a lot

[@lou_5898]

What's your point of view regarding the hifu?? Thank you 🙏🏼

[@lynneburrell676]

I appreciate your very informative videos. Much respect!

[@karolschaeffer3415]

I'm in my late 50's and just started microneedling. I hope to build some collagen. I get exosomes with the treatment. I do a skincare regime as you have mentioned. Hopefully the microneedling is worth the money.

[@msladylalae4985]

I tried retina trentinoin .50% it just gave me a bit of flaky skin. I didn't really feel nothing just maybe like a mosquito bite here & there. Ain't no thing. What strength is good to use ya think?

[@HangNguyen-ih8rf]

Yes of course; treatments/procedures are like “hey i fuk up my skin by not taking care of it and now i need quick fix.”

[@AnaayaSharma-jx5zb]

Very informative video 👍😊

[@natalygutierrez2295]

How old are you?

[@kmartin1550]

I’m 51 and I can honestly say with all certainty, I do not need a facelift to the extent that is done with lifting the fascia and multiple layers, my fascia hasn’t slipped yet. I need a very mild facelift very very minimal so that’s another reason I get turned off listening to doctors talk about recommendations because you have doctors that want to and do go in surgery room and do things their way instead of doing it the way that you ask. I’m a firm believer anybody that I have paid for services for anything, do it my way I’m not asking your opinion, I’m telling you what I like we can put our views in opinions together and we in the middle maybe but for the most part, we don’t do things my way, but I feel looks right to me on me. That’s my biggest issue with plastic surgeon.

[@scot6120]

Sunscreens best investment for skin.

[@chez2942]

Get to the point. Not ur best

[@C1nderfire]

I can’t even afford 1 item from his skin care line lol

[@carolhern]

i bought Illuminate months ago...but just started using it. I'm shook!!!! Just Wow. My melasma...so fast already seeing fading. Seriously in just two weeks. Amazing!!!

[@mandiekayfit4011]

What's that?

[@CaesarAugustus.]

"For most of us we feel and want to look 30s." Me: being 30s, feeling and wanting to look 20s 😅

[@isabelramirez4109]

Help. I’m having ye Morpheus 5 done tomorrow. I’m 63 and I have dark skin I’m Latina. Should I ?

[@dramirkaram]

You can use it to target SKIN issues. It will NOT lift your face.

[@shirleywarner1135]

I got the trifecta and I love it ladies give it a try. It is amazing. I’m a hairstylist and I’ve tried it all. This is good stuff.

[@dramirkaram]

❤️❤️❤️ glad you love it and thanks for sharing

[@Daniellemcdd]

What about skin glycation?

[@rosiemartinez6399]

Dr.Karam… 😊…what powerful, wise words… an excellent tutorial on the use of skincare … I have used all those ingredients for many years, the ONLY thing my skin cannot tolerate is “retinol “, …instead I have been using “ Backuchiol”, & you are correct in stating that regular skincare helps to keep your skin in top top condition … I’m so happy that I subscribed to your channel… 😊❤

[@caseywoodbury3412]

I’ve had no in office treatments, they’re temporary. I researched and developed a dedicated skincare regimen, but I know topicals can only go so far. I’m 69 and the clock’s ticking!

[@winechick6]

Is there a particular retinol product or strength that you recommend? I've been using Paula's Choice clinical strength for several years with no problems, but I think I need something stronger. I'm 59 and the wrinkles around my eyes are getting deeper, but my main concern is the sagging. I feel like my face is literally sliding off. 😭

[@dramirkaram]

You do not need to use a high strength retinol to have success, actually staying consistent with a low dose is just as effective. I recommend Illuminate all in one anti aging cream, it has a low dose of retinol along with over 20 other active ingredients. super effective: check it out karammdskin.com/products/illuminate-anti-aging-cream?YT_drk&

[@InezEdwsrds]

How much is your skin care products ?

[@robynmoxham4255]

Dr. Karam, approximately how long do your trifecta products last? Would they need to be replaced monthly? Wasn’t sure about the number of applications or size of the products and how long they typically last for a typical patient? I’d love to try them. 😊

[@dramirkaram]

Yes they are dosed out for a 30 day cadence:)

[@shanebowers2768]

Hi doc thanx for the honest information, great info

[@dramirkaram]

Glad it was helpful!

[@sczyba]

I am in the "bootcamp" team: a good consistent skincare routine with the proper ingredients and then "bam" twice a year lasers of some sort! Thanks Doctor!

[@kathystclair9485]

At 67 I have skincare and sunscreen to thank for good skin. I started consistently around 2 decades ago. No in office treatments. It's never too late to start, even though I have seen people who are constant sun worshipers that have made me doubt that! If you don't want to do it for your skin, then think of your health in terms of skin cancers.

[@dramirkaram]

Thanks for sharing :)

[@moniquemichelle7295]

@@kathystclair9485 yes!

[@amandacece6252]

What is the trimecton

[@dramirkaram]

Not sure what you are referring to

[@TwinMillMC]

BE CAREFUL! Roc Retinol damaged the skin on my neck and arms! It made the skin more dry, red, itchy and gave me deeper wrinkles than what I had before! Only now 8 months later by using some other products am I able to see an improvement from the damage Retin A caused.

[@kathystclair9485]

I use a low strength of retinaldehyde on my neck and chest area. If I see it becoming irritated, I will stop and use an Ultra Skin Therapy Lotion to sooth it before I start using anything on it.

[@manzoorahmed4906]

great information❤

[@willenewadkins]

This is really great advice and well needed. thank you!

[@arabesque7790]

Not smoking, not being a big or regular drinker, not a sun lover, being on HRT helps too. I don’t want the skin I had in my 30s. It was dry & flaky, damaged skin barrier, prone to breakouts, deep acne scars. Lack of knowledge and access to getting the help & information I needed to do something about it. 59 & my skin is the best it’s ever been. Sure I have wrinkles & still have acne scars (though they’re less deep thanks to micro needling RF) but the skin itself is wonderful: soft & smooth, hydrated & glowy. No lasers or chemical peels just the actives I started using about 3 years ago.

[@MiAeLippold]

Today Went Dr Office New Crown Fix Oh Very Good Ok Dr Karam Always Healthy And HAPPY!!

[@blablablabla542]

nice

[@shellebelle6231]

DrKaram, I’m 65 and I have been consistently using retinaldyhide 0.1% along with vit c & peptides & my skin on my forehead and cheeks looks great .However just lately my lines around my mouth & pores on my chin seem to look much worse? Have I overdone it on those areas? What can I do?

[@miriamtorano8581]

We’re is this doctor located?

[@dramirkaram]

My surgical practice is located in San Diego, California

[@kareneppleston2774]

What are your thoughts on oral collagen supplements - would love your advice

[@kittydeleo4043]

Hi Dr Karam, love your videos, thank you! I remember you mentioning that certain procedures made it harder for plastic surgeons to perform facelifts on clients. Is microneedling one of those? Or is that safe to do if you're planning on getting a facelift in a couple of years time?

[@melindavalle173]

SKIN SCHOOL??? You are SO following Dr. Idriss😮

[@lushhbomb]

Hi dr, what about having both lasers and PRF done. So for example, a few treatments of PRF and one treatment of laser (every year) in addition to skincare would this work?

[@n.n-605]

Hi Dr, all ur videos are informative and relevant 👌👌, however, u dont mention eye creams......to use or not? So many types out there🤔

[@LALITABONITA2]

I know you advocate for not changing the skin routine while on vacation, but for those of us that just get lazy or forget, can you name the ONE active ingredient that we should use at night . Let say, we use niacinamide and / or vitamin C, sunscreen in the morning, and through out the day (if we remember), a sun hat (maybe), but once night comes, what is the active ingredient that will be most helpful in restoring/protecting the damage that we have endure?

[@DT2125]

Hi @dramirkaram!! Love your channel… what are your thoughts on OS-01 peptide particularly the one from a new brand I keep seeing called oneskin that supposedly reverses signs of aging… seems too good to be true

[@GuidetteExpert]

Are there any studies that compare tropical actives vs foods that contain C vitamin, A vitamin, complete protein foods and so forth on the effects on the skin?

[@colettedelaney6495]

Tropical actives?

[@whyjustwhy2168]

I would think ingesting is much more effective than rubbing something on your skin. Always eat whole foods and drink water. I think the answer is mostly simple but there is no profit in it. We need to restructure the way we live and get rewarded or make a living. For most our whole life revolves around that and it should be such a small piece of life

[@RuthShoeb]

Are you In Turky?

[@dramirkaram]

No. My practice is in San Diego, CA.

[@madgesticm]

Thank you again for a great and informative video. with each on, I learn something more

[@olarazzaq8221]

Do any of the ingredients in the Trifecta cancel each other out the way some vitamins and minerals compete with each other. I would like to try your products but was wondering about this.

[@Alice-fr1ef]

Thank you for a great video D. Karam. We need to know what is best for our skin and how to keep it healthy and looking beautiful. The sooner we start the better. Thank you Dr. Karam.

[@sallydr7247]

Thank you 🙏

[@InezEdwsrds]

How much is your skin care products ?

[@PatriciaStambaugh]

Great advice but sometimes hard to follow i really try so hard ifollow the routine for about aweek than slowly fall off than im back to the same old thing 😢 mayby one day i will follow through thats why i dare not buy your trifecta i would stop in about a week and than my money would be down the drain but thanks for all your info love to listen to you 😊

[@sylvie6793]

Love your skin scool videos.

[@sylvie6793]

School!

[@noorelayyan9931]

What are your thoughts on prp injections in face

[@anagregoryan9957]

Hi Dr.Karam do you speak Farsi?

[@MiAeLippold]

I Like Your Dog White Oh So Cute !!

[@Nanuchick2222-dc6lf]

Can you make a video on what is better bbl or ipl or is it more or less the same?thank you

[@sugaryip4186]

Great show A Huge Thank for your sharing of skin care regimen 😊

[@GirlieThePeriwinkle]

Im a new fan from San Jose, Calufornia. I love your channel. Please keep us educated. Thank you❤

[@dramirkaram]

Happy to have you! Thanks for subscribing :)

[@bbangel6935]

What is good for dull skin ?!

[@helenformica2595]

Does your skincare ever go on sale?

[@jessicacalvano8949]

Ok I am going to try your product! I will take photos & I am also living in Florida & love outdoors so this will be great to track my progress.

[@dramirkaram]

Amazing! I hope you love it :) Ensure to wear your SPF!!

[@larkfly9273]

What is your opinion on getting regular facials every 3 months in addition to the at home approach? With a bit of deep cleansing, fruit enzymes, stuff like that?

[@dramirkaram]

That’s awesome. As long as your doing the basics at home

[@jonathonfreelove5321]

Do you think sun damage has a bigger effect on aging a lot more than glycation from eating sugar and processed foods

[@beyond50skin]

That's a fantastic question. I think Dr Karam would say yes... but now I want to google this.

[@SusanD101]

IMO anyone with skincare issues needs to get the GP to send that person to a dermatologist and to take it from there.

[@miz6229]

If you're in America, it all depends on your insurance. Not all insurance covers dermatologist costs unless it's health related, like possible cancer. Fortunately, it's 2024 and a lot of actual dermatologists have KZbin channels to give advice on skincare routines and solutions.

[@rajaking2188]

Sir, I am first view and like.I am from India (West Bengal).

[@OliaKonJo]

Agree 💯 🎉

[@dinosemr8141]

💖❤️🙏💖❤️

[@pattithomas4537]

Great advice Dr Karan.

[@pattithomas4537]

Sorry Dr Karam

[@rosamariav_09]

Update on what to eat and vitamins to take pls! Too many info around and it is confusing and overwhelming.

[@texasgirlhowdy]

Dr. Karam, your skin is looking great! Very luminous and healthy.

[@dramirkaram]

Thank you! I use the Trifecta :)

[@miaccounting]

Dr Karam, I live in Miami, but I am coming to San Diego soon. Is it possible to come see you? ) I’m young 36 years old and don’t have any wrinkles or signs of aging but I wanted to get a consultation on what I should be doing and when I should come see you for procedures 😊

[@amyolmsted4004]

The TRIFECTA has been fantastic! I've been using it for almost a year (I'm 50), and now my mom(77). I tell all my clients and friends about it! I'm saving for your unmatched talent! Your a blessing!! Thank you for sharing your knowledge and UNMATCHED talent!! Please please please don't retire before 2026😅😅!

[@colettedelaney6495]

Why 2026?

[@dramirkaram]

So happy to hear the trifecta is working for you! If you have a minute… I would really appreciate it if you could write a review for us. Here is the link: karammdskin.com/products/karammd-trifecta

[@CaesarAugustus.]

4:46 - We actually start losing collagen after age 20 at a rate of 1% every year, so by age 25, you've already lost 5% collagen. There's a reason 20yos look younger than 25yos even though they are both post-pubescent.