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

[@mariamuniz3296]

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!

[@moon_0207]

Yea but at the same time they also reply with “I do this for myself” which is it? Is it societal pressures or for yourself? It can’t be both.

[@JosephKalina]

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

[@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.

[@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 😮

[@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.

[@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.

[@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

[@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.

[@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.

[@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.

[@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

[@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

[@katiegraham6149]

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.

[@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.

[@alexanderh9878]

Madonna should sue her doctor. Dear God.

[@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

[@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.

[@elizabethconroy7665]

It amazes me how any Surgeon would be happy with his Patient looking this way What an advert for his sloppy work Many Celebrities seem to make strange choices,especially when they have money to spend on getting the best results She looks awful

[@staceyastley8781]

It won't be a surgeon who did that... Beauty therapist or equivalent.

[@Joelswinger34]

They might not have been happy. I can't imagine it's easy to say "no" to Madonna though!

[@elizabethconroy7665]

@@staceyastley8781 Yes,you are correct Stacey However,awful botched work

[@matthewdunne8432]

@Snutih 25? She does not look 25. It’s not even up for debate.

[@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! ❤️

[@midday2706]

It says a lot about you in how you approached this topic. It’s super sensitive not only to Madonna but also her fans. Great professionalism. Thank you.

[@giuseppemariocescutti-fitz5835]

Super sensitive! what a load of BS. She has botched surgery. Say it like it is so other people dont fall for the same misleading information…..

[@pam164]

He be scared she will sue him

[@RebelBuddha1971]

I agree @Midday - nicely said.

[@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

[@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!! ❤

[@sallyruss4574]

You did an amazing job explaining this. I'm 53 and I think I'll just age gracefully and avoid surgey at all cost. Thank you as I'm sure you've helped many people who truly need facial survery for other than vanity.

[@superfreakmusic7681]

Its not actually vanity per se. People always think this but the impact a sagging, unattractive face can have on confidence and mental health is profound and extremely distressing for many people (just ask any plastic surgeon.) I think vanity is more about putting yourself on a pedestal and thinking youre better than everyone else because of how you look, or ONLY caring about how you look. But vanity and confidence are totally different things-confidence is just liking yourself without having to compare yourself to others. And for many many people, this is linked to looks, no matter how much people want to deny it

[@sallyruss4574]

@@superfreakmusic7681 Thank you for your kind hearted response and I understand this in a different light. Wishing you a great day!

[@annarebecca3384]

I said that too until I could barely see at night due to droopy eyelids. The lift worked out beautifully!!

[@donnagelina8548]

If I could afford it I'd be making an appointment right now.

[@teresatano193]

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

[@NicE-jq3wv]

So they say 😉

[@mm0901]

Same

[@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.

[@lisameyer7757]

Madonna's face does not movew any more. All of her subtle facial expressions that make her unique are not there anymore. It is freaky!

[@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

[@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!

[@megalodon9400]

You’re being too kind, she’s been stretched beyond recognition.

[@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.

[@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.

[@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.

[@AmyLeeAngelLove]

6:20 You would think following Satan would make you beautiful... lol. Good ol' Hollywood. Eeeek.

[@Alibo400]

My thoughts exactly

[@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

[@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.

[@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

[@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!

[@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.

[@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!

[@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.

[@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.

[@fulanichild3138]

I think her plastic surgery is less of a problem than her weird hairdo, super thin eyebrows, too high neckline (making her head look detached), and overly plumped lips. If she made adjustments to those things, her plastic surgery would not look that bad.

[@Joelswinger34]

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? 🤔😏

[@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

[@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!

[@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😭❤

[@madcrabber1113]

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

[@kathleenking47]

Young women too😢

[@winsomedonegal2697]

Madonna was one of the most beautiful celebrity ever , her eyebrows was so unique not to mention her smile , I just hope she could reverse a little of that fillers.

[@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.

[@HearturMind]

I wonder if she dressed herself. The bulky outfit is not helping her look. But maybe her neck and shoulders are looking rough so she felt she had to cover it up.

[@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.

[@mindfulness1118]

Unfortunately Madonna looks scary and very peculiar. Overload of everything.

[@sandral5086]

I blame all the plastic surgeons for these horrible looks, it’s their job to guide us, I’m shocked they don’t know what their doing…… You’re work is amazing though, whom ever is Jlo’s doctor and Shakiras doctor are amazing too

[@birdlover7776]

Agree

[@sundaygirlsez]

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

[@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. 😭

[@curt5361]

She was aging gracefully to an extent. But, this is on another level. She's ruined her once unique beauty.

[@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.

[@AlanaByTheShore]

I dont think Madonna goes every 6 months. She goes in and overfills like overkill. It's sad especially since she either doesn't see it or she likes what she sees. My boyfriend thought that maybe she's ahead of the trend and knows something we don't know like the alien look is what's hot right now 🤔 😏 😜 😳 😅. 👽 👾 👽 👾 👽 👾

[@melissajanaemiddleton6811]

🤣🤣🤣

[@elizbeer]

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

[@dramirkaram]

Hello! Thanks for watching

[@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.)

[@mimiyilma9211]

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

[@seame3795]

Like many in this generation now (the Kardashians for instance) started too young and went too far until it’s irreversible. They don’t see their own faces the way that we do anymore. They think it’s better to have that alien level distortion than to simply age normally. It’s all in the mind. Sadly, now this look is being normalized.

[@jupiterlegaspi7528]

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

[@annettefertitta6868]

It’s sad how much these fillers have ruined people’s beauty. Madonna was absolutely gorgeous!

[@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

[@Christina-yu3gu]

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

[@lauralatman5127]

Dr Karan, I am 65, researching a facelift and your videos have been a fountain of information. I just wish you were in our area! I am just beginning my surgeon research and live on Long Island, New York. Can you recommend surgeons in my area or suggest the best way of finding a skilled and reliable practitioner such as yourself?

[@christineweitz5747]

Me too if you find one let me know.

[@superfreakmusic7681]

I do find it staggering how some people seem to think that you can just leave your face to age gracefully. Only some people have that luck, others hate how they look so of course theyre going to want to get procedures done. Its completely unrealistic to expect someone to look as good as they did 30 years ago without any help. If they did nothing theyd get slammed for looking old, if they got work done theyd get judged and criticised for 'messing with their face' and 'not letting themselves age gracefully.'

[@gabrieleghut1344]

If I had the money to do it I would have done it..... But to find the right plastic surgeon is another thing. It is not that people have plastic surgeries but how the outcome is nowadays. Many are just not well done and they have all the money in the world to avoid bad results in most cases.

[@charwest9449]

It's not as simplistic as that. It's not do, or don't do. It's WHAT you choose to do. This surgeon is saying do this, not THAT. The second thing is people want to look their best at EVERY age. Hence rhinoplasties, etc. But it's unrealistic to think you can ever, in your words, "look as good as you did 30 years ago" so that's a problem. You won't achieve it. You will just end up looking strange. The goal should be to look your personal best at whatever age you are. With, or without plastic surgery. Plastic surgery has its limitations and if you ignore them to go after what you want, you will end up looking strange. My third beef is people who never had big lips, over time just adding humungous ones to their faces, just because they might look good on someone else. They just look very bad. As in Madonnas case. And then they add red lipstick. It's a very scary look! A little lip filler is good. But enough to become like you're wearing someone else's lips is bad. The hope of plastic surgery should be to look like the best version of YOU at that time, not 30 years ago, not like someone else, and especially not like a scary doll.

[@superfreakmusic7681]

@@charwest9449 Agree thats pretty much what Dr Amir says and also on the Netflix show-cant remember what its called -Skin Decision or something like that-they say its about looking good, not necessarily trying to look decades younger. I dont care if people know my age, I just want to look good, and I do think its possible to look great even though people can tell your real age. I also agree re the lip fillers. while I totally respect peoples choices I do think they often end up being overdone, maybe because the practitioners arent properly trained. You can get fillers at your local dentist now!

[@charwest9449]

@@superfreakmusic7681 yup, exactly! You can look great no matter what age! There's a woman on You Tube, Patti, her channel is call Rockstarmom because her daughter's a musician, and Patti's almost 80 but she looks great. Does her hair and makeup, always trying out new beauty routines and shopping while on holiday or Beales and whatnot. It's amazing how good you can look if you don't give up!

[@mariapolanco9652]

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

[@graphiquejack]

The only mistake was M shouldn’t have gone out in public when the surgery hadn’t settled yet. Look at her now on tour. She looks incredible. I don’t love plastic surgery, but it’s her body, her choice. If she’s happy, who gives an F. My thing with people criticizing her is what they are putting out in the world for other women who are aging… if you don’t get surgery, you’re criticized… if you do get surgery, you’re criticized. Women can’t win, unfortunately and I think it shows ageism and misogyny when people just attack her for her choices.

[@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

[@alabamaisyourdaddy6137]

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.

[@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

[@lolakathol4109]

Great video! Good information. I am in my 60s and feel I look pretty good for my age I could never afford a facelift. It would take all my savings and I would be left with nothing except, maybe a better looking face. so I will keep doing what I’m doing, tt eating, right, getting facials, a little Botox, and maybe a little filler. That’s it!

[@adua78]

“…still haven’t tipped over to looking haggard.” I LOL’d 😂

[@korykent5645]

Like 😩

[@thecobaltroom]

Great material Dr. Amir. Thank you for it. I would have never imagined that Madonna would become yet another fading, insecure starlet that would go to such extremes desperately trying to look young again and of course to no avail. A 60-year-old is a 60-year-old BUT with the right surgery and the right doctor like yourself, anybody can look amazingly refreshed. How people with money that can afford the best end up like Madonna it's just a complete mistery to me.

[@elliotoliver8679]

Same happened to Michael Jackson he ended up looking rediculous

[@LoriKLynn]

I don’t agree with ppl chasing youth to the point that Madonna has, but as I’ve read a little bit through the comments, I also don’t agree with ppl judging ppl who want to extend the years of their beauty. We are all drawn to beauty, whether it’s art or a sunset or a great body or a beautiful face. Of course self-love plays a huge role in how we see ourselves and how others see us. When we love ourselves, we acquire true radiance. All of that is true. But no one is still making phone calls on a landline. There have been technological advances that allows ppl to extend their visual youth and I don’t think there’s anything wrong with that. We don’t (usually) criticize someone having a glass of wine with dinner but we do when we see someone obviously drunk. My point is, there IS middle ground b/t looking old and looking like Madonna (and others). But I have a problem when ppl make other ppl feel that the act alone of seeking out anti-aging options somehow equates to, you should just love yourself more or just accept aging and age gracefully. And I think most women watching videos like these are just the ones in that sweet spot. And I say, if you have the money and have done your homework, go for it! Cuz there’s nothing wrong with wanting to feel (and look) amazing.

[@paulherbert8809]

This dude sounds like he knows his stuff! 👍🏻

[@britneybeach6723]

A billionaire ends up with a face like that. Sad

[@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.

[@MummyBrown]

She’s been getting work done since she was in her early thirties, it was just less evident than it is now. There are very clear tells of this in many very public photos of her. 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. People can’t lament her beauty of yesterday and crapping of her face of today without recognizing that she started the journey way back then to the face she has today. It’s the way of plastic surgery. Don’t even start getting work done without knowing that it’s not a “one and done” deal. It’s regular maintenance that will contribute, as a whole, to the overall shift in your face. He clearly even states that here.

[@mariabalderas5785]

Thank you for your advice, very good points !!

[@dramirkaram]

My pleasure!

[@twilde3754]

I wonder how Madonna feels about this look. Did she leave the doc's office thinking "oh yes, this is the look I'm after." Cuz if she did, more power to her. This look is specifically a SoCal / Beverly Hills thing.

[@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...." !!

[@sallyruss4574]

I think you can only stretch your face so far. Geeze, we just need to accept aging. We don't look the same at age 30 and 70.

[@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!

[@jessieheartart]

I refuse to judge her in any way. I freaking love her. Period. However, yes, she looks over filled. I kind of wish she'd let herself age more naturally. Madonna is Hot AF, she's super beautiful. So I hope that these fillers can chill TF out eventually and she can return to her natural aging face. But either, way, she doesn't deserve the kind of hate she's been getting from every which way. Be kind to her, like you would to your friend. Love her!!!

[@lindariccijacobs]

There's no requirement to love her. She's intentionally and quite loudly a public persona who wants to be looked at. With all that comes with.

[@Alibo400]

If only you really knew about these people , and what they get up to … trust me you would be feeling sorry, open your eyes 👀

[@ThatGirl-tg7wd]

the trend of overfilling faces has created SO many tragic looking faces . it also creates women who are all becoming clones of each other because the bone structure becomes hidden by the volume. ALSO the recommendation that was common that fillers dissolve after 9 t0 12 months had patients rushing to keep adding 1ml everywhere every year. Clinicians were following this recommendation from manufacturers more often than they were advising clients that the filler was still there and they would change their look if they continued. Same with overfilled lips which we now see creating more wrinkles because the lip has to stretch to accommodate this huge volume of filler. Im waiting to see the time when you are doing more reconstruction on lips than you ever did to pulmp them. Ive been seeing kind of a nightmare in people all looking the same and unnatural. many people also blame "botox" for this look when botox has no effect on fullness.

[@davidmok5505]

Volume in your purse is better than in your face. The cheaper and more effective way is by acupuncture.

[@elizabethk3238]

I actually feel sorry for her, and people like her. She needs to do some self-exploration and find out who she wants to become.

[@elizabethk3238]

@Snutih "Madonna is her public personal." She needs to do the mental work to separate that to who she really might be.

[@martijnkeisers5900]

7 months later she looks amazing, so it was all worth it! 😂

[@biljam972]

I learned a lot from these videos but sad thing is, my so far conclusion is that rich people don't have to get old, we poor people have to. So, kind of, we just have to get use to our old faces and learn to love them, no matter how much aging changes them. It's still us, right?

[@madelaineseguin1490]

Why can we not celebrate our lives as we age. My sister passed away at 55 , 5 years ago. I would love to see get older with me. I miss her.❤

[@livlovely2707]

She looks like one of those characature drawings you have done at a State Fair! What made the cheek pillows worse is she bleached her eyebrows too AND even changed the shape, not just the volume, of her lips. I'm sure the Dr did as Madonna instructed; she's a very controlling person, but you can't be good at everything no matter how much talent or money you have.

[@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

[@smm8906]

Thank you Dr! Could you tell us on average the age of people coming in for vertical prevent?

[@dramirkaram]

The average is mid 50s, but there is no right age in particular. The right time is when there is significant noticeable loss of volume and laxity, and when the patient is bothered enough to go through with the procedure.

[@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.

[@NicolleJansson]

Very interesting topic and I learned a lot! On a side topic what are your thoughts on facial exercises? I’ve seen so many people posting videos that doing these exercises help slow down the aging process. I am very skeptical. Thanks again - love your videos!

[@superfreakmusic7681]

check out Renew Me facearobics on youtube. I also do them (not hers, my own ones) and they can lift the face amazingly if you know what to do because they restore tissue instead of simply cutting it away. Machines like Cleo Q can help too.

[@sarahedmonds6419]

I'm 61 and have been doing various face yoga videos for the last couple of weeks and I see a difference!

[@krystalalgier8897]

What I also see with Madonna is weight gain in general. If she has had fat transfers in the past, will that also contribute to the fullness?

[@raymondo5570]

I need to hear this, I am in real danger of becoming a painted boiled egg too. There's nothing like ruining something in order to realize and appreciate what you already had.. just thankful I have the option to revert back before I'm unrecognisable

[@Robindalmiras]

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