The UGLY Truth About The Aesthetics Industry

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Today, Dr. Karam shares his personal story about how he found his path to become a Board Certified Plastic Surgeon. He exposes the dark side of plastic surgery and shares powerful information to empower you to advocate for yourself when it comes to plastic surgery and skincare procedures.
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I truly value the feedback and engagement from all of my subscribers! Please, don't hesitate to drop your questions, suggestions, or ideas in the comments or via direct message on socials. Your input plays a crucial role in shaping the content I create, and I'm here to provide you with the information you find most valuable with the knowledge that I have. Let's keep the conversations going!
Dr. Amir Karam
00:00 Aesthetics Industry Exposed
08:35 How I decide to use new technologies
13:50 What YOU can do
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Caramel Valley Aesthetics: 11943 El Camino Real, Suite 100, San Diego, California 92130 | 858.259.3223

[@GagaLeslie]

Thank you for your integrity. Four years ago I was scheduled for a facelift and brow lift. The night before surgery, which was the next morning, my plastic surgeon called me and he said in good conscience he cannot do the lower facelift. He said I didn’t need it at this point even though I truly believed I did. But I trusted him because I could tell it was heartfelt. He said he sent pictures of me to some of his colleagues and they agreed with him. So I just went in and had a brow lift. He told me he would freeze the price for the other work for when I do need it which he said would probably be when I’m in my mid 60s. I’ll never forget this guy and I will take him up on his offer when it’s time. The last thing I want to do is waste money and that’s exactly what he said… You’re a good man!

[@vickycalta2282]

The aesthetics Industry is destroying women's faces these days..

[@nancyinthegarden3160]

thank you for your concern for your patients and us on here. I’m ok with aging and looking older. I was always worried about future. Well I’m here and I have a turkey neck, tiny jowls, bit of wrinkling around outside of eyes, but I’m accepting who I am. I’m not interested in changing to look good for others. I’m looking good for me and living my best life without a young face. It’s ok with me. I’m not 20, 40, so for those of you worried about the facials changes, do whatever you choose. It’s not who I am. I don’t wear make up. We’re beautiful bc our hearts are in the right place

[@TheYazmanian]

I'm genuinely curious why you follow a plastic surgery channel? I'm not OK with how aging has changed my face, but if I was, I don't think I'd be near content like this at all, so it perplexes me to see such comments. I don't mean to offend, I am very curious though.

[@Jennifer-uc2oh]

@@TheYazmanian I was 200% thinking and wondering the same. I think your comment sounds very respectful.

[@staceyl618]

I'm glad you're happy with aging and looking older, but I agree with other comments on here that it's a bit odd that you are listening to a video about plastic surgery made by a plastic surgeon and taking the time to comment given that you are happy with looking older. It seems unnecessarily antagonistic towards Dr Karam and his viewers. You have instructed us "do whatever you choose"....... well, actually we are not here looking for your permission or approval.

[@nicolaxoxo1]

If all that is true, why are you here watching a plastic surgery video?😂

[@dammar117]

Channels like this are full of holier-than-thou viewers who like to preach about accepting aging, but are secretely intrigued about the possibility of eradicating it. Motives for secretly wishing while preaching to the contrary are a combination of lack of money (most frequent), fear of medical procedures, and a desire to hold a virtous image. At this point, I find such comments hilarious. If you could offer these folks a free, no risk pill that could erase their jowls and turkey neck, you can be 100% they would take it.

[@lovepeace4065]

Sadly not every profession is honest. Thank you for being honest.

[@BB-zg3mr]

I 100% agree with you. I came very close to getting one of these treatments that would have cost me 4k. Once I did my own research and came across one of your videos where you explain why this treatment would ot work, I canceled my appointment. I bought myself a gorgeous purse with the money I saved. Thank you.

[@annavaglietti3425]

Dr Karim, thank you for your extremely informative videos and your honest and constructive advice.

[@Eleanor.Moseman]

Had a horrible experience two years ago with a doctor that did threads. As soon as she walked in, she gave me a long list of everything that was wrong with my face and what she could do to fix it. Probably 10k in lasers and injectables and threads. I walked out in pain with a bill (overcharged but a quarter of what she wanted to sell me) that could have been saved for later. Left an honest Google review and she wanted me to come back in to "make it right". I refused. I never even had a followup because I waited in the room for almost 2 hours, and eventually walked out. I am upset that I was suckered into thinking some of these procedures would fix my insecurities, and found someone that just fueled them. I won't even consider an office or doctor that offers some of these procedures because it's all just a waste of money, time, and sometime our self worth. Thank you for your channel. I've also been researching that bioidentical hormone treatment can also sometimes effect our appearance, and of course diet!

[@user-mp7ry7mh7m]

I’m so sorry for your experience I have been on pellet hormone treatment it’s a life saver. Besides feeling better in the inside I look so much better.

[@liviusss]

Had a similar experience with a very popular derm - 2000 euros spent for nothing, she couldn't even properly remove some moles... And for reference in my country you can get a facelift for 5-6000 euros, so it was a lot of money for no result. The appointments were also always delayed, and she was treating several patients at the same time, running from one to the others, so she never had any time to discuss or answer questions. Terrible experience...

[@carolhern]

Exactly! My thought exactly after I had fillers put in my under-eyes. $2k later and once the swelling went down I could still see the bag under one eye. I felt for that, I might was well use the money for eye surgery.

[@lynndupree1205]

Does anybody really "NEED" plastic surgery? Of course not. But that doesn't mean we shouldn't do it. We pursue all kinds of things that aren't necessities. After the struggle for survival is won, isn't it normal to then wonder, "what else do I want from this life?" As long as you aren't taking money from the neccessary things that you and your loved ones really do need, why not spend it on something that makes you feel good about your appearance? People spend more on fancy cars, bigger houses, and fantastic vacations. I made the decision that those things aren't as important to me as feeling good about my appearance. It's a personal decision. I have friends who go to France every summer, friends who drive a vintage sports car, and even friends who spent a huge sum on their professional gourmet kitchen. Everbody has priorities. People who try to belittle us or shame us for having plastic surgery need to take a look at their own glass house first. PS, I had a facelift in my 50s and never regretted it. I'm 72 now and I still look much better than I would have looked had I not had it done. 😊

[@PhyllisWalls-nr2tl]

Actually I DO NEED plastic surgery, on my upper eyelids. (Blepharoplasty.) My skin on my upper lids and skin on my temples has dropped so much that it's impairing my vision. When it gets REALLY bad, where skin has drooped to the center of the pupil, Medicare will pay for it. I'm not waiting til mine droops that much. I'll pay out of pocket for the surgery. Also if you qualify for Medicare to pay, the surgeon doesn't make his standard cost. Medicare pays the surgeon much less, & there's nothing he/she can do about it

[@mijuajua4820]

Well stated!❤

[@nancycurtis3964]

Thirty years post Accutane treatment for cystic acne (magical!!) I am treating the remaining scars with micro-needling, in preparation for a facelift. Also, four years post MOHS surgery on my nose (after which it has been BRIGHT red), I am having a series of V-Laser treatments, which have made a huge difference. I have done extensive research about facial plastic surgeons, DPFL procedures, pre and post-care, etc. Your videos have been extremely informative. Thank you for the time you spend to prepare and produce these videos, and thank you for putting your heart into your work. You have benefitted more patients than you have ever seen face-to-face.

[@pippa212]

What is V laser? He left me with an ugly scar that I need to hide

[@nancycurtis3964]

@@pippa212 it's actually called a Vbeam Laser and it treats redness from acne scars, broken capillaries, hemangiomas, hyperpigmentation (sunspots, freckles, etc.) It can treat stretch marks also, so maybe it will work on other scars. It's done wonders on the capillaries of my nose. I've looked like a clown since the MOHS (plastic surgery after basal cell removal) surgery. Dr. Karam left you with a scar??!!

[@pippa212]

@@nancycurtis3964 ok I’ll look into that. He did, a very obvious ugly scar on the left side. It’s impossible to hide with my hair up so I won’t wear it up when I go out which kinda sucks. I think he does too many surgeries and is not on his A game for every one 😞

[@wendybridges1538]

​@pippa212 why wouldn't you go back and ask him to revise the scar? I'm sure he would want you to be happy with what he's done? 😢😢

[@pippa212]

@@wendybridges1538 he won’t. He said everyone heals differently. But the scar in my right side looks fine so I think he messed up on my left side

[@PennyMoore-dm5ll]

Awesome !!! You are a truth teller !!! Iam a medical Esthetician in private practice 23 years , I send many patients for face lift !!! You are so right modalities can only do so much !!! I make sure the patient understands , and has a clear expectation !! Thank you !!! It’s my turn I need a lift , wish I could travel your way !!! Iam in Indiana !!! Thanks

[@firewoman5]

Absolutely! I have worked in the medical field both main stream & homeopathic- it's all about the $. So refreshing to see this! ❤❤❤ Thank you

[@3xcancerthriver-terrilynn]

I started following you about six months ago because I saw a genuine, authentic doctor who wanted the best for his patients After watching many of your videos it became clear you were not about the money I’m 65 and take really good care of myself because I had a salivary gland cancer that almost took my life I have scars and radiation burns on the side of my face which I’ve lived with for 8 years I’m ready for a facelift and some surgery thank you so much for this video as I decide who to work with and I advocated for my self during my cancer journey!

[@evelevrae1]

Great video. Thanks so much. Rule of thumb is go to at least 3 sugeons before choosing one. Look at before and afters, Listen to what they say. They charge about $150 for a consultation. I called your office and was told you charge $1000. If I went to 3 sugeons for a consultation at that fee I would be out $3000.

[@nicolaxoxo1]

He offers free consultations via internet. You send in photos and they give you a treatment plan and estimate

[@miz6229]

Ya, it may sound like a lot of money but it's your face. It's front and center. One thing I'd say is that a doc that charges $1k consult doesn't mean he/she is a good surgeon. There's a video of Demi Moore's bad face lift, and then another correcting face lift that made her look so good.

[@fuggetaboutit70]

Imagine how many 'looky-loos' would waste every minute of his day if he didn't charge that. I wouldn't trust him if he DIDN'T!

[@bones642]

Awesome story about your mom’s journey 🤍 One of my dads favorite sayings is that cardio is the poor man’s surgery and I totally agree. I’ll eventually get a facelift but until then I’m all about mineral sunscreen, cardio and excellent diet :) and sleep. Restorative sleep like it’s my religion, slightly elevated. Plus daily gentle lymph massage. I’ll be 50 in a few years but so far those things are helping quite a bit to avoid the dreaded droop lol sunscreen for over 25 years, since I was 16. The staff at my dermatologist think it’s pretty cool, one of them. The other place they were mean on purpose lol so I left there. No sense being around people who are regretting their choices and want to tear others down.

[@mimikomunicky9836]

I love seeing these! I wish I could afford you! Thank you for sharing all this knowledge.

[@dammar117]

Hold tight! I was doing quite good at 50, then it all started to droop around 52.

[@mjeanhibbs3272]

Dr Karam, thank you so much for taking the time to post this information. I've been watching you for some time. I had already planned on coming to you but this post definitely sealed my plans. You are a rarity as a doctor. I've never heard more than 3 doctors all my life (I just turned 64) that said, pointed out items, and actions showed the truth to your comments of the concern, and care of patients!! Thank You!!

[@aliveinheels4540]

I love this! It’s time for people in our industry to start speaking out properly. Transparency and trust are so lacking. Videos like this are a start. There are way too many medspas out there just treating people with things they don’t need because they have a loan to pay back for that newest device. I appreciate this. I hope you can provide more data (pubmed) on evolving information on aesthetic procedures

[@michelleostler9203]

I love this! I researched 10 years ago and came to this same conclusion. Consequently, have been focusing on my skin quality. At 56, I’m ready and holding to see you soon.

[@MonicaPerez-yv2iw]

Thank you Doctor Karam for this excellent and honest video. Blessings! 🙏🏼

[@curiousone6129]

Really enjoyed this video, and your sharing your background and philosophy of practice with us in such a personal and charming way. It especially resonated with me because i have a design/build architectural and construction company. Although your business and mine are in different fields, there are real similarities. They require a lot if creativity and problem solving . It keeps my work endlessly interesting to me. Like you, one of the most important things to me is that i live up to the trust my clients put in me. I do my very best for each of them. I have actually turned down clients who insisted on ignoring sound professional advice in pursuit of something i knew would not yield the result they wanted. Knowing they would be unhappy with the result would make both of us unhappy. My philosophy in my practice is very much like yours, even though we work on different platforms. Thank you again for everything you teach all of us. You have a kind and generous heart. Wishing you continued success!

[@marilucastillo7777]

Great story. Thank you for sharing.

[@kathernkelley5943]

Thank you so much for this Message Dr Karam. This is what alot of my friends have done. I have a great plastic surgeon here in Washington and He did the once and done on me. Vertical restore. So happy. Your advice is so valuable to your audience❤

[@cherylvodzak4652]

Washington state or DC? Care to share the name of your surgeon?

[@carmelacristoforo262]

Thanks again for taking the time for this honest informative and heartfelt video. I think its important for people who are interested in face rejuvination to be informed that not just any procedure will correct and give them the results like a face and necklift /with fat transfer can do. Throwing money, your time and possibly having bad outcomes into procedures that wont work is important for people to know who have expectations of looking 20+ years younger is duly noted. Also it was very nice hearing about what brought you to your chosen career and learning more about your family. My take away from this discussion....is only a board certified cosmetic surgeon can do the heavy lifting procedures to look natural and years younger. Sitting in an aestheticians chair and getting injections of botox and fillers won't, plus the real possibility of risking unatural outcomes.

[@sarahm3614]

You could teach your procedure techniques to other plastic surgeons.

[@carolhern]

That would be nice. What if the Dr wanted one in the future? He would have to have trained someone to do it.

[@moongoddess5858]

He has trademarked the vertical restore however, it is not unique - most plastic surgeons are doing the same technique. . I’m sure he could find someone! He doesn’t need it though. Men seem to age much more gracefully than women. That’s just an unfortunate fact.

[@cortneyoverstreet8130]

What a wonderful video Dr. Karam! It may be your very best. Much appreciated😊

[@janealsop8672]

This was a delight to listen to . This country has completely lost "first do no harm" and" informed consent. I did not know there was no regulation in this area of medicine. wow! Where there is no regulation there is no informed consent and corruption takes over. Big pharma, corporate capture and insurance companies are ruining medicine . Docs have lost their ability to practice the art of medicine and take proper care of their patients because of this..sad. My father was a country Doc and loved his patients and they loved them . Thank you for speaking the truth. I think you are pretty rare.

[@acuregen]

Great video thank you and I will show and discuss this with my professional community of cosmetic acupuncturists. The ethics in knowing the limits and benefits of treatments plus managing expectations have been covered so well here and mirror our codes as well. Keep up the good work!

[@stellawarner2557]

I recently discovered your page, and I'm so happy I did! I'm 53 years old and live in northern NJ. Can you recommend any good aestheticians? I've been spending a lot without much success. I'm willing to travel to New York as well. When the time is right, I'll definitely come to you for a facelift. Thank you for protecting your patients and providing us with the right information.

[@reynamotley1990]

Another straight forward talk from one of the best!!

[@ekaterinaponizovskayadevin2812]

Totally agree! I am glad that there are honest surgeons like you in the industry! Your profession demands the skills and the understanding of beauty and proportions. You have it both!

[@shanebowers2768]

Thanks doc for the honest information, much appreciated

[@christinemack2153]

So touched by your story and have even more admiration for you. Your work is exquisite and value your insight always. I'm anxious to see how your wife is healing. Best !

[@sicilialicari6500]

I’m Pleasantly surprised, I appreciate your honesty and your integrity in being honest, you have just opened the biggest doors to your prosperity, I’ve been so Scared to allow anyone to touch my face, and etc, I appreciate your willingness to speak the truth, and I pray that you truly live by those moral standards, I would definitely like to meet you, I believe your a little far away from me, unless you have an office in La , Loved seeing this side of you, I’m 65 and I would definitely like to have a chance to look younger, of Course, but I wouldn’t entertain the idea of having anyone touch my face, you’re video has already changed your life in prosperity, and respectfully by many intelligent good hearted people, I will be meeting you soon, let me know if you have an office in Beverly Hills, Pasadena etc, Thank you for sharing your humanity in this field, I’ve never seen it done before 🙏❤️❤️❤️

[@karinhenricksenyoung]

💯 percent agree with everything you’re saying! Thank You for sharing! I think this shows you have a lot of integrity, caring and respect for yourself and your patients. ❤ If I can’t afford a vertical restore with you .. I will continue to try and age as gracefully as I can without the procedures that don’t work.. (I say it everytime I go in for something ,.. please don’t try to sell me on a procedure that doesn’t work just to take my money..!) .. I love your skincare btw! & Beautiful and natural looking results for your lovely wife!

[@christinesmith7106]

I appreciate your honesty and your advice, wish I could afford your services

[@sherricesare6916]

Dr. Karam- another great video!! I love how you explain things so honestly and clearly. You would be the only doctor I would trust with a facelift.

[@atk_1]

Thanks for sharing and transparency in plastic surgery. I’m embracing my aging but if I ever decide to do something I will definitely consider Dr Amir for VR. ❤

[@jjetta264]

I completely agree with you. This is truthful and honest advice. I am truly grateful for you and your videos.

[@lauramason5667]

This is one of your best programs. Thank you and I wish all doctors at the integrity that you possess.

[@dawncoils4420]

If only everyone involved in the aesthetics industry showed as much honesty, integrity, expertise and duty of care for their patients as Dr Karam...A phenomenal surgeon indeed!! The beautiful results he achieves for his patients are incredible, and so natural. His practice should be the'gold standard' for everyone in the industry. Superb!!

[@kathystclair9485]

Dr. Karim, as someone who is not in your field, maybe what you're saying is correct. The only thing I have a problem with is when you say, "aging sucks". I understand to a point what you mean, although I think it sends a negative message to aging women who feel blessed to be here. I am 67 and my mother only got to live to be 67. Let me say, "cancer sucks!" I feel blessed every day that God gives to me. I would have given anything to have my mother here wrinkles and all. Losing my mother when I was 32 was a big deal. She missed out on all the wonderful moments I have got to experience with my children which are now in their 40's. I think you are genuinely a very good man. I just wish this world was more focused about their health and spirituality. Blessings to you and your beautiful wife.

[@dammar117]

Aging means two distinct things: decay and living longer. The deterioration of our bodies and faces does suck. It is the price we pay for living longer. Let's not be in denial that decay sucks. As for living til 67, my mom lived til 52, and I'm grateful she got to have a long marriage, three children she saw to adulthood, two grandchildren, traveling, meeting people, studying literature-a full life. Anything over 50 is a blessing, but people forget that we start deteriorating in our 50s. There's this sense of entitlement now. I want to live longer than my mom or yours, but losing my health, my vitality, AND my face is difficult to accept. Why should my face not matter? Our faces are our identity. They don't deserve to be discarded in our desire for a good aging life.

[@fascinationmama]

Who is this surgeon?

[@kathystclair9485]

@@fascinationmama Dr. Karim

[@carolhern]

Not sure why you would say that on a aesthetic channel about plastic surgery. Or assume that someone wanting to look good is not spiritual or health conscious. We all have our own individual paths. What a better world it would be if we can all embrace the differences and each others choices, instead of judging what is or is not best for each individual soul and it's evolution while here on Earth.

[@cameliap1146]

It's your opinion and we respect that. But like it or not "aging sucks". Skin is one of the largest organs. Do you take care of your kidneys, ❤, lung...? For sure without any doubt. Why is a problem when is about our skin ? Why ? Just why ?

[@FashionFusionFlow]

Dr. Karam I’ve followed you for years! Love your content and your approach to this amazing industry! You are solid gold Sir! Totally agree that people need to see this type of content to make GOOD decisions! Love You Dr. Karam!!

[@sheilagadde5975]

I needed to hear this Dr. K., thank you. This " CLARIFICATION " was needed. Blessings...

[@dramirkaram]

Glad it was helpful!

[@jstellato921able]

Thank you..Excellent video! Love your ethos and honesty.

[@mhefner6995]

I learn so much from your videos. I went to my local plastic surgeon to get my breast implants removed and while there I asked about removing the fat below my chin. I’m 59. She suggested a lower face & neck lift. I expressed concern about my smile turning downward. She said no problem. 3 mns post op I still have small amount of fat under my chin still downward smile and now no top lip. It’s as if the center of my face has fallen….. where do I go from here???? She suggested filler & Botox

[@Dawn-qj2mv]

Thank you for your honesty on this very confusing topic that can be so predatory. It's so appreciated.

[@georgianadogaru5110]

I absolutely agree with you. Thank you for opening our eyes and always giving us the best advice.

[@denanders3351]

Thx so much for your God given truthfulness & concern for your clients & general public who may be interested in anti aging procedures. Rip offs & liars are terrible people, you are rare. God bless you & your family.

[@jtv7361]

Thank you so much. It’s so tempting to tweek and try another thing. I can’t afford surgery so I’m sitting this out, thanks to you. Appreciate the advice.

[@courbry123]

Thank you so much for this video. Very straightforward and honest. I’m looking for a plastic surgeon in Miami for a facelift, upper and lower blep with brow lift. I wish I could afford going to you. ❤

[@brookevangeline]

We really appreciate you Dr Karam!

[@joywilson-ib9ye]

i certainly agree, thanks for sharing

[@rosamariav_09]

I have friends that are literally unrecognizable because of excess of fillers and don't know what else. All done in office. One always go to the same place the other is always jumping from one place to another. People are letting social media get into their heads and make them feel desperate. It is so sad. We can find professionals like you but there are a lot that are not necessarily professionals spreading lies. Also the attacks of people to celebrities and mature people are out of control. We all age unless we die young. I love the way you approach rejuvenation and procedures. Definitely the day I can afford surgery I'll ask for your services. In the mean time, I'm a happy customer that have repurchased your products and loving the recent release and about to order again as soon as I can. Thank you

[@e_lizzabethx]

I am so happy I came across your channel because after watching your videos I stopped doing lasers. I did notice the instant gratification and then after a while I just went back to baseline. Right now I am doing microneedling and it's my fav treatment by far. I've noticed a huge improvement in my skin. Thank you for sharing your knowledge with us. I appreciate your authenticity and honesty!

[@name-ls6ei]

Hello Dr Karam - can you do a video on what kind of professional treatments other than surgery do work to improve skin (texture, pigmentation, thinning etc)? For example, there are so many celebs out there who haven't yet gone down the surgical route, but have done other things such as lasers etc that have greatly improved the look of their skin. Do rich folks have access to other treatments/procedures that regular people don't know about/have access to? Would really love it if you could talk about this in a future video. I really appreciate your down to earth and honest nature.

[@fuggetaboutit70]

He's got a couple hundred videos on his channel about all that.

[@daniellesmith00]

I absolutely love you!! I think you’re Awesome! Thank you for always sharing great content 🙏💞 I would love it if you could share a video about why our under eyes get puffy as we age and what you do to energize them 🙏

[@user-ke2ff4gz5j]

Amazing!!! How much you care for your patients 👏😃

[@Lynnb996]

Thanks for this informative video. I appreciate you discussing this topic. I love that you’re genuine and it shows. I always learn from your videos. 🙏🏻

[@kameesha1807]

Its so nice to hear about your journey and how what your mom went through, inspired you to go into medicine. Your passion for helping peoole comes through in a very genuine and authentic manner. Thank you for sharing.

[@marinatresselt40]

I often see your posts and I would have complete trust if I were your customer because you are very honest. Unfortunately I live in Germany, but I follow your posts. Thanks for your information. Best regards from Germany 🌻

[@sjonesblue]

This is the best video you’ve made so far. Thank you.

[@Ladybug-lz5un]

Thank you Dr. Karam for all your wisdom. I trust you because what you said is the truth! Your wife looks amazing and you look good too!💕

[@user-ge8kb2wg6f]

💫🫰Thank you so much! I’m so grateful that I find this channel 💎🙏

[@jenniferbower6286]

I’m a laser tech & esthetician & I cannot push procedures if it doesn’t align with a clients true end goal. I will tell them to get a facelift. I’ll give them the truth with how lasers can fit in but they are not the magical tool that will erase. I can help support slowing down aging but also let them know what they do at home is very important with skincare & sunscreen. It’s a blessing to age

[@denisebrenton1897]

Great Advice! Thank You

[@patriciamicheletto1425]

Love this !

[@kevinhanley6462]

Great video!

[@sicilialicari6500]

It’s the best video you’ve ever made, taking your words with integrity, honesty if you’re feeling are true, your above the plastic surgeon, your in a higher position, your well on being one of the best around the world, delayed gratification, Wise ❤

[@carolynsolisdiaz4984]

Good Doctor, I have been following you for the past year. Thank you for demonstrating your commitment to your profession and care for each individual you encounter who wishes to be embark on this life changing journey and really come to understand what options are truly effective. I am from Canada and wonder how to consult with you - is it basically coming to your office in San Francisco? Would love to know what steps I require to possibly make in order to embark on this “look as long as you feel journey”Thanks! ❤

[@annoymousme722]

@DrAmirKaram I totally agree with you. 💯👍. I also think in some circumstances when a patient goes to certain "shady/quack/greedy doctors, that dont have their patients best interest at heart are not only taking money from them for something that they cant promise, to possibly putting their well being and life endanger, or have serious complications and very unpleasant outcome. On a lighter note, you were/are one hot looking doctor! You wouldn't have to perform heart surgery, you could get your patients heart going pitter patter as soon as you walked into the exam room! 😍🤩😁. Keep the videos coming, I just found you online a couple months ago. I went back and watched all of your videos. I am all caught up! I have enjoyed watching all of them and have found them interesting and very informative.😀

[@user-xh4bj6ij8y]

I appreciate all your honesty. I enjoy your video information.

[@valeriehill6382]

I so agree with everything you say - thank you 🥰

[@UlrikeUllaHeinimann]

Thank you so much for your honesty! Great! Many greetings from Nuremberg, Bavaria, Germany

[@SummerTyme2023]

God richly bless you. This video was brilliant.😊

[@concettaventuri5961]

Your mom was your first patient Doc I am living in my 80th year and your honesty is right on point your caring came from y mother 🥰🙏🏼💕👏💪

[@mimishiroma2410]

Your honesty regarding facial rejuvenation is very much appreciated, Dr. Karam! I admire you for being so brave and of such high integrity to tell the truth about the ‘other’ procedures. Your patients are so very lucky to have you as their doctor. THANK YOU!!!!!

[@OliaKonJo]

You are beautiful soul. You are in this business for good reasons. ❤

[@LDelight77]

I haven't had medspas trying to oversell to me thankfully but I do often leave feeling bad about myself. There is so much focus there on what's not looking good and what needs changing that I can forget that I am still attractive at 46. My last visit all I heard the nurse say over and over again is how crepey my undereye area is. I hadn't actually noticed it and now it's all I see. So it can be great to learn what to work on with treatments but it's also at times made me more self-critical to things I didn't even know were 'an issue.'

[@09dolphing43]

I totally agree, I'm 59, started working on my skin 4 months ago with Trifecta, I'm gonna work on my skin for a year or so and get my skin to an A+, then find someone I can trust and afford for a face lift💙

[@Alice-fr1ef]

This video content is why I trust you Dr. Karam. You care about us and give us videos that are educational and informative. You are honest and give us all the information we need to make informed decisions about what is best for us. This I appreciate so very much and would not want to miss skin school any time because I learn so much about things other than facelifts but learning about facelifts are very important to me and I feel I can make an informed decision now. Thank you so much Dr. Karam, you are worth your weight in gold but most of all you are a miracle worker and artist in what you do.

[@ocelotcat]

Great video, thanks so much 🙏💕 Can you direct me to your video discussing thermage please? I'd like to know more about it. Also, how soon after a thermage treatment would you recommend starting the trifecta system? (Or restarting the system, whichever the case may be). Many thanks again 🙏💕

[@michellephilips8087]

Love your honesty n your channel

[@brendawheeler5377]

You do amazing work! I am a mrsa survivor and would ❤to have the vertical restore you just gave your wife but won't do it because I know the re infection risk with mrsa an I live on a ranch with dust an dirt daily so I just won't risk it. I don't have any help so not an option even if I wanted to. I still learn alot watching you so ty for your honesty!

[@neenah4027]

Obviously, you are an awesome surgeon from the posts that you have created. I wish that I could see more videos of post-surgery patients. It bothers me when people don't have frown lines or have high eyebrows from Botox, I wish, maybe unrealistically that surgery would be one and done, at least for a little while and hopefully longer. I had reconstructive surgery after an accident and my surgery literally saved my life, or more specifically, allowed me to live as a nice-looking person, and to continue to do whatever I wished in life. Aging doesn't suck. I also think that skin care products can make a real difference, as long as they are not too oily and moisturize well. Thank you for this video, I found it to be very enlightening.

[@cjk7063]

Love you for your integrity.

[@dawnvassallo1390]

You are amazing human! Ty for all your knowledge!

[@dramirkaram]

Thanks for watching!

[@rhondabyrne7995]

Totally agree..he’s a great human & Doctor ❤

[@feliciak.696]

I’m thankful and respect Dr Karam’s straightforwardness. I just wish it was more affordable to us women who all want the same thing… to look as young as we feel but will never be able to.

[@Sabrina-LosAngeles]

I always stayed away from threads (didn't seem appealing) but fillers and dysport worked its magic for decades now :-) Just ordered 2 of your products and can't wait to try them.

[@rosiemartinez6399]

Thank you Dr. Amir… your knowledge & honesty is superb… I am “in awe “ of your skills …. I would have you do my “Vertical Restore” in a heartbeat …❤…

[@margaritalampropoulou8393]

Dr Karam you are above all a decent human being!Congrats on your ethics and integrity 👏👏👏

[@anafreire9078]

Thank you Dr. Karam for the honest assessment of what works and doesn't so we don't waste our money.

[@barbaratankersley7117]

Thank you for your honesty ever nice to hear All the work I have seen you do the people have turned out beautiful Can't wait to see wife after you did surgery Thank you for sharing I love to see your work but it's like looking at something u could never have but it's good to know u ARE OUT THERE DOING BEAUTIFUL WORK

[@browdesignsbyjulia1373]

I did exactly what you and other great plastic surgeons preach. Saved up for a few yrs and did the surgeries that are proven to work for enhancement and improvement. I wasted zero on the others services w devices. I’ve seen too many people disappointed. Thank you for your transparency.

[@nicolaxoxo1]

Did you use him or another surgeon?

[@kemalistdevrimturkaydnlanm168]

Thank you, I just had Sculptra injected because I first heard from yourself and Dr Rejani. I absolutely loved what you did for your wife’s face, seems she looks so young now. Could you please share close before and after photos. I never considered a face lift but listening to you, it makes sense. I think I will get a full lift including eyes etc in 5 years time. 🌷

[@summer18ca]

Thankyou for your videos. I've learned a lot from you and choosing my surgeon. I do wish I could go to you.

[@carikabornman6189]

Thank you so much for cutting through the BS and giving it to us straight!

[@sofiacnm]

So appreciate this

[@wawajey]

Always good to watch your videos, I am in my 30s and I am doing the daily routine for actives and loving it

[@dammar117]

I spent a lot of money on one ellacor session and one placement of structural volumizing filler*, hoping to avoid the facelift. Still went for the mini lift in the end. I think the earlier two procedures helped the facelift, but the cost was disproportionate to the impact. That being said, I stay away from energy devices, especially radiofrequency, ever since one device caused sag. *Not traditional placement, but at the bone level. One thing Dr Karam never touches on is bone loss, which you can't replace with fat. Other than that, i think he is right in what he says.

[@zoey907]

I am humbled by your sharing if such personal life situations and your mom was greatly blessed to get the heart transplant!!❤️ Also for caring to reach out to others in the world who can benefit from your words of wisdom!! You are a beautiful soul !!!! Thank you!!!

[@giselletalarico4987]

Thank You Dr. Karam for beign honest with your patients, I have a neck lift years ago, and never liked the results, I believe that the doctor did not inform me thouroghly on what would be best for me, thank you again for your honesty.

[@StaceyTully]

Thank you for all your advice! Can you tell me your thought’s on fibromyalgia and some neuropathy and how it can affect surgery? Extremely anxious about my nerve function, and possible circulation issues (and long term possible numbness) any advice on this? Do you see any of these medical conditions in your practice? I’m so nervous about having my face go under the knife, but don’t want to wait and regret never doing it if the surgery could be a big success. 🎉 I’m 51…. Thank you