This is not the review that I wanted to be writing, especially since I felt confident that I had done my research and chosen the best doctor for the job. I am disappointed and upset and sharing my experience, because I wish I had known that there was a risk of this happening.

I have been left with obvious SCARS around my hairline (front and back) as well as on my eyelids. With the hairline, I don’t understand why the scars can’t just be hidden in the hair (like I have seen other surgeons do). As for the eyelids, the work here just feels careless. I think of all the actors and models that have had work done, these results would be unacceptable.

Fat transfer could have benefited from some attention to detail as well. I understand being conservative and aiming for natural looking results, but knowing that 30-50% of the injected fat will not survive, he could have been a bit more liberal with it. I think of all the amazing facial balancing work I have seen done by injectors online - and if they can do that with filler, surely it can also be done with fat by a skilled surgeon. And I believe he knows how to do this, but for some reason, it isn’t consistent.

I have to deal with solutions for the scars on my own, because as others have mentioned, his team is not eager to offer help. Yes, they will take the time to talk to you about it, but I want a solution, not just a conversation. Having spoken to other surgeons and post op specialists since, it is common practice to have any corrective work covered and paid for by the operating doctor (if they don’t offer to do the corrective work themselves), but this does not seem to be the case here - you are on your own. This might have been something I expected if I went to some general plastic surgeon, but not when paying the fees for Dr. Karam.

To be fair, my midface does look better. But, my chin does not and my neck work also feels lacking. And ultimately, the scars just take away from it all. Not only can I not wear my hair up, I can’t even tuck my hair behind my ears. Forget swimming. Makeup doesn’t really cover the scars, plus, I don’t always want to be having to wear makeup. I don’t feel relaxed in my body, and this is the opposite of how I wanted to feel. The healing process also takes much longer than a year, so be prepared that this might also be the reality for you.

What pushed me to add my review was seeing him showcase the work he recently did on his wife. Of course he did an amazing job on his wife, it’s his wife after all. It’s going to be perfect, because he made a concerted effort for it to be (look at the scar stitching alone, so precise!) And, because that will be the surgery and recovery he showcases to convince you that her experience will be the same for you. My impression is also that you might get a better result if you choose to share your surgery journey on social media, because then he knows his work will be on display to the public; those ladies seem to be thrilled with their results.

Reflecting back on the process, Dr. Karam spent very little time interacting with me face to face, and much less than ANY esthetician I have ever gone to see (pre or post surgery). And since my surgery, I have seen a whole array of specialists: microneedling, lasers, other surgeons to advise me on what to do next, scar tattoo specialists, etc. All of these people have given me more of their time and expertise, discussing facial structure, facial balancing, and my skin type and how that affects results. I think I spent less than 20 minutes in total with Dr. Karam in person, outside of the actual surgery.

Another thing that bothers me about this lack of attention to detail and lack of accountability - and this might just be me - is his posts about his hard working immigrant roots. Both of these lacks are in direct opposition to what I know about immigrants and their work ethic. I appreciate humility and lack of ego, and wish that these are the qualities I had seen from him.

Also, please note that there is a fairly high turnover within his team. In the over four years I have been in contact with them, the surgical specialist assigned to me changed at least 4 to 5 times. Although everyone is super nice, you don’t ever feel like you have one dedicated person that actually cares about your experience, or understands your specific case.

Like others have said, do your research, and always ask to see scar work.

Submitted April 17, 2024

Iemand gebruikt jouw profiel in België. Om meisjes van 8 jaar te benaderen.

Submitted Nov. 3, 2023

I had a vertical restore procedure in Feb. 2023. I could not have had a better experience or results. The professionalism of the staff, emphasis on customer service, and the skill level of Dr. Karam will exceed your expectations. There is a reason Dr. Karam is ranked #1 on this site, because he is the best.

Submitted July 17, 2023

Wonderful bedside manner. Incredible results. Professional and helpful staff that are there for you every step of the way. I love my results so much. I wouldn’t go to anyone else. Dr. Karam is so talented. His results are so natural. He makes his patients look like themselves just years younger. I feel like the best version of my self.

Submitted June 5, 2023

Dr. Karam is a gifted & talented surgeon. I researched surgeons for about a year. As soon as I met Dr. Karam, I knew he was the one I trusted with my procedure.
The results are so natural. He makes you look like a younger version of yourself, not like a cartoon character like some surgeons.
I am 5 months out & couldn’t be happier with the outcome.
If you want to look as young as you feel, call Dr. Karam. He is the best!

Submitted June 4, 2023

Very amazing results.
Natural, and I look a lot younger and feel me again.
His staff are all wonderfull too and you feel safe from first contact.
I had almost no pain after surgery and I got no scares 4 months out. The best best Dr. and I would do it all again.
Best regards form Denmark.

Submitted May 12, 2023

Dr Karam and his team were wonderful. He is highly skilled and i am thrilled with my results!

Submitted May 3, 2023

I had a Vertical Restore with Dr. Karam in July of 2022 and it was a life changing experience. I would do it all over again in a minute! I was not happy with the way I was aging, but it was very important to me that if I did anything, I had to look like a well rested version of myself. I didn’t want to look necessarily younger, I wanted to look « not so tired » and saggy. I wanted to look like I felt, vibrant and ready to take on this next phase of my life….Like I had just come back from a long, restful vacation. I took two years to research all doctors specialized in facial surgery. This is not a matter to take lightly, it’s your face after all. I narrowed down to two doctors one in NY and Dr. Karam, both doctors are double board certified in facial reconstruction surgery and Otolaryngology, Head and Neck Surgery. Very tough decision- both excellent doctors in their field! Suffice it to say, that the choice I made was the best choice ever. The way Dr. Karam and his staff treated me from the very beginning, made all the difference in the world. Not to mention that I could not be happier with my results. I had a Vertical Restore, Upper Bleph, lower lid skin pinch, lip lift and fat transfer in face and hands. I started using the Trifecta skincare shortly after the procedures and it has done wonders for my skin- which was already in good shape. I am so thankful for Dr. Karam - he made a big difference in my life. It’s a scary thing to have facial plastic surgery, because you can’t hide the results. I put all my trust in Dr. Karam and his team and they led me through this amazing journey and most importantly - they did not disappoint. Thank you Dr. Karam, you have magical hands and thank you to your team- what an amazing group of caring individuals.

Submitted April 19, 2023

I had a Vertical Restore with Dr. Karam in July of 2022 and it was a life changing experience. I would do it all over again in a minute! I was not happy with the way I was aging, but it was very important to me that if I did anything, I had to look like a well rested version of myself. I didn’t want to look necessarily younger, I wanted to look « not so tired » and saggy. I wanted to look like I felt, vibrant and ready to take on this next phase of my life….Like I had just come back from a long, restful vacation. I took two years to research all doctors specialized in facial surgery. This is not a matter to take lightly, it’s your face after all. I narrowed down to two doctors one in NY and Dr. Karam, both doctors are double board certified in facial reconstruction surgery and Otolaryngology, Head and Neck Surgery. Very tough decision- both excellent doctors in their field! Suffice it to say, that the choice I made was the best choice ever. The way Dr. Karam and his staff treated me from the very beginning, made all the difference in the world. Not to mention that I could not be happier with my results. I had a Vertical Restore, Upper Bleph, lower lid skin pinch, lip lift and fat transfer in face and hands. I started using the Trifecta skincare shortly after the procedures and it has done wonders for my skin- which was already in good shape. I am so thankful for Dr. Karam - he made a big difference in my life. It’s a scary thing to have facial plastic surgery, because you can’t hide the results. I put all my trust in Dr. Karam and his team and they led me through this amazing journey and most importantly - they did not disappoint. Thank you Dr. Karam, you have magical hands and thank you to your team- what an amazing group of caring individuals.

Submitted April 19, 2023

I had a facial fat transfer with Dr. Karam. Dr. Karam and his team displayed professionalism and kindness through the entire process. I found them to be direct and honest about results and expectations without sacrificing compassion to do so.

I have seen many reviews that comment on cost and how you can get similar procedures done elsewhere for much less. But I think Dr. Karam’s before and after photos demonstrate the value you receive for what you pay. And I can say that, from my personal experience undertaking a facial fat transfer, that the results were subtle enough that nobody noticed I had any thing done but everyone noticed that I looked refreshed, which is exactly what I wanted after struggling with a chronic illness for two years that seemed to suck much of the youthful volume right out of my face. There is finding a surgeon with enough skill and experience that you trust the clinical outcome and then there is finding a surgeon who is enough of an artist to make you look exactly like yourself but better/younger. Dr. Karam meets and surpasses both of those requirements.

It is your face. You only have one. I will not trust mine to anyone else and will be going back when I need the vertical prevent or restore. For me, it is worth saving for years to do it right.

Submitted April 13, 2023