Revolutionary Facelift Alternative?! Better AND Longer Lasting Results (Vertical Restore Facelift)

Hello everyone, I am Dr. Amir Karam, board certified facial plastic surgeon. I specialize in facial rejuvenation, which basically means I help people look as young as they feel, and today I'm going to talk about the surgical procedure that's exactly the focus. helping people look as young as they feel and that's the technique that I developed and patented a trademark called

vertical

restoration so let's talk a little bit about how it's different from the traditional

facelift

and why I decided to develop this and change my full techniques for this particular approach, so let's break it down a little bit in terms of how the face ages and where a

facelift

fits in and how a

vertical

restoration addresses some of these changes and then we can really see the differences there.

Moving forward, let's break it down for the aging face when we think about the fundamental changes that are affecting the transition from someone looking young to old. His facial shape is true, we all see it, I mean you can literally see it from a mile away. There is no need to get close and it is not a high intensity type of diagnosis. It's like you can identify someone who looks young or old simply by the shape of their face and you can literally identify someone in that category on the other side of the street, what happens?

As we age, usually in our 40s, there is a transition and some think it might be related to perimenopausal changes, but there is a drift of the fascia that begins to lengthen and the face begins to become heavier and passes From the top down when you see your jawline starting to become more square instead of that general oval or heart shaped appearance and your neck starting to sag, but when you really look at it you see several other things happening. simultaneously along that area, usually when that happens the corners of the eyebrow go down, the middle of the face starts to sag, then it leads to the jaw line and then the neck, so where does it fit a facelift in all this?

A traditional facelift or what is called a smaz facelift is a technique that has been around for a long time and is performed by probably 90 to 95 percent of plastic surgeons and facial plastic surgeons and basically what it is is a procedure designed to move the jaw line toward the ear. a horizontal redirection of the gels and when you do that, even if you have some hanging gels here, when you do that you'll see that things are going to go, you know, they're going to get a little bit softer, but what you're doing is flattening the gels. and pull them, and that's not exactly the way the face ages properly, I mean, if you're going horizontally and the face originally came from top to bottom, then you're going in the opposite direction or perpendicular almost to where was the natural direction of aging, so the end result is someone who looks slightly different and we all know what that difference looks like when you look at it the same way you can tell someone older within the same In a fraction of a second you can tell that someone has had work done because they don't look quite human and that's one of the biggest advantages that facelifts have had over literally decades is that you can tell in a fraction of a second that someone has had work done and that's not a The good thing is that I don't think anyone really wants to look like they've had work done.

They want to look like themselves. They want to look like they did when they were younger, but they certainly don't want to look like they did. They did the job for me, but what can you do when the technique is faulty? It is not the correct concept. It is based on wrong paradigms. When you open most of our plastic surgery textbooks, you will see facelifts that show horizontal effacement, as I mentioned. There are other components that occur at the same time, the outer part of the eyebrow, the jaw line and the neck, so sometimes surgeons add a neck lift platysmaplasty to tighten the neck muscles in this way and then They pull everything back, but still more or less.

By redirecting everything horizontally now leaving the middle of the face and side brow alone, long before I started doing facelifts, I found that the operation led to an unusual looking result and even when I was a resident, I actually told myself to myself that I would never do faceless because it just looks bad, it doesn't look good, so I was really going to focus my practice on cancer reconstruction and rhinoplasty, but then I started learning more and I started hearing rumors about this concept of vertically oriented lifting and saw those

results

. They really looked a lot more natural and this was around the mid 90's when this started, this concept started to become a little more conscious so basically I had the opportunity to learn more and become more educated regardless of what I was taught. and they told me that I realized that the basic concept of the agent is that there is fascia under the skin and that fascia starts in the temporal region and goes up to the clavicle and then everything is basically one unit and that is very different than looking line of the jaw as a jawline and neck as a neck, I just thought of this as all one, so basically, even before I developed the vertical restoration, I was doing vertically oriented facelifts, I was doing lateral brow lifts that went up the corner and then I was making a necklace.

So there were like three procedures that I was doing, what I wasn't looking for was the middle part of the face, so about 10 years of surgical work, 10 years of

results

that I could see, I thought to myself, how can I improve? this? There were two areas that I thought I could improve it on, actually three, one is I wanted to get the middle face up, two I wanted to make sure I got a very aggressive neck lift because everyone wants a great neck and then three, I wanted this It was the longest

lasting

procedure on the planet.

I really wanted our patients to do it and not have to think about it for a long time, so I started designing and basically what I realized is that to get durability and to be able to get a significant change in the mid-face, We needed to go deep. The deep plane approach is something that was developed in the mid-80s by a plastic surgeon named Sam Hamra in Dallas, Texas, and I found the concept intriguing because you're releasing the ligaments in the jawline in the middle of the jaw. face and you are bringing things that you know in a complete release, the problem is on a standard or more conventional deep plane, it is still more or less a horizontal based procedure and I have been used for the last 10 years to go more or less vertical, but what I realize is that if I get more release along the neck, I can tilt this entire soft tissue platform more vertically and lift it all up at the same time. address the lateral brow in each case, so that's where the vertical

restore

r was basically born.

It was a concept that brought together four different procedures into one, which was the lateral brow, midline jaw and neck lift and addressed everything at the level of the deep plane which we knew was the most advanced type of facelift procedure. In fact, it's probably done by less than five percent of the surgeons in the country, probably in the world, who do deep plane approaches and when you combine them all you're getting a complete, complete repositioning of the entire soft tissue platform. , it looks natural and harmonious, you are also getting a significant lift of the mid-face, which is really important to soften the nasolabial fold and by bringing the neck closer and doing a very aggressive neck lift in each case, you are taking advantage the neck to the maximum, so with that I do a central neck lift or a subplatysmal dissection, I put everything on the line and I get complete freedom to move everything up.

The procedure is very advanced but the results are still totally natural and are extremely long

lasting

so around 2017 I changed my entire technique to this and it has been an amazing series of beautiful results and extremely happy patients so when you look at the fundamental differences between facelift and vertical restoration everything comes down to a more vertically oriented vector, the comprehensive treatment of all the different elements that are involved in aging and, ultimately, the use of the deep plane. Another important difference between vertical restoration and traditional facelift is that the traditional facelift performed by most plastic surgeons is performed under general anesthesia.

Vertical restoration in my practice is performed under local anesthesia with intravenous sedation, which in my opinion makes the operation incredibly safer and also takes away much of the post-anesthesia after two or three days. of stunning and recovery, so it speeds up recovery and really improves the safety of the overall procedure and our patients feel incredibly comfortable throughout the entire process, so that's a big advantage of vertical restoration, you put it all together and you have an experience very advanced. It is a very beautiful and reliable particular procedure that I perform for our patients and I hope it has helped.

I hope it brought a little more clarity on the differences between these procedures and honestly, at the end of the day, a picture is worth a thousand words. I don't take all of this explanation to understand that there is something different about these results, there is something more impactful in terms of the level of correctness and ultimately what is so beautiful is the consistency in which no one seems to have done any work. They look like a different person, they often look just 10 15 20 30 years younger depending on how old their age was at the beginning and honestly it's hard for me to imagine how it could be

better

than what we currently have. a vertical restoration, very good guys, I hope that helped and I hope that it answered some very fundamental questions in the question that comes up all the time, the difference between vertical restoration and a facelift, if you enjoyed this content, guys, press I like it if you want to share. this with friends and family that you know considering and watching these how-tos, share them, make sure to subscribe to the channel.

I'm posting content like this educational material two or three times a week and, uh, and if you have any questions. or comments, please place them below. I will be sure to do my best to connect with you and answer them to the best of my ability. Thank you all very much, Dr. Amir Kharam.