Facelift at Nearly 60 Changes Her Entire Life! Dramatic Vertical Restore Surgery Before/After!

Hello everyone, I am Dr. Amir Karam, board certified facial plastic surgeon. I specialize in facial rejuvenation, which basically means that I help people look as young as they feel and in that same vein, today we are going to talk about one of our patients, her name is. Carrie, she is 59 years old and she underwent a complete facial rejuvenation with me and we are going to analyze her case step by step and follow her throughout her

entire

journey. This is a real treat and a pretty rare inside look at what the whole process is really like. Looks like we're going to talk about her motivation.

I'm going to break down the anatomy and thoughts behind the particular procedures I recommended to get that beautiful rejuvenated result we all want and are going to achieve. look at your healing process, how you feel about the end result and of course what the end result looks like after three months of recovery, so without further ado let's break it down, as mentioned, carrie is 59 years old, she is A successful entrepreneur and business owner in the Los Angeles area, she runs a beautiful boutique interior decorating store and one of the things she noticed like everyone else is that as time went on she stopped looking like herself. , a gap is made, a growing gap between the way you look and the way you feel.

In fact, the way you look, for most people, we are stuck in our 30s and our facial aging

changes

start to move away from us and suddenly we become unrecognizable and when you really analyze it, you understand that people age in a very similar way. way and when we looked at Carrie's concerns, although she didn't come specifying these particular things, she just knew that she doesn't look like herself anymore and she looks older and you know, she didn't like taking pictures as much and she didn't like being in front of the mirror with so often and when you come with those concerns, that's where I get involved and start looking at the components that make up the

changes

of aging and to put it very simply and systematically, it boils down to three categorical changes.

There are changes that are happening in the skin, there are changes that are happening in the volume of the face, which is basically the fat of the face, and there are changes that are happening in the fascia and what is happening in each of these three areas is very predictable and Very constant changes in the skin come down to changes in fine lines and wrinkles, come down to changes in discoloration, come down to changes in texture of dehydration and lack of luminosity or basically dullness when You look at the volume changes as facial fat begins to decrease. you start to lose the overall fullness of the face and that leads to a deflated and hollowed appearance that makes you look tired, then this third category is the changes related to sagging, which begins to sag as the corners of the eyebrows begin to sag. . half of your face, jawline and neck start to droop, eyelids start to droop, you start to have excess skin around your upper and lower eyelids, you start to see bags under your eyes, you start to see it the elongated upper lip, all of this is kind of The constant aging changes that occur throughout the soft tissue of the face, so every time I see a patient I look at them in these three categories and try to identify which of the components are involved in each particular phase and as a result of that analysis.

We made a plan, so let's take a look at the carry in more detail, so that when you look at the carry you start to see the typical changes that happen to the skin on the face, you start to see fine lines, wrinkles, discoloration, general lack of radiance and greater opacity. the changes that we're going to address specifically in your case with your skin care and I'll talk more about that in a moment changes that are happening in your facial volume, you can see there's a loss of volume under your eyes. You can see that the upper brow area has deflated, the temples have lost some fullness.

You can see that the lips and the areas around the chin have lost some fullness. This is all because deep fat pads begin to shrink as time goes on. Then you look at the sagging changes you take it from above and you see that the lateral eyebrow begins to sink the middle of the face begins to sink you begin to deepen the nasolabial folds you begin to see the double chin present and then you look at the neck and there is heaviness and bands of the platysma muscle as it begins to wear away and move away from the top of the face, so when you look at all of that together, you see the face overall lengthen and start to take on a more square or rectangular shape than what you look at . on the center face and you see there's extra skin and he has upper eyelids, there's extra skin and fat on his lower eyelids and there's a general lengthening of his upper lip and a thinning of his red lip or his true upper lip when you look all the way down.

These things together you start to put together a plan, like I mentioned for Kerry's skin, we're going to treat her with a trifecta, which is an all-in-one skin care program that I developed that was basically designed for my post-op facial. rejuvenation pace just to make

life

super easy and get all the active ingredients they need to change the skin, then you look at the volume changes and with that I use fat transfer and in Carrie's case we put a little fat underneath . eyes, we put a little fat on top of her eyes, we put a little fat on the temples, lips and around the mouth, never to make the face look full, but only to make the face look fresher.

Now the key to the whole result is Sort of the hero of all general rejuvenation comes down to repositioning the soft tissues and making the overall face look more like before. You can't achieve that with skin and you can't achieve that with volume changes, but you can achieve it. which with

vertical

restoration and

vertical

restoration is a signature procedure that I developed that addresses four specific areas at once, addresses the external temporal region, the midface, the jawline and the neck, and returns everything to its position in a more vertical way. Orientation is basically what you do in the mirror when you get close to the face like that and say, wow, I look very similar to what I was in the past, so that's the function of vertical restoration is to lay the foundation of the face. back to where she was then we went down to the center of her face and in Carrie's case we removed some skin from her upper eyelids, we removed some skin and fat from her lower eyelids and they both performed a blepharoplasty and then on her upper lip we perform a lip lift and the lip lift is basically designed to take four to six millimeters of length and shorten that lip and create a better proportion because remember that vertical restoration shortens the face overall and

restore

s the shape back to where it was and if we leave these segments intact, it will look disproportionate and strange, so the completeness of the

entire

result is extremely important in terms of creating a natural-looking rejuvenation, in addition to the fact that certain techniques are performed with great care in how they are see the face naturally, for example, I do not remove fat and muscle from the upper eyelid, I only remove skin from the lower eyelids, we do not change the position of the ligaments we leave the shape of the eye exactly where it was and the same with the complete repositioning with a vertical restoration everything goes back to where it was we don't pull horizontally we don't pull an unusual vector everything goes exactly where it was Technically, there are very important components, as well as the balance and breadth of the overall result, that are key to creating that rejuvenated and fresh look.

Now let's take Carrie through her overall healing process and she was kind enough to share with us step by step. during those phases during recovery the first three or four days are always the hardest this is the end of the first day I have pain in my lips and in my eyes I don't really feel the pain on this side and I have a little bit of pain in my stomach where the suture is where the fat was harvested I threw up uh tonight I think I'll feel much better tomorrow day three my eyes are very swollen today I feel very tired and red day four I washed and curled my hair today feeling a little more normal waiting for the swelling to go down.

The face is going through the third space, it swells a lot and once you get to the fifth or sixth day, the healing really starts to happen and that healing really begins. turn the corner around the seventh day and continue quickly until about two weeks this is day six day six is ​​much better than day five day five was a little rough but I feel like the swelling has really gone down this morning my neck it just looks amazing very happy with my neck lips are still swollen i just have a little bit of lip gloss on without makeup today it's day seven i can't believe it's already been a week i have a beautiful yellow tone under my eyes which I'm sure it will be easy to cover with makeup on day 10.

I'll have the stitches and the rest of the stitches removed about half before and I'm very happy with the results so far by the time you're around. in two weeks you look a lot more like yourself and you're really ready for a restaurant or well, I like to joke with our patients that they're not going to go into a supermarket and scare little kids, you know, where they look. like a normal person minus some general puffiness and stuff, here it is day 10. I feel like my eyes are finally evening out a little today. I've always had the problem that my left eye is a little smaller than my right.

Eye and Dr. Karam were very real with me before my

surgery

and said that sometimes if the eye socket may just be different, there is asymmetry in everyone's face and the eyes don't change, but I feel like it's starting to look a little more. even the bruises are still improving the incision, it's getting better, it's day 12 and I'm going to work for the first day since my

surgery

and we'll see what my employees and clients notice today, it should be interesting on day 15. no makeup, no filter , just standing in front of the window, the bruises are almost gone and then as each week goes by, as you can see, Carrie is going through the recovery process, she looks more and more refined, less puffy, looking better, but man, how fast. and a beautiful transformation, as you can see, an overall healing has occurred and she looks brilliantly beautiful and literally probably 20 to 30 years younger.

Well, one month ago today I had the procedure done with Dr. Karum. The swelling is still a little to my left. The side bruises are practically gone, I just have a little bit of my sunscreen on my face, some lip gloss, and an eyebrow pencil. You can see that the discoloration under my eyes is finally almost gone. My scars get better, better every day. Hello, Dr. Karum. It's been a little over three months since I had the procedure, so I wanted to update you. I was starting to feel invisible at my age and I realized that I didn't look like myself anymore and unfortunately ageism is real in our culture and I decided that.

I wanted to invest in myself so I had to wait a year for my surgery and I spent that time researching and educating myself by watching his YouTube videos almost every night before my surgery. I just watched them over and over again and so I felt like when I got to my surgery date I really knew what to expect. I mean, of course, I was still a little nervous, but I knew I was in very good hands because of how many procedures are done in a month. That made me feel super super comfortable and safe. The comments and reactions from my family and friends and colleagues have been 100 positive.

I feel like my self-esteem and confidence have improved and I just wanted to thank you so much for helping me look as young as I feel inside. thank you dr karim i hope this video helps other women who are considering investing in themselves so now let's see carrie's before and after side by side and i'm going to It's kind of a very short talk so you can see all the different changes that have taken place, so starting with the skin at this point, Carrie has been on the trifecta for three months, you can already see that her skin looks brighter and overall smoother.

It's a consistent finding that we found with the trifecta in clinical trials, so this is not unexpected. We are very pleased to see these types of changes and they complement the other surgical changes we have created with fat transfer. You can see that. There is an overall softness and fullness to the areas under the eyes, above the eyes and temples, the mouth looks fuller and the areas around the chin don't look as deflated. This is a beautiful transition to all the soft tissue elevation that happened with the vertical.

restore

, you can see the sharp jawline, the sharp neck, you can see that the middle of the face has been lifted back into position with that beautiful heart shape that you can now really appreciate compared to that kind of square orlengthening that we saw before the operation and then when you look at the eyelids you can see that it is free of all that extra skin the contour and the transition between your eyelid and her cheek is much shorter and she looks much more youthful and very beautiful you can see at the level of your upper lip the distance between your nose and your lip is shorter and the red lip is fuller because the upper lip lift erases and lifts the upper lip, just as a fat transfer was used to fill the volume in lip, so when you take all this into account you see a very beautiful before and after, overall extremely natural, unoperated and beautiful, and you can see it in all these different after photos that she has provided to us that she feels confident and like herself and definitely doesn't look like a 60 year old person.

Alright everyone, I hope you enjoyed that journey with Carrie again, so I'm so grateful to all of our patients who choose to share their full stories and their intimate stages of healing with all of you because I think ultimately both our patients like Carrie and I want them to have full transparency and full understanding of what the entire process is like so that they ultimately make the best decision for themselves, but at the end of the process. As a potential patient, I want you to understand that facial surgery is obviously very complex and very difficult and I have personally decided to focus exclusively on this from a surgical point of view and as a result I do this literally every day. day thank you very much for your attention if you are not currently following our YouTube channel, be sure to subscribe if you like this content, like if you have any questions, leave them in the comments.

I will be more than happy to answer it. please send this and share it with friends and family to let them know what is possible and help them stay on track with good decision making and empowerment so they can make the best decisions for themselves guys I hope you enjoy this. I will be presenting. you with more topics like this weekly, so be sure to follow us until then, dr. amir karam, you