7,000+ facial rejuvenation surgeries led to one defining approach.

In this episode of The Dr. Randi Show, I sit down with Dr. Amir Karam to talk about how decades of surgical experience shaped his trademarked Vertical Restore technique and why a vertically focused approach has become central to the way he rejuvenates the face.

Dr. Karam shares how Vertical Restore developed, how he thinks about facial balance and proportion, and why addressing structure, volume, and skin together is essential to achieving results that feel natural and enduring.

We also talk about how patient expectations around facial rejuvenation have evolved, what people are prioritizing today, and how Dr. Karam approaches patient selection and long-term outcomes.

The episode includes a rapid-fire speed round covering today’s most talked-about aesthetic treatments, offering Dr. Karam’s perspective on what he incorporates into practice.

This is the kind of conversation patients search for, surgeons listen closely to, and the industry pays attention to. It may change how you think about aging — and what’s possible.