Fat Transfer with Vertical Restore: A Powerful Combination for Total Facial Rejuvenation


Dr. Amir Karam is a double-board-certified facial plastic surgeon in San Diego with extensive experience and a reputation for excellence in facial rejuvenation. Known for his innovative techniques and deep understanding of facial anatomy, Dr. Karam has dedicated his career to developing advanced, natural-looking solutions including the trademarked Vertical Restore. His artistry, precision, and patient satisfaction rates have made him a sought-after expert in facial aesthetics, with patients traveling worldwide to benefit from his expertise. 

Discover how this personalized approach can restore your youthful beauty—book a consultation with us today to take the first step toward a refreshed, vibrant you!

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What is Vertical Restore?

Vertical Restore is a unique facelift approach developed by Dr. Amir Karam. Unlike traditional facelifts, which focus solely on the jawline, Vertical Restore lifts the entire face from the top of the temples down to the neck.

This comprehensive approach rejuvenates the outer eyebrows, midface, jawline, and neck, offering patients a balanced, harmonious look.

The Vertical Restore technique doesn’t merely tighten skin; it repositions deep facial tissues vertically, restoring youthful contours and minimizing tension, which can create an over-pulled appearance in other facelift methods.

Our Impressive Results

This patient underwent a full facial rejuvenation procedure, including the Vertical Restore operation, full fat transfer to the face.

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The Role of Fat Transfer in Vertical Restore

Fat transfer, also known as fat grafting, is an advanced technique that enhances the results of Vertical Restore by addressing volume loss in key facial areas.

This procedure takes fat from other parts of your body, such as the abdomen or thighs, purifies it, and then injects it into areas of the face that have lost volume.

The carefully placed fat fills hollows, smooths wrinkles, and adds subtle contour, creating a natural fullness that enhances Vertical Restore's overall youthful effect.

before procedure photo

Fat transfer with upper and lower blepharoplasty.

After procedure photo

An example of orbital fat transfer.

When Fat Transfer Added to Vertical Restore?

While Vertical Restore repositions and tightens facial structures, fat transfer restores fullness that may have faded over time. Here’s how combining these procedures works to create an exceptional rejuvenation effect:

  • Fat transfer softens and enhances areas such as the cheeks, under the eyes, and the nasolabial folds, giving a gentle, rounded contour to the face
  • By blending areas like the transition from the eyelid to the cheek, fat transfer creates a seamless, smooth look that eliminates sharp transitions and hollowing that can make the face appear aged or tired
  • The fat cells used contain stem cells, which may also contribute to improved skin quality over time, enhancing skin texture, clarity, and tone

One of the unique aspects of facial fat transfer is the use of your own tissue. For example:

  • Unlike synthetic fillers, which may need frequent touch-ups, fat transfer is a “like for like” approach, replacing lost volume with natural fat
  • This offers a sustainable, long-lasting result that feels authentic to the individual’s face, avoiding the risk of rejection or allergic reactions
  • Fat is rich in regenerative cells, so patients may also notice healthier skin quality following their procedure

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The Process of Combining Fat Transfer with Vertical Restore

Dr. Karam will work with you to understand your aesthetic goals and assess areas needing volume restoration. Using advanced techniques, fat is gently harvested from an area such as the abdomen or thighs and then purified to ensure only the highest-quality cells are injected.

The purified fat is strategically injected into targeted areas, where it fills, contours, and rejuvenates naturally. During the same procedure, Dr. Karam performs Vertical Restore, lifting and repositioning the facial tissues for a refreshed, youthful look that complements the added volume.

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Begin Your Rejuvenation Journey at Karam MD

Dr. Amir Karam brings impressive experience to facial rejuvenation, having dedicated his career to mastering facial plastic surgery. His journey began with top-of-class graduation and advanced training in otolaryngology—head and neck surgery—followed by a selective fellowship in advanced facial plastic and reconstructive surgery. With over 20 years in practice, Dr. Karam has developed a deep understanding of facial anatomy and aging, culminating in creating his trademarked Vertical Restore and Vertical Prevent techniques. These innovations address the complex facial changes associated with aging, enabling Dr. Karam to provide long-lasting, natural results for his patients.

Dr. Karam founded Carmel Valley Facial Plastic Surgery and Aesthetic Center in San Diego in 2008 and has become a highly sought-after facial plastic surgeon. He is double-board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology.

Known for his artistry and patient-centered care, Dr. Karam tailors his approach to each individual, drawing on his experience with over 6,000 procedures. He is recognized for his commitment to ongoing education and offers the expertise and compassion that set him apart in the field.

Begin your journey toward a refreshed, natural look with the confidence that you’re in the hands of an expert. Book a consultation with us today to discover the possibilities for your rejuvenation.

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A Happy Patient's Testimonial

Dear Dr. Karam,

I just wanted to put pen to paper and say a thousand "thank yous" for the most wonderful, natural appearance you produced by your very skillful facelift. To say I am delighted would be an understatement.

No one has noticed; they just think I look so well after a lovely holiday in San Diego, California. It certainly paid by doing my homework and research, and I know without a doubt that I could not have made a better choice. You are a real artist, with a gift for making your patients feel relaxed and assured, coupled with first-class results. Also, it was a real pleasure to have met all the lovely women who work with you, it takes away a lot of fear when you are greeted by such a warm and caring staff.

Thank you, once again, for all your kindness and understanding in easing my fears.

- Kathy B. (Facelift and Fat Transfer from the United Kingdom)

Frequently Asked Questions

Does combining fat transfer with Vertical Restore provide longer-lasting results?

Is fat transfer safe?

What is the recovery like for Vertical Restore with fat transfer?

Does combining fat transfer with Vertical Restore provide longer-lasting results?

Yes, combining fat transfer with Vertical Restore creates a more comprehensive result that ages gracefully with you. While the body may reabsorb some fat, the remaining fat provides a durable, natural fullness. The Vertical Restore procedure addresses sagging tissues for a foundation that will continue to look youthful for many years.

Is fat transfer safe?

Yes, fat transfer is a safe and effective procedure when performed by an experienced surgeon like Dr. Karam. Using your own fat reduces the risk of allergic reactions, and advanced techniques ensure fat is purified and injected safely for optimal results.

What is the recovery like for Vertical Restore with fat transfer?

Recovery from combined procedures typically involves some swelling and bruising, which gradually resolves over several weeks. Most patients feel comfortable resuming normal activities within 10-14 days, though full results become visible as swelling subsides.

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