Dr. Karam is sought out by clients from San Diego, the US, and even those from around the globe for his immense skill and artistry in the field of anti-aging facial rejuvenation. His textbook on facial rejuvenation is used widely by his peers as an authority on the topic, and Dr. Karam contributes frequently to other industry literature about innovative, non-invasive techniques. Because each aspect of the face and skin is integral in creating a youthful, radiant appearance, he pursues a comprehensive approach that addresses every detail of the client’s anatomy in depth. He may choose to combine microneedling with other anti-aging treatments such as dermal fillers or a non-surgical facelift for a total makeover.