Dr. Karam (http://www.drkaram.com) took as much time as I needed from him to explain the procedures and what would be best for me. He is professional and an excellent plastic surgeon. I recommend Dr. Karam and have the highest regard for him and his office staff. He is professional, caring, and I knew from our conversations that he would give me the facelift that best suited my anatomy, and not as though he did the same procedure on every patient. He tailored my surgery specifically to what I needed.