@karammdskin
KaramMDDr. Karam has used the Trifecta twice a day, every day, for five years. At 52, his skin has never been better. Three steps. Vitamin C, retinol, niacinamide, peptides, hyaluronic acid, ceramides, botanicals — formulated to work together, so you actually stick with it. Efficacy only counts if it’s consistent. That’s the whole point of the Trifecta. Learn more at KaramMDSkin.com
On the profile · Aug 17, 2026