@dramirkaram: Here is what I do before I start surgery. Routine and consistency are key to feel the same way everyday and function at optimal levels so every patient I operate on gets the best of me. They deserve that. Every day- Full 8 hours of sleep, Hydration, Exercise, Wellness, Anti-aging Skincare (Trifecta @karammdskin), Nutrition and focused energy on the day 💪🏼 What do you think? Do you agree with this approach… starting each day with intention and focus. Reducing the variables etc. #plasticsurgeonsoftiktok #skin #skincare #karammdskin #coldplunge #morningroutine #dayinmylife #grwm @KaramMD