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The Boom in Male Cosmetic Procedures

Posted: 11:03 a.m. Friday, Feb. 2, 2018

By Anita Mandal, M.D.
Question: I’m a 55 year old man who has not aged well. I’m interested in facial rejuvenation but don’t feel comfortable talking to my male friends about my concerns. I’m wondering if many men, these days, are having facial rejuvenation treatments?

Answer: It used to be that most men didn’t seek out cosmetic procedures because of cosmetic taboos and a social pressure to “age gracefully”.

Times have changed. Men are living longer and showing increasing signs of aging. Men are realizing that there is more to facial rejuvenation than big lips and high arched eyebrows. As men become more educated and better understand the scientific connection between looking good and feeling good about themselves, they are more confident about seeking a specialist for facial cosmetic procedures.

It is important not to use a cookie cutter approach to male facial rejuvenation as there are important differences when treating men compared to women.

The brows and eyelids in a youthful male are different from women. The male brows are straighter and less arched with the eyelids being slightly heavier. These physical nuances are what gives the upper face a masculine vs. feminine appearance.

Men also tend to have more overactive upper facial muscles and, thus, can show deeper wrinkles and furrows in the upper face. As such, men may often require higher doses of Botox to soften the upper facial lines.

When it comes to cheek augmentation, injectable fillers can create attractive, high cheeks bones in a woman, but too high cheekbones can be feminizing on a man’s face.

Men have thicker skin which can mean higher amounts of collagen and elastin with less fine lines and wrinkles compared to women who have thinner skin. The higher collagen content in a man’s skin may explain why skin tightening devices that work by stimulating collagen can be so effective. On the other hand, because of the thicker skin, some men may not be as good candidates for facelift surgery since their thicker skin is heavier and more prone to sagging. There is also the added challenge of hiding facelift scars in men compared to women who can wear longer hairstyles.

When it comes to eyelid surgery in men, removing the excess skin to the point where the upper eyelid sulcus is tight and highly visible can be feminizing. Leaving a little more skin in the upper lid crease to give a slight heaviness to the upper lid gives a man a more natural looking and masculine upper eyelid.

While the aesthetic rejuvenation goals in men are different from those in women, men share the same concerns as women when it comes to a desire to look natural. A board certified Facial Plastic Surgeon who understands the intricate facial anatomy and differences between male and female facial aging is a key step in creating natural and optimal results in men.


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