Males are vain too. My practice proves it to me with 19% of our new requests being from males: lawyers, dentists, journalists, Bay street boys, entrepreneurs and builders, hairdressers, body-builders, doctors, etc. Men want to keep the edge and the alpha look. The Toronto, Montreal and Vancouver markets are also extremely competitive.
Males want to look good but won’t easily admit it. Therefore, male aesthetic surgery has to be inconspicuous, even more than with females.
Men also want facelifts and eyelid lifts.
Males want a natural result, even more so than females. Downtime is also an important consideration.
Plastic surgeons must be careful as to not overdo it with males when performing a facelift, browlift, eyelift, etc. as it may feminize a man’s face.
With males, LESS is MORE.
Males do require repositioning of sagging soft tissues and neck muscle bands as we do with ladies. Males may benefit from fat grafting too, yet, the cheeks should not be full. A facelift and necklift procedure are good opportunities for males to have a chin augmentation at the same time, helping to restore a youthful neck angle but also to strengthen their lower face, their profile and their alpha personality.
That being said, many maneuvers are different between males and females.
In eyelid surgery, the distance between the eyelashes and the incision is shorter in males than females. The plastic surgeon will also try to stay within the bony orbit with the scar as it is more difficult for men to camouflage the early scars with make-up, which I call “concealer” with my male patients. Yes, the language is also slightly different depending on the genders.
In facelift surgery and males, the plastic surgeon MUST be very cognizant of the shifting of soft tissue, the sideburns and the hair. One must always keep in mind that bringing hair further up and to the back will age the patient. If hair has to appear over the ear area with the shifting of the sideburns, the plastic surgeon can remove most of the hair follicles during the facelifting procedure by scraping them out from the under-surface of the skin flaps; hair that still grows post-op can be treated with laser. It is best to preserve the sideburns in males.
Same principles apply to the forehead lift and browlift procedure. It would be wrong to increase the height of the forehead in a male, making the gents look older. Therefore, a hairline incision, ie. an incision where the hair starts, is chosen. This even allows bringing forward the scalp, hence reducing the height of the forehead, rejuvenating the forehead at the same time. Care must be taken to NOT overly raise the eyebrows as to not feminize the male’s face. The surprised look is not an acceptable result. A “peninsular temporal” flap is often performed in males as to take advantage of the often present abundant temporal hair, joining the facelift incision to the forehead incision at the hairline. Sometimes, it is indicated to soften strong frontal bossing (sometimes called the Neandanthal look) during a forehead lift. The frontal bone can be be shaved and polished down with appropriate imaging and planning.
Incisions can be visible in males as to not shift the hairline into an older position. Therefore, extreme care must be taken to make the best scars possible. Plastic surgeons should do the best scars. Incisions should be performed as to maximize the hair growing through the scar. Stitching should be fine as to avoid trauma to the hair follicle.
In summary, conservatism is often the rule with males as to preserve masculinity with a restoration of a healthy appearance. Limiting the downtime and avoiding a “surgical look” is crucial. Patients should choose a plastic surgeon who is versed working with both males and females.
Yes, men deserve aesthetic procedures too.
Dr. Marc DuPéré, Toronto aesthetic plastic surgeon