American Society of Plastic Surgeons
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Brotox and beyond: Demystifying the rise of male cosmetic injectables

In recent years, the popularity of cosmetic injectable treatments among men has been on the rise. More than ever before, men are turning to procedures like Botox and dermal fillers to achieve a more youthful and refreshed appearance.

We examined the benefits, misconceptions and factors to consider when opting for cosmetic injectables as a man, with insights from board-certified plastic surgeons Ira Savetsky, MD, and Josef Hadeed, MD.

Common cosmetic injectables for men

What exactly does Botox for men look like, and what injectables can men anticipate?

According to Savetsky, some of the most common cosmetic injectables sought out by men include neurotoxins, dermal fillers and platelet-rich plasma (PRP) therapy.


Neurotoxins, such as Botox, are a nonsurgical treatment that temporarily reduce the appearance of fine lines and wrinkles. "Neurotoxins are commonly used to address frown lines, crow's feet and forehead wrinkles," said Savetsky.

Dermal fillers

Dermal fillers restore volume, plumpness and smoothness to areas of the face. Hyaluronic acid-based fillers are frequently used, and men may opt for fillers to enhance facial contours, such as the cheeks, jawline and chin.

PRP therapy

PRP therapy stimulates collagen production and tissue regeneration, resulting in improved skin texture and reduced fine lines. It involves injecting concentrated platelets derived from the patient's own blood.

Differences in technique and desired outcomes

According to Hadeed, men seek a lot of the same cosmetic injectable treatments that women do.

"For example, Botox or other neuromodulators are frequently requested by men," said Hadeed. "They also ask for fillers, although the anatomic areas might vary compared to women. Men typically do not ask for lip fillers, as an example, but they might ask for chin or jaw fillers – to give them a stronger chin – that women typically don't ask for."

While the use of cosmetic injectables is similar for both men and women, there are some differences to consider.

"Men tend to have distinct facial features and a different facial structure compared to women," said Savetsky. "The differences include a lower and more prominent brow ridge, stronger jawline and thicker skin. When performing cosmetic injectable treatments on men, healthcare providers often take these factors into account to ensure a natural and masculine result."

Benefits of cosmetic injectables for men

When it comes to self-care, men should not be excluded from the conversation. Cosmetic injectables can bring a range of benefits to men who want to refresh their appearance. According to Savetsky, these treatments can help with the following:

Reduction of wrinkles and fine lines

Cosmetic injectables effectively smooth out wrinkles and fine lines, providing a more youthful and refreshed appearance.

Facial contouring and definition

Dermal fillers can restore volume and enhance facial contours, giving men a more defined and sculpted look.

Boost in self-confidence

Enhancing one's appearance can have a significant impact on self-confidence, making men feel more comfortable and confident in social and professional settings.

Misconceptions surrounding cosmetic injectables

Despite the growing popularity of cosmetic injectables among men, there are still several misconceptions that persist.

One common misconception is that cosmetic injectables are exclusively for women. Society has traditionally associated such treatments with women seeking to enhance their beauty. However, this notion is changing rapidly as more men embrace cosmetic procedures to improve their appearance. The reality is that cosmetic injectables can benefit men just as much as women, and they are increasingly seeking these treatments to achieve a more youthful and refreshed look.

Another prevalent misconception is the belief that getting cosmetic injectables goes against societal norms of masculinity. Men may worry that undergoing such procedures will be seen as a sign of weakness or vanity. However, Hadeed emphasized that the proper use of injectables in men can actually enhance masculine features.

"Some misconceptions are that only women get fillers or that it is not considered 'manly' to get injections," said Hadeed. "However, proper use of injectables in men can actually create a more masculine appearance!"

Board-certified plastic surgeons understand the nuances of male aesthetics and can tailor treatments to preserve and highlight masculine traits. By creating a more defined jawline, sculpted chin or revitalized appearance, cosmetic injectables can help men maintain a masculine appearance while addressing their aesthetic concerns.

To overcome these misconceptions, it is crucial to have open conversations and educate individuals about the realities of cosmetic injectables.

"Men should have a consultation with a properly trained plastic surgeon to assess their anatomy, skin quality and to discuss their goals in order to determine the most appropriate course of treatment with injectables," said Hadeed.

All men should feel empowered to prioritize self-care and explore options that can help them look and feel their best. By consulting with qualified and experienced healthcare professionals, men can gain a deeper understanding of how cosmetic injectables can be used to enhance their masculine features and achieve their aesthetic goals.

Considerations for men opting for cosmetic injectables

When it comes to considering injectables, men should consider factors such as facial structure, aesthetic goals, skin type and the amount of product required. Understanding their unique anatomy and desired outcomes helps healthcare providers create personalized treatment plans.

Savetsky emphasized several important considerations for men who are opting for cosmetic injectables:

Facial structure

Men have distinct facial structures characterized by stronger jawlines, prominent brow ridges and thicker skin compared to women. These differences require careful consideration during treatment planning. A skilled injector takes these factors into account to create a personalized treatment plan that enhances masculine features while maintaining a natural appearance.

Aesthetic goals

Men often have different aesthetic goals than women. They may seek treatments that enhance facial definition, create a more chiseled appearance or target specific concerns like deep lines or under-eye hollows. Open and clear communication of desired outcomes with the healthcare provider is essential to ensure that the treatment aligns with the patient's expectations.

Skin type

Each individual has a unique skin type that may respond differently to cosmetic injectables. Men should consider their skin type when discussing treatment options with their healthcare provider. Factors such as skin thickness, oiliness and propensity for scarring can influence the choice of injectables and the approach to treatment. Understanding one's skin type allows the provider to customize the treatment accordingly for optimal results.

Amount of product required

Men typically have larger facial muscles and more robust features, which may require higher doses or additional injections to achieve the desired results. The amount of product needed varies based on individual factors such as facial anatomy and desired outcome. An experienced injector evaluates these factors to tailor the treatment plan accordingly, ensuring that the results are effective and natural-looking.

Recovery and downtime

Consideration of the recovery process and downtime associated with cosmetic injectables is important. Although these treatments are generally minimally invasive and require minimal downtime, there may be temporary side effects like swelling or bruising. Understanding and planning for the recovery period allow men to manage their expectations and schedule treatments appropriately.

Duration of results and influencing factors

When considering cosmetic injectables, it's important to understand the typical duration of results and the factors that can influence their longevity.

"In general, neuromodulators such as Botox last about 3-4 months and fillers last anywhere from 12-18 months," said Hadeed. However, it's crucial to note that injectables are not permanent solutions and require a maintenance schedule to sustain optimal results.

The duration of results can vary depending on several factors, including individual metabolism, muscle strength and the specific product used. While some individuals may experience longer-lasting effects, others may find that the results diminish sooner. Factors that can influence the longevity of cosmetic injectables in men include:


Men typically have higher metabolic rates compared to women. This can affect the breakdown and absorption of the injected products, potentially leading to shorter durations of results.

Muscle strength and mass

Men tend to have stronger facial muscles and larger muscle mass. This can impact the duration of neuromodulators like Botox, as the stronger muscle contractions may result in a faster breakdown of the injected product.

Lifestyle factors

Lifestyle choices play a role in the longevity of injectable results. Factors such as excessive sun exposure, smoking, alcohol consumption and high stress levels can potentially affect the durability of the effects. It is recommended to adopt a healthy lifestyle and take care of the skin to help prolong the results.

It's essential to understand that individual responses to cosmetic injectables can vary. While some men may observe the effects of their treatment lasting longer than average, others may find that the results diminish sooner. Regular follow-up treatments are typically necessary to maintain the desired outcomes.

During consultations with a plastic surgeon, they can assess the individual's specific needs and recommend an appropriate treatment plan. By discussing the expected duration of results and factors that may influence them, men can have realistic expectations and plan for maintenance treatments accordingly.

Safety aspects and potential risks

Cosmetic injectables are generally safe when administered by qualified healthcare professionals. However, Hadeed cautioned there are some side effects to take into account.

"There are many risks associated with injectables," said Hadeed. "While most of the risks are minor, such as bruising, redness, swelling, pain and tenderness, there can be more severe side effects, including blindness. This underscores the importance of going to a board-certified plastic surgeon for treatment."

Increasing popularity of cosmetic injectables among men reflects a growing desire to enhance appearance and boost confidence. By understanding the benefits, debunking misconceptions and considering factors like facial structure and skin type, men can make informed decisions when opting for treatments like Botox and dermal fillers. Seeking treatment from experienced and qualified professionals is essential to ensure optimal results and safety.

To find a qualified plastic surgeon for any cosmetic or reconstructive procedure, consult a member of the American Society of Plastic Surgeons. All ASPS members are board certified by the American Board of Plastic Surgery, have completed an accredited plastic surgery training program, practice in accredited facilities and follow strict standards of safety and ethics. Find an ASPS member in your area.


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