Over the past few years, I have seen an increased demand from men requesting plastic surgery. Some of this may be related to baby boomers who have taken good care of themselves and desire to look as good as they feel. Other men don't want their wife to look better than they do after she has undergone facial rejuvenation procedures, so they request surgery as well.
Just as women often show signs of aging around the eyes, so too do men. The phrase "the eyes are the window to the soul" may well be a true, but I would also add the statement that "the eyelids are the window treatments through which you see the soul." Loose hanging furrowed skin, lateral brows that hang over the upper eyelids, and bulging fat pads below the eyelids with accentuated tear troughs put forth the image of fatigue and loss of vitality. This often results in friends and colleges asking if you are tired or if you are getting enough sleep. Fortunately, surgery to restore the upper eyelids to a crisp appearance with correction of any eyelid droop can be a game changer. The lower lids can be rejuvenated by removing excess fat and repositioning this tissue over the cheek to eliminate the tear trough. Combined with skin and muscle tightening, this procedure provides a fresh and vibrant appearance. This can be important not only in social situations, but also in how a person is viewed in the workplace.
Do you look in the mirror and say to yourself, "I hate this turkey neck"? Is it getting more difficult to buy dress shirts that are comfortable with ties? Do you look heavier in the face despite not gaining weight? If the answer to all these questions is yes, a consultation for a neck lift may well be a beneficial idea that is not just for vanity. Ideally, a man should have a strong jaw line and a crisp chin-neck junction. Having hanging skin with or without fat excess that obscures the jaw line certainly can put forth the image of premature aging of the individual beyond his chronologic age. A neck lift can be a valuable tool to restore your appearance and convey youth and energy. The surgery is very predictable in the hands of a board-certified plastic surgeon and is an outpatient procedure with very little pain. Most people can be comfortable in social situation in two weeks.
Proportionality is everything. If you are unhappy with the shape of your nose or how it blends with the rest of your face, then request a plastic surgeon to perform a facial analysis of you. If the nose seems big, maybe the lower face is out of place, such as a small lower jaw or chin. Often times, I will perform a chin augmentation with a rhinoplasty to provide a harmonious facial appearance. Nose surgery requires finesse and a keen understanding of the anatomy of the many sub-units of the nose. The key is to provide shape without feminizing the male nose. This is also a rather easy surgery to recover from and the patient can return to work within a week usually.
As mentioned above, the facial sub-units should all be proportionate to each other. If the lower jaw projection is limited by lack of growth, it can portray a weaker jaw with less of a masculine appearance. By using the correct judgment, a plastic surgeon can provide an enhanced projection with the combination of either an implant or repositioning the bone along with liposuction of the jaw line to create a sculpted jaw which projects strength.
If you look in the mirror and the phrase "dad bod" screams out, liposuction may be something to entertain. An important fact to remember is liposuction, with its many variations, is a contouring tool, not a weight loss technique. I strongly encourage anyone who is considering body contouring to first consider diet and exercise. If after some toning in the gym and achieving a normalized weight you are still unhappy with the shape of your body, then liposuction may be a reasonable adjunct to improve the appearance. The abdominal area can be shaped, as well as reducing the flanks, to provide a sleeker frame. It's a safe surgery that is easily recovered from. Normally, patients can return to work in a day or two. Final results take between six weeks and two months to observe the full effect of the reshaping.
If you have excess fat and skin of the breast, which can also affect the size and shape of the nipple-areolar complex, this can project a very feminizing effect of the male chest. In my experience, I have been very happy with the results of a combination VASER liposuction (ultrasound assisted liposuction) with direct excision of any sub-areolar glandular elements with or without areolar reduction to achieve a masculine chest. This can be a very disturbing condition for a man of any age, particularly in the teenage years. We see a bimodal distribution of people seeking treatment; those in their teenage years and men in their late forties and fifties who are seeking help to restore the loss of tone in their chest area.
Plastic surgery has continued to evolve in its perception ever since its creation after World War I. Aesthetic surgery was once viewed as taboo or something to hide because it was perceived to be too self-indulgent, but now it has become more common place and in the minds of many its presence is looked upon as mainstream. I think this evolution of society's view is related to the strong work of The American Society of Plastic Surgeons (ASPS) to ensure that board-certified plastic surgeons are well trained and perform safe, predictable surgeries that patients seek and desire with excellent outcomes. Also, our population is living longer with better quality of life and people are remaining active and engaged. They wish to look as good as they feel and are no longer shy about requesting procedures to keep them looking their best.
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