Summary

The world places a high value on looking young and fit, that is why cosmetic surgery is up, and men are a big part of the increase. More men today are having cosmetic surgery to help them look younger and more attractive. Like their female counterparts, they have discovered the benefits of cosmetic surgery not only personally but also professionally. Men seem to be changing their attitude about several issues that were previously reserved for women. Feeling the need to look youthful and dynamic, well into your 40s, 50s, and 60s has led to men rethinking their attitudes to pills, diet, exercise, face-care products, and cosmetic surgery. In a society that values youth, 50-year-old executives are competing with younger, fitter, and more competitive 30-year-olds, who are often willing to work harder, and for less money. On the home front, men are also finding they want to keep pace with younger-looking wives.

The world places a high value on looking young and fit, that is why cosmetic surgery is up, and men are a big part of the increase.  More men today are having cosmetic surgery to help them look younger and attractive. Like their female counterparts, they have discovered the benefits of cosmetic surgery personally and professionally. Men seem to be changing their attitude about several issues that were previously reserved for women. Feeling the need to look youthful and dynamic, well into your 40s, 50s, and 60s has led to men rethinking their attitudes to pills, diet, exercise, face-care products, and cosmetic surgery. In a society that values youth, 50-year-old executives compete with younger, fitter, and more competitive 30-year-olds, who are often willing to work harder, and for less money. One 40-year-old sales executive felt that his baggy eyelids and tired-looking appearance affected his peers’ perception of his ability to perform his job. “every morning I would go to work, and someone would ask if I was tired and asked did, I get enough sleep.  In the business world, the feeling is if you look tired or don’t take care of yourself, people think you can’t keep up.”But, it is not just busy business executives in fear of losing their jobs who are filling the cosmetic surgeon’s waiting room.  On the home front, men are also finding they want to keep pace with younger-looking wives.

How do Men Age?

Facial aging is characterized by a myriad of changes that affect the skin, musculature, adipose, and skeletal compartments. These include photoaging, wrinkles, ptosis, and volume changes, that together via a complex interplay manifest to an aged face appearance Men have thicker dermis. Still, matrix degradation during skin aging due to intrinsic (genetics) and extrinsic factors (UV radiation, smoking) generates reactive oxygen species (ROS), leading to the appearance of increased skin laxity or prominent folds around the nasolabial region, periorbital region, and jowl. Moreover, studies have shown that men are more likely to engage in lifestyle habits (smoking, less than rigorous sunscreen) that aggravate skin aging. As the face ages, redistribution and descent of facial fat pads contribute to the signature look of being old. Facial fat is partitioned between superficial and deep fat, organized in discrete anatomic compartments. The profound fat acts as the structural foundation over which subcutaneous fat lies. Age-related depletion of these fat pads results and loss of their even distribution, leading to a predictable change in the appearance of the aged face, where sagging and hollowness persist. Specific areas that contribute to this look include diminishing the cheek projection, atrophy in the periorbital, forehead, temporal, and perioral regions, leading to sagging due to the relative excess of the remaining skin. Although both genders sustain similar age-related changes in fatty tissues, because men have less subcutaneous adipose tissue, they develop more prominent deeper wrinkles than the fine lines seen in women.

Craniofacial remodeling caused by aging also substantially affects facial features and overall male aesthetics. Consistent with age-related skeletal changes in both genders include an increase in a mandibular angle that may cause blunting or loss of definition of the lower border of the face and an increase in the pyriform aperture that can lead to an appearance of nose elongation. Midfacial bone loss may exacerbate the old nasolabial appearance.  In men, as the forehead is oblique, the glabella and frontonasal suture are more pronounced, the supraorbital rim is prominent, and the mandible is angular, bone resorption leads to a general look of droopiness in the upper midface areas and loss of the signature feature of male attractiveness, the strong square chin. It is essential to be mindful of the characteristics peculiar to the male facial anatomy and the male aging process. Specific features of the male face have long been recognized. They are supported by reasonable scientific evidence, such as the higher bleeding propensity of male facelift patients due to greater facial vascularity and facial hair, the increased incidence of rhinophyma in male patients, and the decreased incidence of melasma in male patients.

Male Cosmetic Surgery Consultation: The Psychologic Aspects

Screening for psychopathology should be a routine part of male aging face consultation. Although cosmetic surgery patients and men are significantly more ill from a psychiatric standpoint than normative populations, aesthetic surgeons should still expect to see patients with mental illness in their practices. Focused psychiatric histories and close observation of the office staff will alert the surgeon to a patient who may need to be referred for a mental health consultation. Thoughtful, targeted questioning can also reveal questionable motivations for cosmetic surgery and unrealistic expectations about the surgical results. Finding these potential problems in patients pre-operatively can prevent a lawsuit, threats of violence toward the surgeon, and wasted hours trying to satisfy the inherently unhappy patient. The spectrum of psychiatric illnesses that the aesthetic surgeon should recognize is body dysmorphic disorder, a disease with a higher prevalence in patients seeking cosmetic surgery than in the general population. Patients who have body dysmorphic disorder are preoccupied with an imagined or minor physical defect, and their bodily obsession causes significant social and occupational disability.

Given that surgery is ineffective for this disorder, these patients should be sought out and directed to proper medical professionals for treatment. In your initial consultation, Prof. Moawad will ask you to explain in detail why you want the procedure and how you hope to look and feel afterward. IIt’sessential to set aside any awkwardness; you might feel and speak candidly about the changes cloudlike to see.  You should feel completely assured that you and your surgeon understand one another. Prof Moawad will also evaluate your health, conduct a physical exam, take preoperative photographs, and explain which surgical techniques are most proper for you. You will discuss the type of anesthesia to be used, the type of facility where the surgery will be performed, the possible risks, and the costs involved.

Tell him if any part of the consultation makes you uncomfortable or if you have any special privacy requests. IIt’sessential to have realistic expectations about your surgery. Remember, Prof Moawad and his professional team at MSI can offer significant improvement, but not perfection. Keep in mind that your age and health may play a role in the quality of the outcome about a week after surgery. If you get the help and rest you need, you’ll improve your chances of a quicker recovery — and you may see your results a lot sooner. Excellent communication between you and your cosmetic c surgeon is essential when planning your surgery. During your initial consultation, you’ll be asked to explain in detail why you want the procedure and how you hope to look and feel afterward. IIt’sessential to set aside any awkwardness; you might feel and speak candidly about the changes you’d like to see. You should feel completely assured that you and your surgeon understand one another. Your doctor will also evaluate your health, conduct a physical exam, take a preoperative photograph, and explain which surgical techniques are most proper for you. You will discuss the type of anesthesia to be used, the type of facility where the surgery will be performed, the possible risks, and the costs involved. Medical insurance usually doesn’t cover cosmetic procedures. However, some plastic surgeons offer unique financing plans for cosmetic surgery or accept credit cards. Tell your surgeon if any part of the consultation makes you uncomfortable or if you have any special privacy requests. IIt’sessential to have realistic expectations about your surgery. Remember, your doctor can offer significant improvement, but not perfection. Keep in mind that your age and health may play a role in the quality of the outcome.

Men Cosmetic Surgery Planning

Excellent communication between you and your cosmetic c surgeon is essential when planning your operation. During your first consultation, you should explain why you want the procedure and how you hope to look and feel afterward. It’s essential to set aside any awkwardness; you might feel and speak candidly about the changes you see. You should feel completely assured that you and your surgeon understand one another. Your doctor will also evaluate your health, conduct a physical exam, take preoperative photographs, and explain which surgical techniques are most proper for you. You will ask about the type of anesthesia to be used, the type of facility where the surgery will be performed, the possible risks, and the costs involved. Medical insurance usually doesn’t cosmetic procedures. However, some plastic surgeons offer individual financing plans for cosmetic surgery or accept credit cards. Tell your surgeon if any part of the consultation makes you uncomfortable or if you have any special privacy requests. It’s esIt’sial to have realistic expectations about your surgery. Remember, your doctor can offer significant improvement, but not perfection. Keep in mind that your age and health may play a role in the quality of the outcome. I will provide extensive information about the procedure you plan to have during your consultation. While going over the process steps, your doctor will discuss several issues that may influence your surgery. Make sure you fully understand these considerations.

The advent of non-ablative lasers and light-based technology, and tissue tightening devices like Radiofrequency e offer mini lifts without surgery. New fillers such as Restylane and Perlane give men more choices to remove lines and wrinkles and fill deep creases and folds. Baggy eyelids, receding hairlines, wrinkles, frown lines, and sagging necks, to name a few.  Like women, they want trimmer waists and fewer wrinkles, and they want more hair. Despite this greater acceptance of men seeking and obtaining cosmetic surgery, a desire for discretion plays a significant part in the type of cosmetic enhancement or surgery men select. Men come to cosmetic surgeons and dermatologists for many of the same issues, concerns, and problems as women but cite different reasons. Women want to “ok less tired” ” “lo” better,” Wh” eas men indicate work-related reasons for seeking cosmetic surgery; they want to “increase competitiveness” in the workplace. When men present to a cosmetic surgeon, they are usually less familiar with the medical system and less comfortable discussing procedures.

Additionally, having spent less time in the medical system, they may not be aware of the downtime associated with the procedure that best addresses their concerns. Men present for cosmetic procedures later than women and have usually engaged in behaviors predisposing them to seek cosmetic surgery, such as not wearing sunscreen and smoking. Men do not usually wear cosmetics. Therefore, they are more concerned about the post-procedure downtime, as they may prefer not to have recognizable sequela of healing from a cosmetic procedure. This may explain why non-surgical cosmetic procedures, including Botox and Microdermabrasion, have increased among the male demographic by more than 300% and 400%, respectively, since 2000.  These non-surgical procedures have minimal downtime and are more acceptable to the male demographic. Hair transplants top the list of the most common procedures, followed by liposuction, nose surgery, eyelid surgery, filler injections, microdermabrasion, chemical peels, and breast reduction. Men are also rejuvenating their faces with face, neck, eye lifts, forehead, and brow lift; having lasers and peels to remove the wrinkles and make their skin look younger; re-sculpting their noses and undergoing liposuction and tummy tucks. These improvements haven’t at the surgeon. Men are also going to hair salons instead of barbershops, having facials and other skin-toning treatments, and shopping at cosmetic counters.

Hair restoration has become increasingly popular in recent years with both men and women. New technologies such as follicular unit extraction and grafting have allowed patients to get a natural-looking result with minimal downtime. In addition to hair loss treatment, I can successfully treat a variety of conditions with hair transplantation. I can repair scalp scarring, facial scars due to trauma or surgery, and hair loss due to traction with hair transplantation. Finally, hair transplantation can be successfully used to restore hair to the eyebrows, eyelashes, beard, mustache, or goatee area, and even in areas of the body, such as the pubis or chest.

Recognition of this volume loss in the upper face and its effects has changed our understanding and treatment of facial aging. A brow lift, also commonly called a forehead lift, rejuvenates the face above the eyes to restore a more refreshed appearance that better reflects a patient’s natural vibrancy. By removing excess sagging skin on the forehead and repositioning the underlying muscles and tissues, a brow lift can correct a heavy, sagging brow, eliminate deep furrows, and restore a smoother, more youthful contour to the upper one-third of the face. dThrough fat augmentation, the brow is directed outward and can support the overlying skin without raising the brow to an unnaturally high position.  The superior orbital rim is approached through a lateral forehead entry site. A midline entry site is then utilized to blend the fat into the medial rim and glabellar region, totaling 1 to 2 mL per side. Upper eyelid sulcus grafting may take place at this time utilizing an entry site in the brow.

Blepharoplasty surgery is shown when the eyelids require recontouring. Specifically, blepharoplasty is most useful when excess skin needs to be removed, the muscles are enlarged or require tightening, or eye fat needs to be removed or redistributed. Upper eyelid lift surgery typically involves an incision made in the natural crease above the eye, through which your cosmetic surgeon will remove a precise amount of excess skin and fat and adjust the surrounding muscles to make the desired improvements. There are a variety of surgical techniques that cosmetic surgeons can use to improve the lower eyelids; incisions are located on the outer edge of the lower eyelid, just beneath the eyelashes, or inside the eyelid. Depending on the case, I may remove excess, sagging skin or tighten the lower eyelid muscle to supply the most natural, effective results.

Rhinoplasty in the older man presents a unique set of obstacles. In addition to the conventional forces of healing and scar contracture, the aging nose features the altered anatomy and physiology of aging added to an already complicated three-dimensional structure. Men’s heavier, thicker, and more sebaceous skin can worsen the loss of support associated with aging, creating a scenario of worse functional issues in men than their female counterparts. Approaching the aging nose requires an appreciation of the nuances of the patient interaction’s preoperative, intraoperative, and post-operative phases. Although functional issues predominate in this population, aesthetic concerns also need to be addressed.

The social implications of ear deformities for the developing child are well documented. Protruding ears are a frequent source of ridicule by peers and may contribute to various developmental abnormalities, including social phobias and outright behavioral disturbances. Correction of even minor deformities can have profound benefits to appearance and self-esteem. The ear development is virtually completed by the age of five when I can undertake adequate measures. Correction ear surgery, also known as otoplasty, can improve the ear’s shape, position, or proportion. Otoplasty creates a more natural form while bringing balance and dimension to the ears and face.

If you are planning facial surgery or neck surgery, your doctor will evaluate your entire head-face-neck region. Is the hairline receding? How complete are the sideburns? Does the beard-growing skin extend up to the cheeks or down the neck? Are there facial scars? Is the skin sun-damaged? Is the neck skin loose or drooping? In general, male facial skin has a more abundant blood supply than female facial skin. Male faces bleed more during surgery and are at higher risk for forming a temporary collection or pooling of blood under the skin, called a hematoma, after surgery. Also, any scarring that may result from surgery may be more difficult for men to hide since they don’t wear makeup or style their hair toward their faces, as many women do. Hair growth and beard growth may play a significant role in the outcome of a facelift. If you are balding or have thinning hair, I may need surgical artistry to hide the facelift incision, especially in the temple area. If the hair-bearing skin of your upper neck is pulled behind your ears during surgery, you may find that you must shave behind your ears or the back of your neck. However, sometimes, electrolysis can correct this problem. Be sure to discuss these possibilities with your surgeon. A fatty area or “jowls” beneath the chin is also a concern for many men. In younger patients, liposuction alone may be enough to correct the problem. Older patients may require a complete facelift and neck lift, which may include the removal of excess skin and tightening the platysma muscles, which run down each side of the neck. These muscles are usually thicker in men than women but do not pose a more significant challenge for your plastic surgeon. Cosmetic procedures such as eyelid surgery, nose surgery, and facial implant surgery are performed primarily for men and women. However, it’s essential to let your surgeon know if you seek a more masculine look to your facial features – a chin with better projection, more prominent cheekbones, a more robust nose

The ideal male body shape is trim and athletic-looking, with broad shoulders and chest, a flat abdomen, and a narrow hip-thigh area. However, as men age, areas of fat tend to accumulate around the stomach, the flanks (love handles), the” breast area (a condition called gynecomastia), and along the chin and neck. Men sometimes seek liposuction to remove these fatty areas that are resistant to diet and exercise. Men retain their skin elasticity longer than women do, and the areas of fat beneath the skin tend to be firmer and more vascular than those in women. Because of these and other factors, liposuction in men is usually very useful. Normal-weight and overweight patients need one operative step, in which the fat is removed, and the muscles are sculpted at the same time by using selective liposuction. If necessary, the fat is repositioned through lipo-filling.

Muscle-enhancing surgery: In recent years, cosmetic surgeons have developed ways of improving muscle contour with cosmetic implants and “sculpting techniques. In all male patients, Prof. Moawad strives to achieve a trapezoid chest and sculpted pectoralis major muscle, pronounced alb, and semilunar lines, clear muscular bulk, and adherence in both the abdomen and extremities. I can achieve superior results in abdominal contouring using selective Lipo-contouring with fat grafting.  The ex-obese patients need two operative steps: In the first, we perform abdominoplasty with inguinal scar (to remove the excess abdominal tissue and to lift the pubis) and peri-areolar scar (to breast lift and reduction); in the second, we sculpt the muscles and the adherence by selective liposuction.

Abdomen Lift Surgery: A full abdominoplasty (or “tummy “tuck”) may “e chosen by men who have hanging abdominal skin (usually the result of massive weight loss), loose abdominal muscles, and/or neglected hernias. It is a major surgical procedure that removes excess fat, tightens the abdominal wall muscles, and trims the waistline. Men who have a full abdominoplasty are often surprised at the long recovery period. Some patients can’t work up to 4 weeks after surgery.

Calf implants, which were initially developed to restore leg contour in accident or polio victims, are sometimes used to create cosmetic fullness in the lower leg. Similarly, pectoral implants are used to build men’s chests.

Autologous intra-pectoral fat injection performed simultaneously with gynecomastia correction can produce a masculine appearance.

The days and weeks at once following your surgery are critical to obtaining an excellent final result. Therefore, you must follow your plastic surgeons to the letter. During your recovery, the doctor’s are likely to include:

• Taking adequate time off work
• Wearing bandages or tight compression garments
• Getting enough rest
• Staying out of the sun
• Saying no to alcohol and cigarettes
• Avoiding strenuous activity, exercise, sports, and sex

Studies have shown that men often deny their pain and feel foolish about asking for help after surgery. However, cosmetic surgeons understand that it’s sometimes tricky for men, who are programmed by society, to be patient, remain in bed for very long, or accept help from others during recovery. Men who reject help may have a tough recovery if post-operative depression sets in during the weeks following surgery. To avoid post-operative problems, it’s vital that you arrange to have a support person available to help you – both physically and emotionally – for about a week after surgery. If you get the help and rest you need, you will better chances of a quicker recovery – and you may see your results a lot sooner.

Losing a great deal of weight is a great skill and a tone towards a healthier, more energetic spirit. Nevertheless, excess, sagging skin can present a fresh challenge, preventing patients from thoroughly enjoying their weight loss benefits. An experienced cosmetic surgeon can get rid of extra skin and restore more aesthetically pleasing body contours. Skin removal surgery includes a range of body lift procedures performed after significant weight loss to address the excess skin folds on the arms, legs, torso, and/or buttocks, helping patients make a more natural, aesthetically pleasing shape. If you are burdened with extra skin after losing weight, getting rid of it can dramatically enhance your comfort and self-confidence, help you exercise with greater ease, and improve the way clothing fits. This field has applications across a broadband of the population, from the petite “mommy” looking for a makeover to the male who lost more than 100 lbs after gastric bypass surgery. There are many techniques to do this. The termination of breast and body-lift procedures prepares the best possible contour while respecting essential safety topics and continually innovating to better results.

Breast enlargement or gynecomastia is a condition of over-developed breasts in men that can occur at any age. Excess localized fat, excess glandular tissue, sometimes excess breast skin, and may present on one breast or both breasts. If the excess tissue is isolated to fat, liposuction alone may be enough to achieve the desired results. However, the breast tissue, which is denser than fat, can be surgically removed in some cases. The incision location will vary but may include the areola, under the breast, or at the armpit.