Men pay for approximately 80% of the cosmetic surgery performed while becoming a patient only 20% of the time. It is hard to know if this is indicative of the social taboo regarding men and cosmetic surgery or is it a result of the idea that men are much less stoic than women and are basically averse to the minimal discomfort involved. Regardless of the cause, men are more frequently having plastic surgery and generally have the same reasons for having cosmetic improvement as our women patients: improved self esteem, being competitive with younger people in the work place, and to appear more youthful and attractive to the opposite sex.
Men age somewhat differently than women and require surgeries that are tailored for their specific facial aging issues. For instance, men are more likely to complain about their necks while women focus on the midface/cheek area. Both men and women have upper and lower blepharoplasty but men rarely want the browlift procedure so as to not look like “Kenny Rogers.” Kenny Rogers is a well known celebrity, singer, actor and country music star who was the unfortunate victim of an overdone browlift – forehead too tight, too smooth, too high, thus totally changing his appearance for the worse. In addition to eyelid and neck rejuvenation men are likely to inquire about liposuction of the waist and abdomen area. Men desire a nice tight, jaw line and neck with a youthful profile, a sculpted waist and bright, open, uncluttered, youthful eyes. Post-operatively, men tend to go back to work too quickly, tend to bruise worse than women, and are less likely to follow post-operative instructions. Men and women both require a full dose of positive reinforcement throughout the healing process. Early and often post-operative photos to document healing and cosmetic improvement are helpful during the early stages of healing where bruising and some swelling is to be anticipated. Men are less likely to keep all of their post-operative appointments and tend to be more secretive regarding their surgery than women. Men are uniformly less patient while healing but more appreciative of the good results and more youthful appearance over time. Men are less likely to have researched the procedures they want and tend to be referred mostly by other patients and thus are less affected by marketing schemes than women. Terminology is also important to men who shy away from the term “facelift” but respond well to being offered a “necklift.” Even with their idiosyncrasies, men are generally some of our most appreciative patients.
Dr. Paul Howard