Special considerations requiring expertise in male surgery are necessary to achieve the most optimal outcomes. Men’s skin, in general, is thicker and has a richer blood supply that increases the risk of bruising or hematoma formation (counteracted by a well-planned anti-bruising regimen). Incisions must be artistically placed in the hairline, within the ear or behind the sideburn to avoid visible post-surgical scarring. In balding patients or those with thinning hair, creativity must be used to hide brow lift incisions, particularly in the temporal area.
In the neck area, muscles may be thicker, but elimination of the “turkey” jowl beneath the chin and a sharper neckline can be achieved by liposuction alone or in conjunction with skin trimming. Softening of the cheek jowls can be accomplished by limited-incision mid-face lifts. Botox injections, carefully planned at three – to six-month intervals, can erase “worry” lines of the forehead, frown lines between the brows and crow’s feet at the corner of the eyes. Bagginess under the eyes can be flattened by removal of excess fat and trimming of the skin through concealed incisions at the lash line. Nasal reconstructive surgery is generally “less severe” in men in order to preserve a more chiseled, natural look.
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The ideal male body is triangular in shape, with broad-based shoulders, a trim waistline, and contoured, sculpted muscle masses. With age, fatty pockets tend to accumulate in the hip area (“love handles”), lower abdomen, breasts, chin and neck. These areas of fat deposits are testosterone-sensitive and often do not respond to diet or exercise. Liposuction is a very effective tool in recontouring a more masculine physique and removing unwanted fat. Men who have loose-hanging skin the lower abdomen (from excessive weight loss, weak abdominal muscles or hernia) may opt for full abdominoplasty (“tummy tuck”) or more limited skin excision of the lower abdominal roll.
This form of male breast enlargement affects 40-60% of men. With age, fatty deposits tend to collect in the breast areas. In some individuals, glandular excesses of breast tissue may occur from adolescence. In rare instances, certain drugs or hormonal conditions may influence the onset of gynecomastia, but, in the vast majority of cases, there are no known causes. In more limited cases, liposuction alone is effective in removing excess fat and recontouring the chest wall. If firmer, glandular tissue is the cause, a 1.25″ incision is made at the lower arc of the areola to sculpt away excess breast tissue. In rare instances of excessively hypertrophied.
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