Male Plastic Surgery

Elliott H. Rose, MD -  - Plastic Surgeon

The Aesthetic Surgery Center

Elliott H. Rose, MD

Plastic Surgeon & Reconstructive Surgeon located in Upper East Side, New York, NY

Male Plastic Surgery Specialist
30% of all plastic surgery procedures will be in men. Over the last decade, it has become more “socially acceptable” for men to want a more natural-appearing nose, a sleeker waistline or a rejuvenated face, not only for vanity reasons, but also to be more competitive in the work environment. Schedule an appointment with Dr. Rose to see if plastic surgery can benefit you.

Male Plastic Surgery Q & A

by Elliott H. Rose, MD

What are the Procedures of Most Interest to Men?

  • Rhinoplasty
  • Facial Rejuvenation
  • Liposuction/Body Contouring
  • Gynecomastia
  • Hair Transplant Scar Revision

What Makes Facial Cosmetic Surgery in Men Different?

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.

  

 
Front Before & After Profile Before & After

Are Men Candidates for Body Contouring?

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.


Can I Reduce the Size of My Large Male Breasts (Gynecomastia)?

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.


 

Facial Rejuvenation

For men in the 4th through the 6th decade, blepharoplasty (upper and lower eyelid tucks), neck liposuction, face and brow lifts, laser resurfacing for fine wrinkles and Botox injections are common. These procedures, when performed incrementally, allow men to maintain a fresh, youthful look well into their 60’s and 70’s.

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 lipsuction 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.

Recovery from most of the procedures ranges from a couple of days to a couple of weeks. Shaving is often postponed for 7-10 days in some procedures because of skin sensitivity, but the beard growth often helps to camouflage bruising. Return to work or exercise regimen depends on the complexity of the individual procedure.


Hair Transplant Scar Revision

Innovative techniques in hair transplant surgery can sometimes lead to unanticipated and esthetically displeasing scars at the donor or recipient sites. Follicular transfers from the back of the scalp often leave a rough, “pebbled” appearance that is more disfiguring than the receding hairline that it was meant to correct. Sparse hair growth at the recipient sites on the forehead may fail to camouflage the indentations and discoloration created by scarring of the micro-follicular hair transplants.

A creative approach combining scar revision and/or laser resurfacing can mitigate some of these disfiguring hair transplant scars and, in some instances, actually lower the receding frontal hairline. These procedures, in conjunction with flesh colored make-up and/or permanent tattooing will allow you to feel comfortable in exposing your natural scalp.


Procedure and recovery

The anterior approach is through a one and a half to two inch incision at the receding frontal hairline. The dissection is carried out under the galea muscle of the mid scalp. The deep fibrous attachments to the skull are released. Traction is placed in a downward vertical direction on the scalp, advancing the receding frontal/temporal hairline forward to a more natural frontal hairline. A crescent of the alopecic forehead skin is excised and closed with deep sutures and surgical staples. No extra hair is trimmed during the closure.

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Elliott Rose, MD
895 Park Avenue
New York, NY 10075