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MALE COSMETIC PROCEDURE

Our society places a high value on looking young and fit. Today, men of all ages and all walks of life are requesting cosmetic surgery for different reasons which include: a more balanced nose, a rejuvenated face, or a trimmer waistline. The procedures used to achieve these goals must take skin thickness, beard growth and body type into account.

Planning your surgery

Good communication between you and your cosmetic surgeon is essential. In your initial consultation, you will be asked to explain in detail why you want the procedure and how you hope to look and feel afterward. It is important to set aside any awkwardness you might feel and speak candidly about the changes you would 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 preoperative photographs, and explain which surgical techniques are most appropriate 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 does not cover cosmetic procedures.

The surgery

Your consultation will extensively cover information on your operation. We will discuss a number of factors that may influence your surgery. Make sure you fully understand these considerations.

Facial surgery:

If you are planning facial surgery or neck surgery, your doctor will evaluate your entire head-face-neck region. Is the hairline receding? How full are the sideburns? Does the beard-growing skin extend up 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 richer blood supply than female facial skin. Men's faces tend to bleed more during surgery and are at greater risk for forming a temporary collection or pooling of blood under the skin, called a hematoma, after surgery. Also, any residual scarring may be more difficult for men to hide, since they don't wear make-up or style their hair toward their faces, as many women do.

Hair growth and beard growth may play a major role in the outcome of a facelift. If you are balding or have thinning hair, surgical artistry may be required 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 or laser hair removal can correct this problem. Be sure to discuss these possibilities with your surgeon.

A fatty or "jowly" area beneath the chin is also a concern for many men. In younger patients, liposuction alone may be sufficient to correct the problem, or an isolated neck lift may be appropriate. Older patients may require a full 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 they are in women but do not pose a greater challenge to your Cosmetic Surgeon.

"Refinishing" treatments for facial skin: Shaving must be postponed for about three weeks after a skin-smoothing treatment such as chemical peel, dermabrasion, or CO2 laser. Because these procedures strip away the surface layers of skin, you can expect your face to remain sensitive, swollen and bright pink for several weeks or more after surgery. Some men are happy that the beard growth helps conceal the redness-especially if they feel uncomfortable using camouflage make-up. Men who feel self-conscious about their condition are also advised to give up alcoholic drinks for about four weeks. Alcohol causes the areas of treated facial skin to become noticeably red and flushed.

Changing the facial features:

Cosmetic procedures such as eyelid surgery, nose surgery, and facial-implant surgery are performed essentially the same way for men and women. However, it is important to let your surgeon know if you are seeking a more masculine look to your facial features-a chin with better projection, more prominent cheekbones, a stronger nose.

Hair replacement

The primary consideration for men contemplating hair-replacement surgery is the time involved. Natural-appearing hair replacement usually requires multiple surgical procedures, with long recovery intervals. A full regimen of hair transplants may last anywhere from 18 months to 2 years or more. You should be aware that incisions or transplant sites might be noticeable to others, especially in the early stages of the hair transplant process. If your work or lifestyle is not compatible with a long treatment period, ask your surgeon about alternatives to hair-transplant options, such as flap surgery or scalp reduction.

Liposuction/body contouring

The ideal male body shape is considered to be 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 abdomen, 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.

In many cases, liposuction alone can effectively correct these problem areas. Men retain their skin elasticity longer than women do, and the areas of fat beneath the skin tend to be firmer and more vascular. Because of these and other factors, liposuction in men is usually very effective. Men who have some loose, hanging skin, as well as areas of excess fat, may opt for a traditional excision procedure (surgical skin removal) in addition to liposuction. An excision may also be performed on gynecomastia patients whose breast enlargement is made up of mostly glandular tissue, rather than fat.

Abdomen reduction

A full abdominoplasty or tummy tuck is an option for men with 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 muscles of the abdominal wall, and trims the waistline. Men who have a full abdominoplasty are often surprised at the long recovery period. Some patients are not able to return to work up to four weeks after surgery. Men with good skin elasticity who have only a moderate amount of excess abdominal fat may benefit from liposuction alone.

After your surgery

The days and weeks immediately following your surgery are critical to obtaining a good final result. Therefore, it is essential that you follow your doctor's instructions. This may mean 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; and avoiding strenuous activity, exercise, sports, and even sex.

However, cosmetic surgeons understand that it is sometimes difficult for men, who are programmed by society to be stoic, to remain in bed for very long or to accept help from others during recovery. Studies have shown that men often deny their pain and feel foolish about asking for help after surgery. Men who reject help may have an especially difficult recovery if post-operative depression sets in during the weeks following surgery.

To avoid postoperative problems, it is important that you arrange to have a support person available to help you-both physically and emotionally-after surgery. If you get the help and rest you need, you will improve your chances of a quicker recovery-and see your results sooner.

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