Dermal fillers for men. Are there any special considerations to keep in mind?
Doctor Answers 11
Filllers in men
It is helpful to seek out a board-certified dermatologist or plastic surgeon who is an advanced injector with experience working with men.
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Filler in Men
Facial fillers for men are placed differently than in women
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Dermal filler and replacing facial volume in men
Fill the valleys and not the peaks
Men tend to have flatter cheekbones. High cheekbones or apple cheeks can be a more desireable feature on women. Filling the tear troughs of the lower eyelid and upper cheeks should add minimal to no volume to the cheek itself, instead it is more about creating a smooth transition from the lower eyelid area to the upper cheek. Depending on the fitness of the man, if the area directly under the cheek bone is very hollow, reducing amount of hollowness without making it full or puffy can also be helpful in creating a healthier appearance.
Unfortunately, I do not have much before and after photos of male patients which consented to showing their photos online, although many did consent to showing them in the office in a private consultation.
A good lower eyelid/upper cheek filling using Restylane should simply look like a well rested appearance, but not really add any chipmunk cheek appearance to their face. Why? Filling the lower eyelids and upper cheeks typically only requires 1-2 cc's of filler. To give you a frame of reference, 1 cc is equivalent to 1/5th of a teaspoon (5 cc's). 2/5ths of a teaspoon will not make a huge difference in the masculinity or femininity of a face, but reducing shadowing on the lower eyelid and upper cheek will help in reducing the tired look.
I typically will recommend that area first and let the patient get used to first cc or two of filler. If they like the appearance and do not want any more, then they should stop there. If they like the appearance and now notice other small shadows or concavities (valleys) to filler then they can use more filler to reduce those shadows. Concavities are hollows, and hollows will cause shadowing on the face. If a surface is flat or convex, then it cannot make a shadow.
Some injectors will hear gaunt face and want to fill the "cheeks" This can make the cheek prominences even more prominent while not filling the concavities which can make a face more "caracature-like" where caracatures typically exaggerate convex features like noses, cheeks and chins.
Younger faces are more like a balloon where there are less shadows and a large majority of the area is very slightly convex which creates a relatively shadowless and young appearing face.
Good luck on correcting your facial volume loss.
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