Cosmetic Surgery for the Guys

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For many years, cosmetic surgery was a very private affair. Some people would even wear disguises when visiting their plastic surgeon. Now it is very open, and even common in the male population.

The most common procedures in the male are liposuction of the “love-handles,” which men hate (I have had more than one name them their” hate-handles”). This is treated with a liposuction, my preference is the Tickle lipo" technology.

Next in frequency are face and/ or eyelid lifts. The face-lift can be performed with or without an eyelid lift. Eyelid surgery is usually done under local anesthesia, but a face lift requires a light general anesthesia. Recovery should be discussed with your plastic surgeon. Discomfort is minimal.

Typical with men is the problem of the “turkey gobbler” neck. For those men that simply don’t want a face-lift, neck problem can be solved with a combination of liposuction and “direct excision,” which leaves an inconspicuous vertical scar on the neck. This only requires local anesthesia and minimal recovery. Results are uniformly satisfactory. Of course, other procedures, such as nose jobs, chin implants, and liposuction of the neck, abdomen and elsewhere are also common-place.

Just as in women, those who want non-invasive surgery for facial rejuvenation and no recovery time, injection “fillers” are used. These would include the hyaluronic acids, such as Voluma, Restylane, Perlane and Juvederm and the general “inflater” of the face, Sculptra. I have been very impressed with Voluma, as it is long lasting, gives an instant result, and is reversable (although I have not been asked to reverse it).

Faces simply deflate with age and the result is sagging. We are all familiar with the comments “you’ve lost your baby fat,” which is usually made for those in the mid-twenties. Unfortunately, we keep losing the fat, and that’s where "fillers" come in. It requires injections in the face done following application of an anesthetic cream.

Unknown to most people is the problem of gynecomastia, or oversized male breasts. I find that men truly hate having excess breast tissue. They can’t wear T-shirts and are often embarrassed, and, amazingly, the treatment is unknown to most people. Typically, this problem usually begins around puberty but usually goes away in the late teens. It also develops with weight gain and during andropause, the male menopause. This is because the enzyme that converts testosterone into estrogen is more abundant. This is also why body builders who take large doses of anabolic steroids, forms of testosterone, often get large breasts. Excess testosterone makes more estrogen, which stimulates formation of breasts tissue.

Regardless of the cause, the treatment is to remove the breast tissue. This is usually through a small incision at the bottom of the nipple-areola complex, where there is a skin color change from the nipple skin to regular skin. In addition, liposuction is usually performed. The treatment must be individualized according to the gland/fat ratio, as the surgical excision removes the “core” breast tissue and the liposuction removes the fat. If a patient is significantly overweight and there is significant sagging of the breast, some skin may have to be removed as well leaving scars, which must be discussed with your plastic surgeon.

Recovery from gynecomastia surgery usually takes a few days requiring an Ace bandage around the chest. This procedure can be performed under general or local anesthesia, according to the severity of the problem. It has been, without exception, categorized as “happy surgery,” when performed well and if the patient has realistic expectations.

I have found that men are excellent candidates for cosmetic surgery, as most men wait until they truly dislike a feature of their face or body before they consult a plastic surgeon. When seeking any procedure, they should ask for the various options available to them along with the risks and required recovery.

Article by
Savannah Plastic Surgeon