It’s not unusual for men to be concerned about how facial aging effects their appearance. For this reason many men undergo facial rejuvenation procedures. When this situation arises, men have different aesthetic goals than women. In most cases, women want to look younger, in contrast men are interested in appearing refreshed and more energetic. These differences have important implications when men undergo facelift surgery.Although male and female facelift procedures have many similarities, they also have several important differences. These are related to anatomic differences between men and women. Men have thicker skin, increased facial hair and increased cutaneous blood flow. For these reasons, male facelift procedures are considered more complex then female facelift procedures.One of the biggest differences is incision placement. In women, the incision typically starts in the hair above the ear. Its then carried in front of the ear and then curved around the tragus and then extended downward to the ear lobe. It’s then carried onto the back of the ear and then posteriorly into the hair behind the ear. In men the incision is not curved around the tragus, but instead is kept in front of the ear. This avoids pulling the sideburn too far posteriorly into the ear canal. In the area behind the ear, the incision is not carried into the hair, but instead posteriorly along the hairline to avoid distortion.Male facelift patients have a greater potential for bleeding and hematoma formation. For this reason, male facelift requires meticulous surgical technique and hemostasis. In addition, men have thicker facial skin then women. Efforts to over tighten this skin can lead to a stretched appearance which can ultimately feminize the result.If you’re considering male facelift surgery, it’s important to consult a board certified plastic surgeon with experience performing this procedure. This surgeon should be able to formulate a treatment plan that’s appropriate for your needs.