Dermal fillers for men. Are there any special considerations to keep in mind?
Doctor Answers 13
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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Dermal Fillers for Men
The brain reads feminine as being curved, soft and round, and the brain reads male when we see angles and sharpness, so we want to maintain those angles in our male patients. If it’s a first treatment, you want to start gradually, men don’t want a dramatic change.
Men often will complain that they look tired, and a lot of this tiredness is due to mid-cheek volume loss. Men lose subcutaneous adipose tissue as they age, but you also see this in men who are very fit and have a really low body fat content—giving you that drawn, sunken look. Filling this can be extremely refreshing. To avoid feminizing the face, you want to fill that loss rather than raise the cheek bone as you do in women.
In men, volume replacement and volume correction and more important than lift. This requires deep placement of the filler. I don’t inject too much around the eyes because I find with men, you want to have some of those nice smile lines. If you make all of those go away, it tends to feminize the face. I use a smaller amount of toxin around the eyes and a larger amount in the glabella, because men tend to have a stronger glabella complex.
Juvederm Voluma for Mid-face Volume Loss in men
To address the upper cheek hollows, I usually like to treat the mid-face with Juvederm Voluma and the under eye area with Restylane. Although the process for treating men is the same as women, there’s absolutely no risk for feminization with my treatment plan. The only real challenge is finding a practitioner who can treat the under eye area with precision and expertise.
Take a look at this video and our photo gallery for more information. Good luck in your search for information!
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.