Dermal fillers for men. Are there any special considerations to keep in mind?

Facial fillers are being used more often in men. There are a number of options for fillers. It's important to treat men differently. Women tend to look for higher, more rounded cheekbones. Fillers in men should be concentrated more towards the front of the cheek and in the mid-face area. Another very useful areas for me is to fill in hollow temples, that helps to soften the look around the eyes.

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.