You’ve Got Male

Male facial rejuvenation requires a very subtle approach, says Sydney plastic surgeon Dr Darryl Hodgkinson.

Before and after facelift and upper eyelid surgery by Dr Hodgkinson

The ageing processes of the face differ between men and women and as such the approach to treating the outward signs of male facial ageing is distinct from that of women.
We associate a strong jawline and chin as hallmarks of an attractive male face and unfortunately these features are often the first to show signs of ageing.

A man in his 40s to 50s may begin to develop jowls and seek an improvement in his jawline, in which case Thermage may be effective. This is a non-surgical radiofrequency treatment that tightens facial tissues to achieve a modest improvement, lasting usually one year or slightly more.

As time marches on, however, to achieve a real improvement, I believe surgery is necessary. This is especially true for men who were not genetically blessed with strong jawlines. This lack of early definition to the jaw and lack of a strong chin are further diminished as the tissues of the face and neck sag with age. These men in particular may choose facelift surgery to accentuate the jawline and perhaps even a chin implant if their chin is weak or receding.

Before and after facelift by Dr Hodgkinson

If the laxity of the neck is characterised by vertical bands, or strands of lax skin and muscle known as the platysma, then a surgical procedure such as a neck lift may be indicated. Cosmetic injectables to the neck and jawline might give a modest improvement but could also be a waste of time and money. I find that men generally prefer to invest their time and money in lasting and satisfying solutions as opposed to more subtle treatments that give lesser results and require multiple visits and ongoing investment.

Eyelid surgery is commonly sought by male and female patients alike. The eyes are considered the ‘windows to the soul’ and when the eye area is heavy and puffy it can give a tired, haggard, sad and unkempt appearance. Eyelid surgery for males, like facelift surgery, is different to female eyelid surgery. Men do not want a glamourised look but a natural one. A skilled and experienced surgeon in male aesthetic surgery can create a subtle result in the upper eyelids by removing excess skin and creating a gentle fold while at the same time reducing the fatty bags under the eyelids if necessary.

I believe surgery will always offer a more definitive result than non-surgical procedures as it offers a longer lasting and more reliable result. Male facial rejuvenation can give the patient a refinement in their self-image and a boost to their confidence.