Male Face and Neck Lift: A Sign of the Times

By: Babak Azizzadeh, MD, FACS

Once upon a time, women were the main recipients of facelifts. While women still continue to dominate the majority of surgical and non-surgical facial rejuvenation procedures performed in this country each year, it is becoming more and more common – and more and more acceptable – for men to join their ranks.

In fact, according to the American Society for Aesthetic Plastic Surgery, “percent of cosmetic procedures. The number of procedures (surgical and non-surgical) performed on men was just over 1 million, an increase of 17 percent from the previous year.”
This report will cover the following topics:

  • What a male facelift is
  • How it is performed
  • What to know during the consultation
  • How long recovery time might last

When it comes to facelifts for men and women, both procedures are typically the same. However, men age differently than women and they also have different needs and desires. This is where a female and male facelift tend to differ.
As men age, they desire to have a more youthful, virile and natural appearance. Men generally do not mind having some wrinkles to show for their life experience; however, they do mind having bags under their eyes and loose skin in the neck and jowl region . This heavy, sagging look is the reason most men seek facial rejuvenation.
For some men, a face and neck lift (also known as rhytidectomy) can solve most of their concerns. For others, they may also require multilevel fat grafting, eyelift (blepharoplasty), or fillers to complete a more youthful look by eliminating the drooping or sagging that can also occur above and below the eye.

How is it performed?

Male facelifts are very similar in nature to the female facelift; however there are some major differences that your surgeon must be aware of. Since men have side-burns, the incision in front of the ear needs to be carefully planned. I typically like to avoid that incision all together if possible by utilizing endoscopic facelift techniques and incisions behind the ear to completely camouflage. Another important issue in men is the over-pulled look windswept look. This is absolutely not acceptable as most men want to have a completely natural look.
If definition is an issue, implants may be utilized to improve a receding chin or underdeveloped cheek region. If complimentary procedures are agreed upon before hand, like injectables for definition or an eyelift to decrease sagging eyelids, these may be done at this time as well.

What should I know before a male facelift consultation?

Men should be aware to choose their surgeon carefully. They should make sure that their surgeon is board-certified by the American Board of Facial Plastic & Reconstructive Surgery or the American Board of Plastic Surgery. Furthermore, their surgeon should have expertise in men and facial rejuvenation. In addition to their skill set, the surgeon needs to have the correct “aesthtetic eye” so that the final outcome is in line with your expectations.. In particular, since men tend to wear their hair shorter than women and thus have less options for hiding scar tissue, you will want to discuss the injection sites, how much scarring may or may not occur and the pros and cons of each option.

How long might recovery time last?

The male facelift is typically performed as an outpatient procedure. Recovery time is often as short as one to two weeks. However, as with all surgical procedures, you must have someone care for you for at least 72 hours after your surgery is done.

About the Author: Dr. Babak Azizzadeh is the Director of the Institute for Rhinoplasty & Nasal Reconstruction and The Center for Facial & Nasal Plastic Surgery in Beverly Hills, California. Dr. Azizzadeh is one of the leading facial plastic surgeons in the country with an expertise in facial rejuvenation and rhinoplasty. He is the author of top-selling plastic surgery textbook, Master Techniques in Facial Rejuvenation and the upcoming textbook Master Techniques in Rhinoplasty & Nasal Reconstruction and Beverly Hills Beauty Secrets. He has been featured in the Oprah Winfrey Show, People Magazine, NY Times, LA Times and numerous other media outlets.