July 31st, 2013 Miguel A. Delgado Jr, MD
San Francisco, CA-Cosmetic plastic surgery procedures for men have increased 106% since 1997, and increased 20% from 2011 to 2012 according to “The American Society for Aesthetic Plastic Surgery” known as (ASAPS). ASAPS was established in 1967 and is one of the two prestigious societies for Board Certified Plastic Surgeons.
ASAPS mailed out 23,000 questionnaires to Board Certified Physicians to come up with the percentages. Men had almost one million procedures done in 2012 which accounts for one tenth of all cosmetic procedures performed. More men of all ages are seeking cosmetic surgery each year as heightened awareness and acceptability of surgical solutions increases.
According to ASAPS, the top five procedures for men for 2012 are:
2. Rhinoplasty (nose reshaping)
3. Blepharoplasty (eyelid surgery)
4. Gynecomastia (male breast reduction)
5. Otoplasty (ear surgery)
Liposuction for men has become increasingly popular as men learn of the benefits of body sculpting on many TV shows and news articles. The three most popular areas are; the neck, the abdomen and the flanks (love handles).
Many surgeons feel it is the treatment of choice for male breast reduction, however, without the inclusion of surgical excision the results are very disappointing for men with true gynecomastia.
Liposuction is an excellent treatment for fat deposits that do not respond well to diet and exercise, but for a man the surgeon has to take great care not to give a feminized look for the man keeping a more square appearance to the back and waistline. Men prefer etching of the abdomen to accentuate the abdominal muscles. Men also want their scars hidden, as do women, and they are usually in the belly button and the underwear line.
Rhinoplasty can be any time after the nose stops growing, usually between 15 and 18 years of age for males.
A man’s nose should fit his face, which may mean a stronger dorsum and/or a more projected nasal tip. Women may seek a narrower nose while men may seek a wider nose.
Computer imaging is a great tool for the surgeon to show to the patient what the final result may be.
Blepharoplasty is surgery for the eyes; the eyes are one of the first places to show age and can make a person look tired, angry or old. Eye surgery is different for men than women, with different goals. Men have thicker skin and heavier facial muscles. Heavy upper eyelids can make a man look older. A low brow is attractive for the man, but if it is elevated during surgery, it must be done conservatively to avoid feminization of the male face.
Fat can accumulate in the upper and lower lids with the result of the upper lids looking puffy and hooding the eye and the lower lids can be puffy and saggy with dark circles. Some men may have enough drooping upper eyelid skin that it will interfere with vision and in some cases to such a degree that upper eyelid surgery may be covered with health insurance.
Gynecomastia surgery is up 5% over 2011 according to ASAPS. It appears that not only is the amount of surgery going up, but also
the incidence of gynecomastia cases being reported. It is believed that the increase in gynecomastia cases may be due to the use of many prescription drugs and well as many over the counter medications. Supplements and steroids are also linked to the development of male breasts, and as more hormones are introduced to the environment the increase in cases will continue.
Otoplasty, as noted in the previous blog can be done on boys as young as five years old, and is preferable so that teasing and psychological trauma can be avoided. However, as long as a patient is in good health, there is no age limit to having this surgery.
This procedure is popular for men due to the fact that their ears are more noticeable than women’s because they generally wear their hair short.
The American Society of Plastic Surgeons (ASPS) is the other prestigious society for Board Certified Plastic Surgeons. ASPS also reports statistics based on surveys taken from their members. The results are similar to ASAPS, but with a few variations.
ASPS reports that the top 5 procedures of 2012 for men are:
Gathering the statistics is not a perfect science, but the results do give us a trend and in both studies show the acceptance of men seeking a natural but improved appearance in the face and body.