Men's bodies tend to accumulate fat around the chest, waist and belly.  As we age and gain weight, deposits also develop beneath the chin/jawline and jowls.  This predisposition is likely to be genetically and hormone related.  These undesirable bulges are often seen on body builders despite adequate exercise.

All men develop a certain amount of breast tissue.  This frequently produces a female looking breast which can be corrected with liposculpture. 

The waist and belly areas are common problems for most men even if they are in good condition.    Despite weight loss and exercise bulges tend to persist.   Under light intravenous and local anesthesia the fat and breast tissues can be suctioned using a toumescent or wetting solution which helps to liquify the fat and decrease bleeding.  A fine canula is passed through the tissues attached to suction which removes enough tissue to make these areas appear normal. With continued exercise and weight loss we can even give you back the waist that you had in your younger days.  The proceedure takes under two hours. You can go home shortly after finishing.  Associated pain and soreness resolve quickly,  allowing you to return to work and exercise within a few days. Results are noticeable immediately then a week later when the swelling is subsiding.  Gradual improvement is noted for months.  A compressive garment worn for one month after the procedure decreases swelling and bruising.  The technology and technique have passed the test of time for over twenty five years making these proceedures surprisingly affordable.

 

 

A man's eyelids typically show the first sign of facial ageing.  Lower eyelid bulges appear secondary to a relaxation of the ligaments and muscles suspending the fat below the eye.  The cheeks begin to descend downward leaving a trough, hollowness  and darkness between the eyelids nose and cheeks.  Lines and wrinkles form secondary to sun damage and ageing.

These areas are addressed using a comprehensive approach including a lower eyelid skin and muscle lift , removal and repositioning of the bulging fat and excess eyelid skin, resurfacing of the skin with agressive skin care, lazer or dermabrasion and botox.

These proceedures are typically performed under a light sedation, topical and local anesthesia.  Recovery is quick due to minimal pain.

You can return to work within a few days wearing reflective glasses and cover to camouflage the swelling and bruising which begins to subside after three days.

 

 

The earliest signs of ageing in the male face are associated with a descent of the midface from the eyelids, front of cheeks to the jawline.  This creates a depression at the lower aspects of the eyelids in front of the cheek bones, deepening of the smile lines from the nose to the corners of the mouth and enlargement of the jowls.

Advances in fat injection and semi-permanent fillers enable us to correct these deformities without major surgery.  Injection of fat through small needles harvested from your waistline offer the best option.  The fat exhibits a large percentage of long lasting take (some affords permanent results).This proceedure typically performed under local and topical anesthesia takes under two hours. Results are seen immediately with swelling and bruising subsiding in 10 to 12 days.  You can return to most activities and work the next day. 

Good alternatives are Restylane/Perlane/Juvaderm hyaluronic acid fillers lasting up to 6 months.  Radiesse a hydroxyapetite based gel is my preferred filler for the laugh lines and creases between the brows, lasting 6 to 9 months.These permit correction of the hollows below the lids, between the lids and nose,  the cheekbones and in the smile lines between the corners of the mouth and jawline.   This proceedure typically performed under local and topical anesthesia takes under two hours. Results are seen immediately with swelling and bruising subsiding in 10 to 12 days.  You can return to most activities and work the next day.

Fullness below the chin and jawline is typically noted in patients who are somewhat overweight.  Liposculpture of the jowls, below the jawline and chin afford long lasting improvemnet of the jawline and neck definition with the added bonus of skin tightening.  This liposculpture is performed through small inconspicuous incisions below the chin and behind the ears as needed.  Minimal to no pain after the proceedure allows you to return to your usual activities the next day.  Bruising subsides in 10-12 days.  Results are noted by this time.  Significant improvement in the contour and definition of the jawline and neck are accomplished.  In most cases this proceedure postpones a facelift for many years.  Radiofrequency devices (Thermage, Polaris etc.) can further tighten the neck skin to avoid major surgery.

Forehead creases and lines between the brows are most often treated with Botox.  More permanent correction can be achieved with a forehead lift.  Small incisions placed in the scalp behind the hairline allow dividing the forhead and brow muscles thereby smoothing these lines. The results, noticeable immediately which last for years may outweight the quarterly trips and expenses of Botox injections.