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 procedure 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 jaw line. This procedure 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 improvement of the jaw line 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 procedure 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 procedure 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 forehead and brow muscles thereby smoothing these lines. The results, noticeable immediately which last for years may outweigh the quarterly trips and expenses of Botox injections.
