Abstract
The field of cosmetic dermatology has recently witnessed unbridled growth in the past
several years. Part of this has been due to the increasing popularity of aesthetic
treatments in men, who represent a growing patient population. Men tend to have higher
levels of collagen density and greater skin thickness, but these begin to decrease
earlier on. They can also more frequently have severe photodamage. Their clinical
presentations can affect the selection of treatments. Physicians should be familiar
with the subtle differences between treating men and women. Early studies and literature
are beginning to shed more light on these important distinctions. We review the notable
differences in facial aging, pathophysiology, and patient selection and discuss available
treatment options with these factors in mind.
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References
American Society for Dermatologic Surgery. 2018 ASDS survey on dermatologic procedures. Available at: https://www.asds.net/portals/0/PDF/procedures-survey-results-presentation-2018.pdf. Accessed 13 July 2020.
- Do age and gender differences exist in selfie-related behaviours?.Comput Human Behav. 2016; 63: 549-555
- Is “Snapchat dysmorphia” a real issue?.Cureus. 2018; 10: e2263
- Selfies–living in the era of filtered photographs.JAMA Facial Plast Surg. 2018; 20: 443-444
- Patient perception of beauty on social media: Professional and bioethical obligations in esthetics.J Cosmet Dermatol. 2020; 19: 1129-1130
American Society for Aesthetic Plastic Surgery. 2015 statistics. Available at: http://www.surgery.org/media/statistics. Accessed 13 July 2020.
- Lasers and energy-based devices in men.Dermatol Surg. 2017; 43 (suppl): S176-S184
- The male aesthetic patient: Facial anatomy, concepts of attractiveness, and treatment patterns.J Drugs Dermatol. 2018; 17: 19-28
- Cosmetic concerns among men.Dermatol Clin. 2018; 36: 5-10
- Nonsurgical cosmetic procedures for men: trends and technique considerations.J Clin Aesthet Dermatol. 2016; 9: 33-43
- Male aesthetics: a review of facial anatomy and pertinent clinical implications.J Drugs Dermatol. 2015; 14: 1029-1034
- The influence of age and sex on skin thickness, skin collagen and density.Br J Dermatol. 1975; 93: 639-643
- Skin thickness of Korean adults.Surg Radiol Anat. 2002; 24: 183-189
- Aging in the male face: intrinsic and extrinsic factors.Dermatol Surg. 2016; 42: 797-803
- Skin thickness in different menopausal status.J Med Assoc Thai. 1999; 82: 352-356
- The aesthetics of the upper face and brow: male and female differences.Facial Plast Surg. 2018; 34: 114-118
- Three dimensional analysis of facial movement in normal adults: influence of sex and facial shape.Angle Orthod. 2001; 71: 132-140
- Man-some”: a review of male facial aging and beauty.J Drugs Dermatol. 2017; 16 (suppl): S91-S93
- Measures of cumulative exposure from a standardized sun exposure history questionnaire: a comparison with histologic assessment of solar skin damage.Am J Epidemiol. 2007; 165: 719-726
- Introduction to skin aging.J Tissue Viability. 2017; 26: 37-46
- Aging and facial changes–documenting clinical signs, part 1: clinical changes of the aging face.Skinmed. 2013; 11: 281-286
- Facial changes in the mature patient.Clin Dermatol. 2018; 36: 152-158
- Oxidative stress, mitochondrial dysfunction, and aging.J Signal Transduct. 2012; 2012646354
- Dermatology.3rd ed. Elsevier Saunders, Philadelphia, PA2012
- Oxidation events and skin aging.Ageing Res Rev. 2015; 21: 16-29
- Skin tightening induced by fractional CO2 laser treatment: quantified assessment of variations in mechanical properties of the skin.J Cosmet Dermatol. 2012; 11: 201-206
- Elastins from patients with Williams-Beuren syndrome and healthy individuals differ on the molecular level.Am J Med Genet A. 2016; 170: 1832-1842
- Energy-based devices in male skin rejuvenation.Dermatol Clin. 2018; 36: 21-28
- Facial laxity rating scale validation study.Dermatol Surg. 2016; 42: 1370-1379
- Blinded, randomized, quantitative grading comparison of minimally invasive, fractional radiofrequency and surgical face-lift to treat skin laxity.Arch Dermatol. 2010; 146: 396-405
- Cutaneous facial resurfacing with the carbon dioxide laser.Ophthalmic Surg Lasers. 1996; 27: 685-698
- Laser treatment of photodamaged skin.Facial Plast Surg. 2005; 21: 99-109
- Laser resurfacing: a safe and predictable method of skin resurfacing.J Cutan Laser Ther. 1999; 1: 87-94
- Facial resurfacing of the male patient.Facial Plast Surg Clin North Am. 2008; 16: 357-369
- Esthetic treatment modalities in men: psychologic aspects of male cosmetic patients.Dermatol Ther. 2007; 20: 379-384
- Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury.Lasers Surg Med. 2004; 34: 426-438
- Laser and light-based aesthetics in men.J Drugs Dermatol. 2015; 14: 1061-1064
- Noninvasive skin tightening treatment.J Clin Aesthet Dermatol. 2015; 8: 14-18
- Skin tightening technologies.Facial Plast Surg. 2014; 30: 62-67
- Multicenter study of noninvasive radiofrequency for periorbital tissue tightening.Lasers Surg Med. 2003; 33: 232-242
- Fractionated carbon dioxide laser treatment of photoaging: prospective study in 45 patients and review of the literature.Dermatol Surg. 2011; 37: 1279-1290
- Ultrastructural evaluation of multiple pass low energy versus single pass high energy radio-frequency treatment.Lasers Surg Med. 2006; 38: 150-154
- Review of non-invasive body contouring devices for fat reduction, skin tightening and muscle definition.Australas J Dermatol. 2019; 60: 278-283
- New-generation radiofrequency technology.Cutis. 2013; 91: 39-46
- Radiofrequency technology in face and neck rejuvenation.Facial Plast Surg Clin North Am. 2018; 26: 123-134
- Microneedling: where do we stand now? A systematic review of the literature.J Plast Reconstr Aesthet Surg. 2018; 71: 1-14
- Microneedling: a comprehensive review.Dermatol Surg. 2017; 43: 321-339
- Microneedling: a review and practical guide.Dermatol Surg. 2018; 44: 397-404
- Safety and effectiveness of an automated microneedling device in improving the signs of aging skin.J Clin Aesthet Dermatol. 2018; 11: 29-34
- A comparative analysis of electric and radiofrequency microneedling devices on the market.J Drugs Dermatol. 2018; 17: 1010-1013
- Radiofrequency microneedling: overview of technology, advantages, differences in devices, studies, and indications.Facial Plast Surg Clin North Am. 2019; 27: 291-303
- Non-insulated smooth motion, micro-needles RF fractional treatment for wrinkle reduction and lifting of the lower face: international study.Lasers Surg Med. 2016; 48: 727-733
- Microfocused ultrasound for skin tightening.Clin Plast Surg. 2016; 43: 577-582
- Noninvasive skin tightening: focus on new ultrasound techniques.Clin Cosmet Investig Dermatol. 2015; 8: 47-52
- Microfocused ultrasound for skin tightening.Semin Cutan Med Surg. 2013; 32: 18-25
- Ultrasound tightening of facial and neck skin: a rater-blinded prospective cohort study.J Am Acad Dermatol. 2010; 62: 262-269
- Ultrasound skin tightening.Dermatol Clin. 2014; 32: 71-77
- A review of the use of ultrasound for skin tightening, body contouring, and cellulite reduction in dermatology.Dermatol Surg. 2018; 44: 949-963
- Rise in male cosmetic procedures in dermatology: A 4.5-year clinical evaluation.J Cosmet Dermatol. 2021; 20: 2466-2468
- Comparison of injectable filler locations in men and women: An age-matched case analysis.J Cosmet Dermatol. 2021; 20: 2469-2471
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Published online: November 24, 2021
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