Refining male injectables in aesthetics


      The number of men interested in nonsurgical cosmetic procedures has been increasing in recent years. Given the gender differences in cutaneous biology and anatomy, the aesthetic treatment of men requires certain nuances and modifications from the more frequently completed procedures in women. In addition, photoaging and sun protective practices can vary between gender, which may be a consequence of the stigma that surrounds skin care and its relation to traditional gender roles. We have reviewed pertinent biologic, anatomic, and behavioral aspects of men as they relate to cosmetic injectable treatments. Men may require higher doses of injectable neuromodulators due to their larger and stronger facial mimetic muscles. Injectable soft-tissue fillers should also accentuate the ideal facial shape of men, which includes a squared jawline and inferomedial projection of the cheeks. The approach to injectable treatments differs between men and women in the aesthetic setting, and this should be addressed by practitioners.
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      1. The Aesthetic Society. Aesthetic Plastic Surgery National Databank Statistics 2019. Available at: Accessed August 20, 2020.

        • Giacomoni PU
        • Mammone T
        • Teri M.
        Gender-linked differences in human skin.
        J Dermatol Sci. 2009; 55: 144-149
        • Shams MG
        • Motamedi MH.
        Case report: Feminizing the male face.
        Eplasty. 2009; 9: e2
        • Karcher C.
        Liposuction considerations in men.
        Dermatol Clin. 2018; 36: 75-80
        • Henry M.
        Cosmetic concerns among ethnic men.
        Dermatol Clin. 2018; 36: 11-16
        • Abroms L
        • Jorgensen CM
        • Southwell BG
        • et al.
        Gender differences in young adults’ beliefs about sunscreen use.
        Health Educ Behav. 2003; 30: 29-43
        • Jagdeo J
        • Keaney T
        • Narurkar V
        • Kolodziejczyk J
        • Gallagher CJ.
        Facial treatment preferences among aesthetically oriented men.
        Dermatol Surg. 2016; 42: 1155-1163
        • Handler MZ
        • Goldberg DJ.
        Cosmetic concerns among men.
        Dermatol Clin. 2018; 36: 5-10
        • Keaney TC
        • Anolik R
        • Braz A
        • et al.
        The male aesthetic patient: facial anatomy, concepts of attractiveness, and treatment patterns.
        J Drugs Dermatol. 2018; 17: 19-28
        • Keaney T.
        Male aesthetics.
        Skin Therapy Lett. 2015; 20: 5-7
        • Jones IT
        • Fabi SG.
        The use of neurotoxins in the male face.
        Dermatol Clin. 2018; 36: 29-42
        • Carruthers A
        • Carruthers J.
        Prospective, double-blind, randomized, parallel-group, dose-ranging study of botulinum toxin type A in men with glabellar rhytids.
        Dermatol Surg. 2005; 31: 1297-1303
        • Vanaman Wilson MJ
        • Jones IT
        • Butterwick K
        • Fabi SG.
        Role of nonsurgical chin augmentation in full face rejuvenation: a review and our experience.
        Dermatol Surg. 2018; 44: 985-993