Cosmetic Surgery Tips

Botox for men’s before and after

Botox for men is still new, but the market is taking off. It’s hard to have a conversation about Botox these days without someone mentioning it.

As an increasing number of men are experiencing aging and facial lines, many turn to Botox as a non-surgical option to reducing the effects of aging. While Botox for men is still new to the market, it’s growing in popularity.

Botox for Men Uses

Botox for men is used for the same things as it is for women: lines and wrinkles that appear on the face over time. Many think that only women use Botox, but this is not true. Both men and women can use it to correct any lines or wrinkles they may have on their faces.

As with any cosmetic procedure, you need to be sure that you choose a quality provider who’s been highly recommended by former clients. While you may have had a friend or family member who has had a great experience with Botox, make sure that your provider has experience with treating male patients before you decide to go forward with treatment.

You may find it hard to access the right information on the internet, so we are here to help you in the following article, providing the best and updated information on Botox for men’s before and after, male botox injection sites. Read on to learn more. We at collegelearners have all the information that you need about male botox forehead before and after. Read on to learn more.

Botox for men’s before and after

Guys Are Getting Botox and Fillers to Look Better on Instagram

Facial hair, Beard, Hair, Moustache, Nose, Chin, Skin, Head, Mouth, Lip, GETTY IMAGES

  • Guys are increasingly getting Botox and fillers to appear younger
  • Plastic surgeons estimate that nearly 20 percent of their clients are men, an increase from previous years
  • Botox for men makes up almost 10 percent of all cosmetic surgeries, according to 2017 data from the American Society for Plastic Surgeons
  • Men are also increasingly getting LitLifts, a series of injections that make your face look contoured, like an Instagram filter IRL

Shaun Clark, 39, was looking at photos of himself on Instagram when he noticed the first signs of aging. “I was being obsessive when looking at certain pics, like, ‘Oh, fuck, there are some lines,’” he says.

So Clark decided to get Botox around his eyes and forehead. A series of injections of botulinum toxin, Botox works by temporarily relaxing the facial muscles that cause wrinkles by blocking the nerve synapses from firing. ”My women friends swore by it. I just wanted to look younger,” Clark says.

It’s a ritual he’s maintained ever since. Clark says he now gets Botox injections every three months, and it costs about $250 each time.

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Before-and-after Botox photos from the Botox manufacturer Allergan.ALLERGANADVERTISEMENT – CONTINUE READING BELOW

That was in 2010. Since then, there’s been a 20 percent increase in the number of men getting plastic surgery in general, with most of them getting minimally invasive procedures like injectables or fillers like Juvederm, which can reduce wrinkles as well as add volume to areas like the lips or temples. The number of men getting Botox specifically has jumped 27 percent during that time span, leading media outlets to deem the trend “Brotox.”

Beverly Hills plastic surgeon Deepak Raj Dugar, MD, says that he has also seen an increase in male patients requesting Botox and fillers in recent years. He estimates that about 30 percent of his Botox patients are male, as are 20 percent of his filler patients, who often request fillers in their cheeks, jawlines, and temples.

Nose, Dentist, Hand, Mouth, Ear,

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So why is Brotox on the uptick? The short answer: social media.

While it’s not exactly news that the rise of Instagram has put more pressure on us to improve our appearances, guys like Jon LeBlanc, 40, are responding to that pressure by shelling out their cash for monthly injections.

“I do think our society is way more vain [because of social media]. I’m guilty of succumbing to that,” says LeBlanc, who was inspired to get Botox when he spotted his first forehead lines. “But I like good things and willing to pay for it.”

Psychotherapist and sex therapist David Ortmann, who has personally had Botox and fillers a number of times, says that given the relatively low cost of the procedure (it costs (it’s about $250-$500 per treatment area), it’s a quick fix for guys who spot perceived flaws in their Instagram photos. He sums up the reasoning thusly: “Instead of putting a picture of yourself up there from five years ago, why not have [this procedure] done?”

“Instead of putting a picture of yourself up there from five years ago, why not have this done?”

In fact, the influence of social media is so strong that some surgeons have developed specific procedures intended to enhance your appearance in selfies. Dr. Dara Liotta, a facial plastic surgeon on the Upper East Side of Manhattan, is the creator of the LitLift, which uses a cocktail of both Botox and filler on six different areas of the face. The LitLift is intended to recreate the effect of contouring, the makeup effect popularized by the Kardashians that aims to add definition to the face. “Essentially, the goal is to make you look like you are always well-lit, like in a Snapchat or Instagram filter,” Liotta explains.ADVERTISEMENT – CONTINUE READING BELOW

Liotta says that since she created the LitLift in 2017, about 20 percent of her clients have been men. “Botox and filler does not discriminate on the basis of gender,” she says.

Dugar agrees. “Men do notice how they look in photos, and I think men, despite being macho or whatever, are very sensitive to comments,” he says.This content is imported from Instagram. You may be able to find the same content in another format, or you may be able to find more information, at their web site.VIEW ON INSTAGRAM

But at the same time, even though more men may be choosing to go under the needle, they’re not any more open to talking about it. As stigmatized as cosmetic surgery is for women, it’s even more so from men. “Men are discouraged from looking in the mirror and wanting to be beautiful,” says Ortmann. He notes that this is particularly true for straight men, who might consider the desire to improve their appearance “feminine.”

Cy*, 42, says this stigma is rapidly changing — at least in Los Angeles, where he lives. While he was initially reluctant to get Botox and fillers, he changed his mind after seeing friends on Instagram rave about the procedure. “There’s now this radical acceptance,” he says. “So I just went with it.” Liotta agrees that it’s becoming less taboo, at least for the Instagram generation: “Millennials in particular seem to view Botox and filler as part of regular maintenance,” she says.

“Men are discouraged from looking in the mirror and wanting to be beautiful.”

Still, the way that Botox is marketed for men would seem to indicate that the hold of toxic masculinity is just as strong as ever. Medical spas like The Club House in Manhattan, for instance, offer events like “Poker Brotox Night” to put its male clientele more at ease, and even the existence of the cutesy term “Brotox” is arguably a sign that the procedure is still not entirely normalized for men.

It’s also worth considering the impact that the rise of injectables has on health and safety — especially in cities like New York and Los Angeles, where it can seem like every nail salon on the corner offers Botox. While Botox is widely considered to be safe in small doses, Dugar advises men interested in the procedure to use “a board-certified doctor or a dermatologist, or someone who has significant experience with injectables” instead of having a nurse administer an injectable at a private spa.

Liotta also cautions men who want to avoid looking like a wax dummy “to seek out an injector who has experience with men, since the exact placement of injections, and amounts of Botox and filler injected, are a little different for men and women.”

Despite the risks of injectables, as well as the implications it might have for our youth and appearance-obsessed culture, guys like Shaun Clark still clearly think it’s worth it. “For me, it just came down to wanting to look good,” he says. “I love getting Botox, and there’s nothing wrong with that.”

male botox injection sites

Treating men with Botulinum Toxin A (Botox)

TREATING MEN WITH BOTULINUM TOXIN A (BOTOX)

Injection of Botulinum Toxin A is the commonest cosmetic treatment performed in 2014 according to the latest statistics provided by the International Society of Aesthetic Plastic Surgery (ISAPS) as of 8th July 2014. (1)

The total number of Botulinum Toxin treatments as surveyed in 95 countries world wide amongst 2700 Board certified Cosmetic Plastic surgeons was 4,830,911. (1)

The non-surgical market in the UK is rising year on year. It was estimated to be worth £2.6 billion pounds in 2010, and now is estimated to be £3.6 billion pounds in 2015, a £1.0 billion sterling increase in 5 years. (2)

The increase in the number of men having the procedure was estimated at 25% in 2013. In my own non-surgical cosmetic practice the number of men treated has been static over the last 2 years. (3)

In my opinion the increase in males undergoing non-surgical treatments is fuelled in part by the influence of celebrities undergoing treatment, indirect media influence and popularisation, in addition to peer-to-peer acceptance.

The perception of having cosmetic treatment for men being associated to vanity appears to have less impact today than it did before; hence, giving men more freedom to pursue such treatments.

The Male Botulinum Toxin Patient:

The majority of the Toxin treated male population in my practice are in their forties to early sixties, married and own their business; which differs when compared with the female population I treat; however, in both cases word of mouth generates the majority of the newly treated patients with a high retention rate for retreatments.

They commonly present with the complaint of looking tired and wish to look fresher with less wrinkling.

The Consultation Process:

New patient consultation is 30 minutes in the first instance. In this time the patient history including their reasons for wishing to have the treatment, the general medical history and any relevant medical history is noted.

The patient is then assessed and the potential treatment plan is discussed, questions are answered, risks and potential complications discussed in depth. The patient is then left to give the matter thought and he will contact my PA to make an appointment for the actual treatment, which is carried in the second visit.

The patient is assessed 3 weeks following treatment; including when the injections were staged.

If the patient has unrealistic expectations or suffer from neurological conditions like myasthenia gravis, on anticoagulants, which cannot be stopped, or very recently had eyelid surgery I would not treat them.

During the consultation I would go through the verbal informed consent, which will be further discussed and signed on the treatment day. Pre-treatment photograph are taken and post treatment photographs are also taken.

The informed consent includes the benefits, limitations, potential risks and complications of treatment; the very small possibility of scarring. Long-term effects and the possibility of recruitment of adjacent muscles group’s activities, which may warrant modifying the treatment protocol over time, are discussed.

The duration it takes for the treatment to take effect, the time it reaches its maximum, and the estimated duration that it will last over in the different areas treated.

The differences in treating men versus women:

In my practice the areas men seek to improve tend to be more in the upper third of the face. The commonest are the glabella and frown lines; forehead lines and lateral orbicularis smile lines.

Treating men is different to women as their skin is thicker, the muscles are stronger with more muscle bulk and the lines especially on the forehead tend to be wider spread and extend to lower down in the forehead. (4)

The brow position tends to be flatter as opposed to arched in the female. Men tend not to be so bothered as much with eradicating the transverse forehead lines and the smile lines. (4)

Injected doses in each muscle group is more, either in the same number of designated areas or over a larger number of injection sites spread over the same anatomical zone. (4)

To obtain a cosmetically pleasing result I have used Botulinum Toxin A, Botox supplied by Allergan over the last 10 years. This product had contributed to achieving consistent results with high retention rate.

In my opinion to achieve a harmonious outcome with Botulinum Toxin treatment; it is best to treat 2-3 areas especially in the upper third of face.

Techniques of Botulinum Toxin Treatment in Men:

Techniques of Botulinum Toxin treatment have progressed in the last decade as we moved from the 2 dimensional facial analyses to a more sophisticated 3 dimensional analysis and understanding of the face. (5)

As a result the treatment of the “tired” face does not only include muscles relaxing, but also volume replacement with Hyaluronic acid fillers and skin improvement in its many forms of treatment; chemical peels or laser resurfacing being two modalities, which can be implemented at the same time or at a later date. (4,5)

In my experience it is not just the actual treatment that gives the best satisfaction with the outcome and higher retention; however, this is achieved by the way the consultation is carried out, the time spent during the assessment, the planning, the treatment followed by after care coupled with good cosmetic longer lasting outcomes.

The areas commonly treated are the:

  1. Glabella and frown lines; in the female 5 injection sites, in the male patient 5-7 injections sites. Total 20-30 units in the female and 30-40 units for the male distributed equally. (4)
  2. The forehead horizontal lines; the goal is to soften the lines and retain some movement and to avoid total paralysis. (4).The number of sites can be from as little as 3 too as many as 8 sites. A minimum of 2-3 cm from the orbital ridge to avoid brow ptosis. Total 10-20 units in a female, and 20-30 units in a male are injected. Each injection site dose is 1-5 units in a male, a lesser dose in a female. (4)In my experience the transverse lines of a male forehead tend to be more widely spread and extend lower down to higher risk areas just above the lateral brow. These areas I tend to treat in a staged fashion in new patients.
  3. The Crow’s feet; are a combination of muscle activity and photo aging. Its best to soften these rhytides rather than eradicate them, giving a more natural look. (4)It is important to assess lateral lid canthal laxity and lower eyelid retraction. The snap test is performed and signs of scleral show if any are noted. If the lower eyelid integrity and position are good then the area is treated. (4)8-16 units over 2-5 injections sites in a female and in the male, 12-16 units over the same injection sites. 1-2 units’ intradermal injection to raise a blip 3-4 mm below the cilliary line at mid-pupil point will add further improvement. (6)It is important to assess those patients who may recruit zygomaticus major to animate the crow’s feet as this may lead to drop of the angle of the mouth and cheek. Remember to keeping above the zygomatic arch. (4)
  4. Bunny lines; appear on the side of the nose and result from the nasalis transverse fibres. They are often included with the glabella line treatment; more so in females. They run from maxilla to maxilla and the aponeurosis may join the aponeurosis of Procerus muscle. (4)2-3 sites of injections, 2 laterally 1cm above the maxilla and 1cm away from the medial orbicularis to avoid an upper lip drop and lower eyelid epiphora. 2-5 units per injection site, and 1 unit in midline if required.Men overall do not receive this treatment. If they do have the treatment they will get 1 unit extra per injection site.
  5. Perioral area, the lips are central to the appearance of the lower face. The vertical lines are accentuated by the Orbicularis Oris (OO) muscle, which is affected also by smoking. The anatomy in this area is complex and the treatment is administered superficially. (4)It is also important to highlight that treating this area is not a single modality; however, it requires fillers and laser resurfacing or chemical peels in stagesOO is treated in the upper lip at 4 locations avoiding the cupids’ bow. 1 injection site 1-2 mm away from the philteral columns at the vermilion border bilaterally. 2 lateral injection sites 1cm apart, the most lateral aspect 1 cm away from the angle of the mouth.Each injection site dose is 0.5-1.0 units and in the male up to 2 units per site. The sites are symmetrically located on the upper lip irrespective of the lines distribution.The lower lip can be treated; however, more often than not it is not as it has a higher risk of imbalance of outcome and oral incontinence.The risks include inability to pronounce the letters P and B, inability to drink with a straw, inability to eat and to brush teeth and in more severe cases oral drooling and asymmetry. The male patients do not seem to be as bothered in the treatment of the lips.
  6. Dimple of the chin, less commonly requested by the male patient. The dimpled look is as a result of loss of subcutaneous fat and collagen in addition to the mentalis muscle action. (4)The treatment is with a single injection of Toxin centrally into the muscle of 10 units; less commonly of 2 injection sites 5 units each. In case a man requiring treatment a higher dose up to 12 units is utilised. The use of filler is of benefit to give an improved outcome.
  7. Platysmal bands, treatment fairs better in patients with elastic skin and minimal descent of the submental fat. Each band is treated with 3-5 injection sites at 1cm intervals per band. In a female 2-12 sites with a total of 10-30 units and the male patient 3-12 sites with 10-40 units. (4)The technique includes pinching the muscle and injecting directly into the muscle, treating 2-3 bands at a time. The treatment can be combined with lower face fillers. (4)In my experience the duration of action in most treated areas ranges between 3-4 months and takes up to 3 days to take effect and 3 weeks to reach maximum, and is also dose dependent. These observations were almost on the same lines as noted in Carruthers et al publication. (4)Planning the treatment is advisable in addition to staging it in new patients to allow the patient more understanding of the treatment its risks, complications and possible outcomes.

Complications:

Immediate complications and reactions include redness at the site of injection, which is self-limiting and usually resolves in ~1 hour. Bruising which is reduced if using loupes. Pain can be reduced with ice packs or local anaesthetic cream.

Transient adverse effects may occur in the first 1-2 weeks, which improve once the Botox takes full effect.

Other complications are area specific and include, asymmetry, dropped eyebrow/eyebrow ptosis, eyelid ptosis, dropped cheek and/or angle of mouth when smiling; in addition to the Mephisto look and the exaggerated angry look. (5)

In the case of the lower face an imbalance of the lip and its animation causing different degrees of asymmetry and cosmetic poor outcome, which may be difficult to correct.

Conclusion:

Botulinum Toxin treatment is a philosophy. Understanding the patient requirements, the anatomy of facial muscles, the volume loss and the skin quality is paramount to obtain a good 3 dimensional cosmetic outcome.

Counselling and educating the patient about their own face and its activity, the planned treatment, possible outcomes, benefits, limitations, potential risks and complications following a careful assessment are mandatory to a successful treatment. Added to that a full knowledge of the Toxin, its dilutions and diffusion radius along with its interactions adds to the safety of the outcomes.

References:

  1. ISAPS Global statistics on cosmetic procedures for 2014 published July 8th 2015.
  2. Review of the Regulations of Cosmetic Interventions, Final Report April 2013.
  3. Mail on line: The Unstoppable rise of Botox: Number of men having Botox has increased by 25% this year- and tripled since 2011. Published 29th November 2013.
  4. Consensus Recommendations on the Use of Botulinum Toxin A in facial Aesthetics. Carruthers J Fagien S, Matarasso S L and the Botox Consensus Group. PRS 114 (Suppl): 1S 2004.
  5. Advances in Facial Rejuvenation: Botulinum Toxin Type A, Hyaluronic Acid Dermal Fillers, and Combination Therapies-Consensus Recommendations. Carruthers J D A, Glogau R G, Blitzer A and the Facial Aesthetics Consensus group Faculty. PRS 121 (Suppl) 5S, 2008.
  6. Using Botulinum Toxins Cosmetically. Carruthers Jean, Carruthers Alistair. Martin Dunitz Taylor & Francis Group 2003; pages 41-43.

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