Male Aesthetics

Terrence Keaney, MD


Skin Therapy Letter. 2015;20(2) 

In This Article

Abstract and Introduction


Men are a fast growing segment of the aesthetic industry. A review was performed for publications on gender differences in facial anatomy, behavior, and the use of minimally invasive aesthetic procedures in men. There are substantial facial anatomical differences between genders with men having a larger but unique cranial shape, increased skeletal muscle mass, unique subcutaneous fat distribution, and more severe facial rhytides. Men also exhibit poor behavior that can accelerate aging including poor utilization of preventive health care services, higher rates of smoking, and increased ultraviolet light exposure. Despite gender differences in facial anatomy and behavior, few studies have examined the role of gender in cosmetic procedures. Men require a unique injection technique with botulinum toxin and dermal fillers due to differences in facial anatomy.


Men are a fast growing segment of the cosmetic surgery population, representing 9% of all cosmetic procedures in 2012. More than one million minimally invasive procedures were performed in men, an 8% increase from 2011.[1] Despite the increased demand, the scientific community has largely ignored men. The study of beauty and aging typically focuses on the female face. Successful cosmetic treatment of men requires physicians to recognize the gender differences in anatomy, skin biology, skin aging, behavior and rejuvenation goals. The importance of understanding all gender differences is critical in providing a successful cosmetic outcome.