“Whereas liposuction for males 10 years ago was because they had a paunch, a spare tire, they said, ‘I can’t wear jeans anymore,’ and it was more for reducing, now they are coming in and asking for body sculpting,” Garcia said.
Doctors say their male patients tend to differ from women in subtle ways. In general, men prefer a less aesthetic procedure in exchange for having less down time, less of a recovery process and less pain and discomfort, Garcia said.
And while it’s harder for men to make the decision to visit a plastic surgeon, once they do, they want the procedure done the next day, Franco said, adding that women tend to prefer to spend more time doing research and thinking about it.
Minimally invasive procedures, such as neurotoxins Botox and Dysport, as well as dermal fillers, make up the majority of all cosmetic procedures, and are growing in popularity among men, said Dr. Ivan Camacho, a dermatologist in private practice in Coral Gables and South Miami, who is also a voluntary assistant professor of dermatology at the University of Miami Miller School of Medicine.
“Our rejuvenation goals and aesthetic goals are different,” he said. “We’re not looking for beauty. We want to look refreshed and feel confident.”
For men, the results also have to be subtle and natural looking, said Camacho, who recently made a presentation on the surge in cosmetic procedures for men at a meeting of the American Academy of Dermatology in Miami Beach. “Men more than women are going to be very sensitive about having exaggerated results.”
Men’s skin also differs from women’s. It is 20 percent thicker, and men have less subcutaneous fat, he said.
“Knowing that we burn so much fat, dermal fillers are catching up with neurotoxins because volume loss is one of the most important factors in the aging process in men,” said Camacho, who estimates that 20 percent of his cosmetic patients are men.
One of the most popular filler treatments, he said, is under the eye, for patients who say they look tired and whose eyes have a sunken appearance due to the loss of fat.
“They just want to go back to where they were 10 years ago, to reverse the changes that have happened with the natural processes of aging,” Camacho said.
Other treatments men are benefitting from include CoolSculpting, which freezes fat on the abdomen and flanks — and which Camacho even used on himself — and laser hair removal, which can remove hair on the lower neck area that gets irritated from razor burn, or on the back.
It’s often men’s wives and girlfriends who drag them in for back hair removal, Camacho said.
“They say, ‘I’m here because my wife is killing me about my hairy back, and we’re going on vacation.’ ”