May 7, 2024
The Manly Way to Beautify
Men get cosmetic treatments, too. Dr. Bass reveals the most popular aesthetic procedures for men who want to look and feel their best.
As it’s not as socially acceptable for men to modify their appearance, they tend to opt for procedures that give them natural results and virtually unnoticeable scars, such as eyelid surgery.
To enhance their masculine features, many younger men go for chin and cheek implants or body contouring around their chest and abs.
Men focus less on skin care and recurrent treatments, and more on the "one and done” procedures.
Hear how Dr. Bass uses different techniques during certain procedures for men to preserve their masculine features and to hide incisions well despite their short hair.
Learn more about eyelid surgery with Dr. Bass
Learn more about facial rejuvenation with Dr. Bass
About Dr. Lawrence Bass
Innovator. Industry veteran. In-demand Park Avenue board certified plastic surgeon, Dr. Lawrence Bass is a true master of his craft, not only in the OR but as an industry pioneer in the development and evaluation of new aesthetic technologies. With locations in both Manhattan (on Park Avenue between 62nd and 63rd Streets) and in Great Neck, Long Island, Dr. Bass has earned his reputation as the plastic surgeon for the most discerning patients in NYC and beyond.
To learn more, visit the Bass Plastic Surgery website or follow the team on Instagram @drbassnyc
Subscribe to the Park Avenue Plastic Surgery Class newsletter to be notified of new episodes & receive exclusive invitations, offers, and information from Dr. Bass.
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Welcome to Park Avenue
Plastic Surgery Class,
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a podcast where we explore controversies
and breaking issues in plastic surgery.
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I'm your co-host Dorene Wu,
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a clinical assistant at Bass
Plastic Surgery in New York City.
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I'm excited to be here with Dr. Lawrence
Bass, Park Avenue plastic surgeon,
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educator, and technology innovator.
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The title of today's episode
is "The Manly Way to Beautify."
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Of course, we all know plastic surgery
is for men and women. Dr. Bass,
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how involved in plastic surgery are
men these days? What is their approach?
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Men are very involved in plastic surgery,
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but typically take a different
approach than most women.
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This means the surgeon needs to
take a different approach as well.
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What if we take a look at the numbers?
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How many men compared to
women are having things done?
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The American Society of Plastic
Surgeons compiles statistics every
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year on all manner of plastic surgery,
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the number of cases, gender distribution,
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age distribution, and so forth.
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So the statistics show that
men represent only about
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8% of plastic surgeries and
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treatments with 92% being women,
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but men's utilization of
plastic surgery is growing.
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What about goals and preferences
when it comes to procedures?
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What are men doing surgically?
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Well,
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men are typically doing
procedures that are focused on
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promoting male shapes and on
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rejuvenating their face and their body.
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So it's more or less the same thing
that women are doing except for men.
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It does focus a little bit
differently on certain procedures,
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though, that are specific for men.
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Things like excess
contour in the chest area,
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which is medically called gynecomastia.
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That's a very common procedure for men
because they would like to have a male
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chest contour and not a female appearing
chest contour. And this, of course,
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is different from people that are trying
to change their gender representation,
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which is really a separate subject.
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Dr. Bass, you mentioned that
the approach is different.
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Can you elaborate on that further?
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So, men tend to think about
their appearance differently.
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They work on their appearance
differently On average
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they tend to be project
oriented. They see a problem,
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they want to research how to address it,
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what the options are.
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They want to understand what
the mechanics are going to be,
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and then they want to pull the
trigger and do it and be done with it.
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There tends to be less thought
about maintenance of appearance.
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"Just fix it and let me
go out and do my thing.".
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Are there differences by age? What
are the main younger guy procedures,
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so to speak?
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So this really gets to that
distinction between image modification
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versus rejuvenation.
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So that's one big group of plastic
surgery procedures that are designed
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to change what we look like.
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And there's a whole other group of
plastic surgery procedures designed
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to make us look younger,
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set our appearance back to
where it was a few years ago.
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So
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younger men are changing appearance.
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Older men are trying to restore
appearance more often than
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not.
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How are these done differently
from the way women approach them?
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So if we look at the young person
plastic surgery procedures,
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these are things like rhinoplasty, which
is also very common in young women,
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cheek implants and other facial
implants, and liposuction.
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So those are typical young
man surgery procedures.
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And these are going to be done a
little bit differently in a man.
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A a typical male body shape
is different and men will work
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on things like ab etching
trying to show a six pack
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or trying to build a squared
off chest shape or broad
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shoulders.
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We're even building biceps
and things like that.
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So those are more common in,
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much more common in male patients
than female patients where
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females are trying to
maintain a female curvy shape,
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but reduce bulges and fat,
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which men are trying to do also.
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But the approach to shaping
is going to be different
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and gender specific.
If we think about things like
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rhinoplasty or cheek implants,
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the same kind of issues apply what
might be an attractive strong nose on
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a man might be a little
bit too heavy handed for
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a good harmony with the rest
of a female facial shape,
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which is a little curvier and less
angular typically than male facial
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shapes.
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So rhinoplasty goals are in broad strokes,
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similar.
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Nobody likes an over long nose
or an over projecting nose or
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a really broad nose or
a big bump on the nose.
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But in terms of what the balance
and harmony is going to be like,
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very different between men and
women. Same idea with cheeks.
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I wrote a chapter in the textbook
on male plastic surgery on cheek
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shape, both with surgical
procedures and with fillers.
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And male cheek shape is
different than female shape.
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There's less roundness, there's
less fullness in volume.
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The apex or or peak accent point of
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the cheek is located
differently on men and women.
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And so all of that has to be accounted
for in how you do any procedure.
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So you create and amplify a
male shape that's attractive
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rather than a female shape
because the intent is to
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preserve gender identification
in these kind of procedures,
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different from gender
reassignment sorts of procedures.
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And so we're trying to focus
appropriately for men rather
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than just do it the same way on everyone.
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Okay. So now that we've talked
about image modification procedures,
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let's talk about rejuvenation. What
are the main rejuvenation procedures?
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In my experience,
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the main procedures are
chasing appearance around the
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eyelids,
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particularly blepharoplasty
because that addresses the
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bags under the eyes and it addresses,
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the hanging or heavy
skin in the upper lid.
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And both of those things really
make a man look tired and
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worn out, and that's not
a good look. You know,
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even if you're a corporate executive
and you're supposed to be mature and
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seasoned and experienced looking,
worn out is not a good look.
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You still want to look
energetic the way you feel,
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but that's no longer the way
your image is projecting itself.
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So you start to think about
cleaning up that area.
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So you look rested, alert, fresh,
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but always extremely natural.
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It's critically important for
everyone to have a natural look,
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but that's doubly true in men because
it's not as socially acceptable for men to
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modify their appearance and
show that they're modifying it.
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We're supposed to look more wash and wear.
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So perfectly natural is
always essential for men.
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The other area that men tend
to start chasing as they age is
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their neck area and
very early in the game.
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Some of the nonsurgical techniques may
be helpful here with energy treatments
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like Ultherapy.
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But as aging progresses, this
becomes increasingly surgical,
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which is always the item
that men are trying to avoid.
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They tend to try to put off the neck lift.
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So there are some earlier options,
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occasionally liposuction in men in their
forties if the neck has gotten heavy,
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which again gives it a non
energetic and non decisive look.
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Once there's a component
of muscle banding,
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then minimally invasive
procedures like my elevate
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are a good option.
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But eventually when there's a lot of
hanging skin and a very full neck,
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this becomes a surgical
neck lift. And men,
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again, are reluctant to do
this, but properly done,
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they preserve a very natural look,
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and it goes a tremendous way to
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rejuvenating their appearance and
giving them back that strong jawline,
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which is such a virile and
attractive feature on men.
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I'm going to pose the same question again.
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How are these done differently
from the way women approach them?
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If we look at the typical
shape or appearance of
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women's eyelids when they're
young, just as an example,
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women will tend to have a
very clean upper eyelid.
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Men even in their twenties,
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will typically show some hooding
of skin or a more distinct
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fold of skin in the lid than
most women will in their
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twenties.
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If you do an eyelid procedure the
way it's typically done in women
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to really clean the upper lid,
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that will feminize the lid in men.
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And so we take out a crescent
of extra skin in the upper
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eyelid,
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but we're trying to leave that minimal
amount of hooding that's typically
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present in youth and not
eliminate that which would give
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a feminine look to the lid.
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This also applies in the eyebrow.
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Most women's eyebrows have
some arching to them and
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are higher than male eyebrows.
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And if you take a man's
eyebrow again in their
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twenties when they're still youthful,
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it's typically much straighter
than the average woman's eyebrow.
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If you arch a man's eyebrow, it's going
to feminize it. If you over elevate it,
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it feminizes it and
makes it look unnatural.
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So we're trying to avoid all of those
tell tales and unnatural things.
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We just want to put male facial
appearance where it was in
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as youthful estate as we can,
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but it's a mistake to do it in a
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monolithic fashion, the same on everybody.
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And it's often useful to look at
pictures of people in their twenties to
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see what their facial shape
was like and bring it back.
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There are modifications to incisions
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and positioning in the neck lift
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to take account of the fact that
men grow a beard where women
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don't. We need to preserve
natural appearance around the ear,
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men tend to have a shorter hairstyle
and it's essential that incisions
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be concealed. And of course,
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some men have lost a lot of hair
and may be balding or have chosen
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to shave their head.
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And so this presents some special
challenges for trying to conceal
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incisions when you're doing a
neck lift or other facial surgery
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so that they're not obvious where women
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who on average have a longer hairstyle,
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even if they're wearing
their hair relatively short,
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will have an easier time concealing
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incisions. So there's some modification
on that basis to really keep the
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incisions stealth.
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So nobody knows that
something's been done.
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Now, Dr. Bass, are men jumping on
board with non-surgical options?
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They are, although as I mentioned,
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there's less focus on recurrent
treatments and in particular on
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skin care,
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most men don't think a lot
about skin care if they're smart
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and concerned they're using sunscreen.
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But men don't tend on average
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to enjoy the experience of
having moisturizer on their skin.
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A lot of medicated
products in skin care are
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in moisturizer type bases,
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and so they give a more lubricated
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feel to the skin. And even
sometimes appearance on the skin,
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which is less socially acceptable for men.
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There are other skin care
products that are formulated in
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lighter bases so that there's less feel of
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having something on the skin,
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but it still lets men chase the skin care
with whatever medicated product may be
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useful for them.
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And so this is slowly changing the amount
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of time and effort that
men are investing in
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maintenance projects,
nonsurgical treatments,
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daily skin care.
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And this is especially
true in younger patients.
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What are procedural preferences here?
What are men doing that are non-surgical?
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That's a great question, and again,
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we'll turn to the American
Society of Plastic Surgeons
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statistics, along with my experience
in my clinical practice in
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New York City.
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men do a lot of the same things that
women do just as they do in the surgical
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procedures. Botox is very popular.
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Fillers are becoming more popular,
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but things that improve
the appearance of the skin,
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taking off age spots like IPL treatments,
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laser skin resurfacing,
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that will also chase
wrinkles are very popular
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procedures for men.
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And then things like
laser hair removal for
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00:15:34,760 --> 00:15:38,410
very hairy chests and bellies and backs,
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00:15:38,410 --> 00:15:43,010
things like that can be treated
with laser hair removal,
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00:15:43,570 --> 00:15:47,690
much more expeditiously than you can with
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00:15:48,280 --> 00:15:52,970
waxing or certainly just
impractical with things like
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00:15:53,030 --> 00:15:54,010
electrolysis.
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00:15:54,990 --> 00:15:55,660
Dr. Bass,
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00:15:55,660 --> 00:16:00,020
can you give our listeners both male and
female some parting takeaways from this
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00:16:00,020 --> 00:16:00,853
episode?
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00:16:01,580 --> 00:16:02,413
Sure.
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00:16:03,430 --> 00:16:07,550
We're talking about
what's average or typical
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00:16:08,130 --> 00:16:12,230
for the male population of
plastic surgery patients.
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00:16:12,560 --> 00:16:15,270
So in some ways these are stereotypes.
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00:16:15,780 --> 00:16:17,910
They don't represent a rule,
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00:16:19,180 --> 00:16:23,870
just a presentation of what in
fact the male population is doing,
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00:16:24,210 --> 00:16:26,590
but there are exceptions
all over the place.
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00:16:28,370 --> 00:16:30,590
And you can feel free to
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00:16:30,860 --> 00:16:35,830
pursue whatever you
choose to. Just remember,
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00:16:35,830 --> 00:16:39,150
there are differences in how
men and women look in youth,
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00:16:39,290 --> 00:16:44,110
and there are also significant
differences in how men and women age,
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00:16:44,430 --> 00:16:48,150
which is due to differences in hormones.
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00:16:48,950 --> 00:16:53,310
Male and female hormones
have different effects on
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00:16:54,060 --> 00:16:57,310
preserving appearance and with menopause,
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00:16:57,400 --> 00:17:01,310
there's a big aging change in
women that men don't experience.
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00:17:01,430 --> 00:17:03,470
There are morphological factors.
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00:17:03,590 --> 00:17:07,390
Men's bone structure tends
to be thicker, heavier,
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00:17:07,580 --> 00:17:08,790
more angular,
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00:17:09,550 --> 00:17:14,310
which slows the appearance of skin laxity.
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00:17:15,310 --> 00:17:19,150
Men's skin is thicker and thicker skin,
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00:17:19,150 --> 00:17:23,430
whether male or female, tends to
age more slowly, but on average,
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00:17:23,500 --> 00:17:28,350
male skin is thicker than the
average for women. So these make some
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00:17:28,350 --> 00:17:29,470
significant difference.
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00:17:30,470 --> 00:17:34,670
Looking at what men are doing and
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00:17:35,210 --> 00:17:40,070
how they promote their image in their
work and personal relationships gives
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00:17:40,070 --> 00:17:45,070
you an idea of what resonates
with the male psyche
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00:17:45,130 --> 00:17:49,400
and what people in public
seem to be responding to,
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00:17:49,960 --> 00:17:54,080
which encourages men to continue
to do those kinds of treatments.
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00:17:55,050 --> 00:17:59,440
So that's the basis for the analysis
I've provided in this episode.
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00:18:00,360 --> 00:18:04,760
To give an understanding of some
of the differences between men and
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00:18:04,760 --> 00:18:07,480
women. The most important thing is
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00:18:09,170 --> 00:18:11,170
every patient,
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00:18:11,490 --> 00:18:15,130
every surgeon needs to
make a careful assessment.
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00:18:17,290 --> 00:18:18,800
Be gender specific,
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00:18:20,140 --> 00:18:23,090
if the intention is to
preserve gender identity,
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00:18:24,390 --> 00:18:28,850
and then also make an individual plan
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00:18:29,680 --> 00:18:32,690
that's specific for your individual needs,
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00:18:32,690 --> 00:18:34,930
your individual appearance issues,
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00:18:34,930 --> 00:18:39,210
rather than doing something that's cookie
cutter because everyone else is doing
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it.
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00:18:40,210 --> 00:18:44,170
Thank you Dr. Bass for sharing your
insight and expertise with us about an
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00:18:44,170 --> 00:18:47,930
important topic in plastic surgery that
is growing in popularity and prevalence.
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00:18:49,130 --> 00:18:52,970
Thank you for listening to the Park
Avenue Plastic Surgery Class podcast.
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00:18:53,400 --> 00:18:54,850
Follow us on Apple Podcasts,
285
00:18:54,970 --> 00:18:57,210
write a review and share
the show with your friends.
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00:18:57,620 --> 00:19:00,970
Be sure to join us next time to avoid
missing all the great content that's
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00:19:00,970 --> 00:19:04,250
coming your way. If you wanna
contact us with commons or questions,
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00:19:04,250 --> 00:19:05,210
we'd love to hear from you,
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00:19:05,440 --> 00:19:09,970
send us an email at podcast@drbass.net
or DM us on Instagram
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00:19:11,070 --> 00:19:11,490
@drbassnyc.
00:00:00,470 --> 00:00:03,380
Welcome to Park Avenue
Plastic Surgery Class,
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00:00:03,650 --> 00:00:07,780
a podcast where we explore controversies
and breaking issues in plastic surgery.
3
00:00:08,240 --> 00:00:09,900
I'm your co-host Dorene Wu,
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00:00:10,010 --> 00:00:13,260
a clinical assistant at Bass
Plastic Surgery in New York City.
5
00:00:13,600 --> 00:00:17,860
I'm excited to be here with Dr. Lawrence
Bass, Park Avenue plastic surgeon,
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00:00:18,700 --> 00:00:20,500
educator, and technology innovator.
7
00:00:21,520 --> 00:00:25,300
The title of today's episode
is "The Manly Way to Beautify."
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00:00:26,290 --> 00:00:30,480
Of course, we all know plastic surgery
is for men and women. Dr. Bass,
9
00:00:30,660 --> 00:00:34,480
how involved in plastic surgery are
men these days? What is their approach?
10
00:00:35,390 --> 00:00:37,850
Men are very involved in plastic surgery,
11
00:00:38,190 --> 00:00:41,330
but typically take a different
approach than most women.
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00:00:41,560 --> 00:00:44,930
This means the surgeon needs to
take a different approach as well.
13
00:00:45,440 --> 00:00:47,050
What if we take a look at the numbers?
14
00:00:47,510 --> 00:00:50,290
How many men compared to
women are having things done?
15
00:00:50,860 --> 00:00:55,760
The American Society of Plastic
Surgeons compiles statistics every
16
00:00:55,760 --> 00:00:59,400
year on all manner of plastic surgery,
17
00:00:59,460 --> 00:01:03,480
the number of cases, gender distribution,
18
00:01:03,480 --> 00:01:06,280
age distribution, and so forth.
19
00:01:06,850 --> 00:01:11,680
So the statistics show that
men represent only about
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00:01:11,680 --> 00:01:16,560
8% of plastic surgeries and
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00:01:16,560 --> 00:01:20,320
treatments with 92% being women,
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00:01:20,780 --> 00:01:24,840
but men's utilization of
plastic surgery is growing.
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00:01:25,550 --> 00:01:28,720
What about goals and preferences
when it comes to procedures?
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00:01:28,830 --> 00:01:30,400
What are men doing surgically?
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00:01:30,830 --> 00:01:31,320
Well,
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00:01:31,320 --> 00:01:36,240
men are typically doing
procedures that are focused on
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00:01:37,080 --> 00:01:40,800
promoting male shapes and on
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00:01:42,140 --> 00:01:45,200
rejuvenating their face and their body.
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00:01:46,090 --> 00:01:50,120
So it's more or less the same thing
that women are doing except for men.
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00:01:50,570 --> 00:01:55,560
It does focus a little bit
differently on certain procedures,
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00:01:55,560 --> 00:01:57,800
though, that are specific for men.
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00:01:57,910 --> 00:02:01,640
Things like excess
contour in the chest area,
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00:02:01,640 --> 00:02:04,360
which is medically called gynecomastia.
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00:02:05,590 --> 00:02:10,280
That's a very common procedure for men
because they would like to have a male
35
00:02:10,280 --> 00:02:15,200
chest contour and not a female appearing
chest contour. And this, of course,
36
00:02:15,200 --> 00:02:19,760
is different from people that are trying
to change their gender representation,
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00:02:19,760 --> 00:02:21,680
which is really a separate subject.
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00:02:22,660 --> 00:02:26,170
Dr. Bass, you mentioned that
the approach is different.
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00:02:26,170 --> 00:02:27,730
Can you elaborate on that further?
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00:02:28,990 --> 00:02:32,060
So, men tend to think about
their appearance differently.
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00:02:32,210 --> 00:02:37,060
They work on their appearance
differently On average
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00:02:37,060 --> 00:02:41,020
they tend to be project
oriented. They see a problem,
43
00:02:41,530 --> 00:02:45,380
they want to research how to address it,
44
00:02:45,380 --> 00:02:46,860
what the options are.
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00:02:46,860 --> 00:02:50,700
They want to understand what
the mechanics are going to be,
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00:02:51,200 --> 00:02:55,140
and then they want to pull the
trigger and do it and be done with it.
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00:02:55,300 --> 00:02:59,960
There tends to be less thought
about maintenance of appearance.
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00:03:00,950 --> 00:03:04,240
"Just fix it and let me
go out and do my thing.".
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00:03:05,310 --> 00:03:10,010
Are there differences by age? What
are the main younger guy procedures,
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00:03:10,010 --> 00:03:10,843
so to speak?
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00:03:11,770 --> 00:03:16,440
So this really gets to that
distinction between image modification
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00:03:16,670 --> 00:03:19,080
versus rejuvenation.
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00:03:20,010 --> 00:03:24,880
So that's one big group of plastic
surgery procedures that are designed
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00:03:24,880 --> 00:03:27,480
to change what we look like.
55
00:03:28,900 --> 00:03:33,600
And there's a whole other group of
plastic surgery procedures designed
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00:03:33,610 --> 00:03:36,430
to make us look younger,
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00:03:36,730 --> 00:03:40,710
set our appearance back to
where it was a few years ago.
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00:03:41,960 --> 00:03:42,793
So
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00:03:43,920 --> 00:03:46,990
younger men are changing appearance.
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00:03:48,070 --> 00:03:52,990
Older men are trying to restore
appearance more often than
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00:03:52,990 --> 00:03:53,823
not.
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00:03:54,310 --> 00:03:57,330
How are these done differently
from the way women approach them?
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00:03:58,360 --> 00:04:03,150
So if we look at the young person
plastic surgery procedures,
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00:04:03,150 --> 00:04:08,150
these are things like rhinoplasty, which
is also very common in young women,
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00:04:08,830 --> 00:04:13,750
cheek implants and other facial
implants, and liposuction.
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00:04:14,240 --> 00:04:18,430
So those are typical young
man surgery procedures.
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00:04:19,090 --> 00:04:23,470
And these are going to be done a
little bit differently in a man.
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00:04:23,580 --> 00:04:27,910
A a typical male body shape
is different and men will work
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00:04:27,920 --> 00:04:32,710
on things like ab etching
trying to show a six pack
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00:04:33,120 --> 00:04:37,510
or trying to build a squared
off chest shape or broad
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00:04:37,510 --> 00:04:38,343
shoulders.
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00:04:39,270 --> 00:04:42,710
We're even building biceps
and things like that.
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00:04:43,800 --> 00:04:46,510
So those are more common in,
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00:04:46,700 --> 00:04:51,230
much more common in male patients
than female patients where
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00:04:51,280 --> 00:04:54,710
females are trying to
maintain a female curvy shape,
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00:04:55,050 --> 00:04:57,390
but reduce bulges and fat,
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00:04:58,110 --> 00:05:01,110
which men are trying to do also.
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00:05:01,110 --> 00:05:04,590
But the approach to shaping
is going to be different
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00:05:04,690 --> 00:05:08,750
and gender specific.
If we think about things like
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00:05:08,890 --> 00:05:11,030
rhinoplasty or cheek implants,
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00:05:11,030 --> 00:05:15,990
the same kind of issues apply what
might be an attractive strong nose on
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00:05:15,990 --> 00:05:20,470
a man might be a little
bit too heavy handed for
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00:05:21,540 --> 00:05:25,390
a good harmony with the rest
of a female facial shape,
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00:05:25,590 --> 00:05:30,550
which is a little curvier and less
angular typically than male facial
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00:05:30,550 --> 00:05:31,383
shapes.
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00:05:32,240 --> 00:05:37,070
So rhinoplasty goals are in broad strokes,
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00:05:37,070 --> 00:05:37,380
similar.
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00:05:37,380 --> 00:05:42,190
Nobody likes an over long nose
or an over projecting nose or
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00:05:42,380 --> 00:05:46,430
a really broad nose or
a big bump on the nose.
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00:05:46,850 --> 00:05:50,550
But in terms of what the balance
and harmony is going to be like,
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00:05:51,020 --> 00:05:55,430
very different between men and
women. Same idea with cheeks.
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00:05:55,430 --> 00:06:00,400
I wrote a chapter in the textbook
on male plastic surgery on cheek
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00:06:00,400 --> 00:06:04,040
shape, both with surgical
procedures and with fillers.
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00:06:04,940 --> 00:06:08,920
And male cheek shape is
different than female shape.
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00:06:09,970 --> 00:06:13,280
There's less roundness, there's
less fullness in volume.
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00:06:13,820 --> 00:06:18,760
The apex or or peak accent point of
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00:06:18,760 --> 00:06:22,120
the cheek is located
differently on men and women.
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00:06:23,020 --> 00:06:27,920
And so all of that has to be accounted
for in how you do any procedure.
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00:06:28,530 --> 00:06:33,200
So you create and amplify a
male shape that's attractive
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00:06:33,200 --> 00:06:37,880
rather than a female shape
because the intent is to
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00:06:38,400 --> 00:06:42,080
preserve gender identification
in these kind of procedures,
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00:06:42,080 --> 00:06:45,760
different from gender
reassignment sorts of procedures.
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00:06:47,060 --> 00:06:52,000
And so we're trying to focus
appropriately for men rather
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00:06:52,000 --> 00:06:54,480
than just do it the same way on everyone.
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00:06:55,230 --> 00:06:59,400
Okay. So now that we've talked
about image modification procedures,
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00:06:59,400 --> 00:07:03,440
let's talk about rejuvenation. What
are the main rejuvenation procedures?
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00:07:04,570 --> 00:07:05,920
In my experience,
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00:07:06,140 --> 00:07:11,000
the main procedures are
chasing appearance around the
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00:07:11,000 --> 00:07:11,620
eyelids,
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00:07:11,620 --> 00:07:16,480
particularly blepharoplasty
because that addresses the
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00:07:16,480 --> 00:07:19,040
bags under the eyes and it addresses,
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00:07:19,040 --> 00:07:21,640
the hanging or heavy
skin in the upper lid.
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00:07:22,100 --> 00:07:26,880
And both of those things really
make a man look tired and
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00:07:26,880 --> 00:07:30,920
worn out, and that's not
a good look. You know,
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00:07:30,920 --> 00:07:35,760
even if you're a corporate executive
and you're supposed to be mature and
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00:07:35,760 --> 00:07:40,320
seasoned and experienced looking,
worn out is not a good look.
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00:07:40,900 --> 00:07:44,720
You still want to look
energetic the way you feel,
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00:07:45,420 --> 00:07:48,600
but that's no longer the way
your image is projecting itself.
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00:07:48,610 --> 00:07:51,520
So you start to think about
cleaning up that area.
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00:07:52,130 --> 00:07:54,640
So you look rested, alert, fresh,
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00:07:56,300 --> 00:07:59,200
but always extremely natural.
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00:07:59,430 --> 00:08:03,400
It's critically important for
everyone to have a natural look,
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00:08:03,700 --> 00:08:08,400
but that's doubly true in men because
it's not as socially acceptable for men to
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00:08:08,950 --> 00:08:13,880
modify their appearance and
show that they're modifying it.
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00:08:13,880 --> 00:08:16,360
We're supposed to look more wash and wear.
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00:08:16,850 --> 00:08:21,520
So perfectly natural is
always essential for men.
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00:08:23,780 --> 00:08:28,520
The other area that men tend
to start chasing as they age is
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00:08:28,520 --> 00:08:33,040
their neck area and
very early in the game.
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00:08:33,040 --> 00:08:38,000
Some of the nonsurgical techniques may
be helpful here with energy treatments
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00:08:38,030 --> 00:08:39,920
like Ultherapy.
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00:08:41,420 --> 00:08:46,040
But as aging progresses, this
becomes increasingly surgical,
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00:08:46,040 --> 00:08:49,400
which is always the item
that men are trying to avoid.
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00:08:49,790 --> 00:08:52,800
They tend to try to put off the neck lift.
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00:08:53,370 --> 00:08:55,560
So there are some earlier options,
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00:08:55,960 --> 00:09:00,840
occasionally liposuction in men in their
forties if the neck has gotten heavy,
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00:09:00,840 --> 00:09:05,560
which again gives it a non
energetic and non decisive look.
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00:09:07,290 --> 00:09:10,500
Once there's a component
of muscle banding,
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00:09:10,500 --> 00:09:15,420
then minimally invasive
procedures like my elevate
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00:09:15,420 --> 00:09:16,660
are a good option.
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00:09:17,080 --> 00:09:22,020
But eventually when there's a lot of
hanging skin and a very full neck,
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00:09:22,020 --> 00:09:26,860
this becomes a surgical
neck lift. And men,
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00:09:26,860 --> 00:09:30,500
again, are reluctant to do
this, but properly done,
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00:09:30,500 --> 00:09:33,060
they preserve a very natural look,
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00:09:33,060 --> 00:09:37,140
and it goes a tremendous way to
145
00:09:37,400 --> 00:09:41,940
rejuvenating their appearance and
giving them back that strong jawline,
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00:09:42,220 --> 00:09:46,860
which is such a virile and
attractive feature on men.
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00:09:47,770 --> 00:09:49,830
I'm going to pose the same question again.
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00:09:50,010 --> 00:09:52,750
How are these done differently
from the way women approach them?
149
00:09:53,470 --> 00:09:58,140
If we look at the typical
shape or appearance of
150
00:09:58,270 --> 00:10:02,100
women's eyelids when they're
young, just as an example,
151
00:10:02,860 --> 00:10:06,740
women will tend to have a
very clean upper eyelid.
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00:10:06,920 --> 00:10:09,340
Men even in their twenties,
153
00:10:09,340 --> 00:10:13,980
will typically show some hooding
of skin or a more distinct
154
00:10:14,170 --> 00:10:18,900
fold of skin in the lid than
most women will in their
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00:10:18,900 --> 00:10:19,733
twenties.
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00:10:21,080 --> 00:10:25,670
If you do an eyelid procedure the
way it's typically done in women
157
00:10:25,800 --> 00:10:28,030
to really clean the upper lid,
158
00:10:29,100 --> 00:10:31,670
that will feminize the lid in men.
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00:10:32,090 --> 00:10:36,950
And so we take out a crescent
of extra skin in the upper
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00:10:36,950 --> 00:10:37,690
eyelid,
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00:10:37,690 --> 00:10:42,430
but we're trying to leave that minimal
amount of hooding that's typically
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00:10:42,430 --> 00:10:47,350
present in youth and not
eliminate that which would give
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00:10:47,350 --> 00:10:48,910
a feminine look to the lid.
164
00:10:50,560 --> 00:10:52,530
This also applies in the eyebrow.
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00:10:52,530 --> 00:10:57,450
Most women's eyebrows have
some arching to them and
166
00:10:58,110 --> 00:11:00,530
are higher than male eyebrows.
167
00:11:01,870 --> 00:11:06,770
And if you take a man's
eyebrow again in their
168
00:11:06,770 --> 00:11:08,730
twenties when they're still youthful,
169
00:11:08,730 --> 00:11:12,850
it's typically much straighter
than the average woman's eyebrow.
170
00:11:12,860 --> 00:11:17,330
If you arch a man's eyebrow, it's going
to feminize it. If you over elevate it,
171
00:11:18,220 --> 00:11:21,650
it feminizes it and
makes it look unnatural.
172
00:11:24,120 --> 00:11:28,950
So we're trying to avoid all of those
tell tales and unnatural things.
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00:11:29,600 --> 00:11:34,510
We just want to put male facial
appearance where it was in
174
00:11:34,510 --> 00:11:36,150
as youthful estate as we can,
175
00:11:36,570 --> 00:11:40,550
but it's a mistake to do it in a
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00:11:41,020 --> 00:11:43,710
monolithic fashion, the same on everybody.
177
00:11:44,410 --> 00:11:49,350
And it's often useful to look at
pictures of people in their twenties to
178
00:11:49,350 --> 00:11:52,430
see what their facial shape
was like and bring it back.
179
00:11:54,880 --> 00:11:57,720
There are modifications to incisions
180
00:11:58,180 --> 00:12:03,120
and positioning in the neck lift
181
00:12:03,690 --> 00:12:08,490
to take account of the fact that
men grow a beard where women
182
00:12:08,650 --> 00:12:13,530
don't. We need to preserve
natural appearance around the ear,
183
00:12:13,530 --> 00:12:18,210
men tend to have a shorter hairstyle
and it's essential that incisions
184
00:12:18,220 --> 00:12:20,890
be concealed. And of course,
185
00:12:20,890 --> 00:12:25,210
some men have lost a lot of hair
and may be balding or have chosen
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to shave their head.
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And so this presents some special
challenges for trying to conceal
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incisions when you're doing a
neck lift or other facial surgery
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so that they're not obvious where women
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00:12:42,870 --> 00:12:45,530
who on average have a longer hairstyle,
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00:12:46,080 --> 00:12:48,810
even if they're wearing
their hair relatively short,
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will have an easier time concealing
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incisions. So there's some modification
on that basis to really keep the
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incisions stealth.
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So nobody knows that
something's been done.
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Now, Dr. Bass, are men jumping on
board with non-surgical options?
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They are, although as I mentioned,
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there's less focus on recurrent
treatments and in particular on
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skin care,
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most men don't think a lot
about skin care if they're smart
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and concerned they're using sunscreen.
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But men don't tend on average
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to enjoy the experience of
having moisturizer on their skin.
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A lot of medicated
products in skin care are
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in moisturizer type bases,
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and so they give a more lubricated
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feel to the skin. And even
sometimes appearance on the skin,
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which is less socially acceptable for men.
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There are other skin care
products that are formulated in
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lighter bases so that there's less feel of
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having something on the skin,
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but it still lets men chase the skin care
with whatever medicated product may be
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useful for them.
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00:14:17,160 --> 00:14:22,060
And so this is slowly changing the amount
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of time and effort that
men are investing in
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00:14:26,840 --> 00:14:30,460
maintenance projects,
nonsurgical treatments,
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daily skin care.
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00:14:32,600 --> 00:14:35,500
And this is especially
true in younger patients.
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What are procedural preferences here?
What are men doing that are non-surgical?
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That's a great question, and again,
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we'll turn to the American
Society of Plastic Surgeons
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statistics, along with my experience
in my clinical practice in
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New York City.
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men do a lot of the same things that
women do just as they do in the surgical
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procedures. Botox is very popular.
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Fillers are becoming more popular,
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00:15:11,660 --> 00:15:15,720
but things that improve
the appearance of the skin,
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00:15:15,720 --> 00:15:20,360
taking off age spots like IPL treatments,
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00:15:20,360 --> 00:15:22,200
laser skin resurfacing,
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00:15:22,200 --> 00:15:26,480
that will also chase
wrinkles are very popular
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procedures for men.
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And then things like
laser hair removal for
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very hairy chests and bellies and backs,
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00:15:38,410 --> 00:15:43,010
things like that can be treated
with laser hair removal,
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00:15:43,570 --> 00:15:47,690
much more expeditiously than you can with
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00:15:48,280 --> 00:15:52,970
waxing or certainly just
impractical with things like
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electrolysis.
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Dr. Bass,
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can you give our listeners both male and
female some parting takeaways from this
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episode?
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Sure.
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We're talking about
what's average or typical
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for the male population of
plastic surgery patients.
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So in some ways these are stereotypes.
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00:16:15,780 --> 00:16:17,910
They don't represent a rule,
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00:16:19,180 --> 00:16:23,870
just a presentation of what in
fact the male population is doing,
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00:16:24,210 --> 00:16:26,590
but there are exceptions
all over the place.
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00:16:28,370 --> 00:16:30,590
And you can feel free to
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00:16:30,860 --> 00:16:35,830
pursue whatever you
choose to. Just remember,
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00:16:35,830 --> 00:16:39,150
there are differences in how
men and women look in youth,
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00:16:39,290 --> 00:16:44,110
and there are also significant
differences in how men and women age,
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which is due to differences in hormones.
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00:16:48,950 --> 00:16:53,310
Male and female hormones
have different effects on
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00:16:54,060 --> 00:16:57,310
preserving appearance and with menopause,
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00:16:57,400 --> 00:17:01,310
there's a big aging change in
women that men don't experience.
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00:17:01,430 --> 00:17:03,470
There are morphological factors.
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00:17:03,590 --> 00:17:07,390
Men's bone structure tends
to be thicker, heavier,
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00:17:07,580 --> 00:17:08,790
more angular,
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00:17:09,550 --> 00:17:14,310
which slows the appearance of skin laxity.
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00:17:15,310 --> 00:17:19,150
Men's skin is thicker and thicker skin,
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00:17:19,150 --> 00:17:23,430
whether male or female, tends to
age more slowly, but on average,
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00:17:23,500 --> 00:17:28,350
male skin is thicker than the
average for women. So these make some
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00:17:28,350 --> 00:17:29,470
significant difference.
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00:17:30,470 --> 00:17:34,670
Looking at what men are doing and
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00:17:35,210 --> 00:17:40,070
how they promote their image in their
work and personal relationships gives
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00:17:40,070 --> 00:17:45,070
you an idea of what resonates
with the male psyche
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00:17:45,130 --> 00:17:49,400
and what people in public
seem to be responding to,
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which encourages men to continue
to do those kinds of treatments.
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00:17:55,050 --> 00:17:59,440
So that's the basis for the analysis
I've provided in this episode.
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To give an understanding of some
of the differences between men and
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women. The most important thing is
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every patient,
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00:18:11,490 --> 00:18:15,130
every surgeon needs to
make a careful assessment.
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Be gender specific,
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if the intention is to
preserve gender identity,
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and then also make an individual plan
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that's specific for your individual needs,
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00:18:32,690 --> 00:18:34,930
your individual appearance issues,
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rather than doing something that's cookie
cutter because everyone else is doing
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it.
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00:18:40,210 --> 00:18:44,170
Thank you Dr. Bass for sharing your
insight and expertise with us about an
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00:18:44,170 --> 00:18:47,930
important topic in plastic surgery that
is growing in popularity and prevalence.
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Thank you for listening to the Park
Avenue Plastic Surgery Class podcast.
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00:18:53,400 --> 00:18:54,850
Follow us on Apple Podcasts,
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00:18:54,970 --> 00:18:57,210
write a review and share
the show with your friends.
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00:18:57,620 --> 00:19:00,970
Be sure to join us next time to avoid
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00:19:00,970 --> 00:19:04,250
coming your way. If you wanna
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00:19:04,250 --> 00:19:05,210
we'd love to hear from you,
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00:19:05,440 --> 00:19:09,970
send us an email at podcast@drbass.net
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