Male Face & Neck Lift

Men are becoming increasingly aware of the early signs of aging and wish to address them before they become well established. Dr Turner takes great care to ensure the results of your face & neck lift deliver a natural and proportional rejuvenation while not betraying the fact that you have had plastic surgery.

The goal with male facelift surgery is to reposition loose tissue, restore facial volume and improve jawline and neck contours. Respecting the unique masculine anatomy to ensure a balanced rejuvenation and not creating an unnaturally tight or overly feminine appearance.

Differences Between a Facelift for Men and Women

The male face has a number of unique anatomical characteristics which must be taken into consideration when selecting the appropriate surgical strategy.

  • Craniofacial skeleton – larger more angular jaws and stronger midface
  • Prominent facial muscle mass
  • Flat and angular cheeks with little subcutaneous fat
  • Low positioned brows
  • Thick, dense and heavy skin with hair follicles

As men age, we see changes in the facial skeleton with loss of bone support which leads to common cosmetic concerns such as hollowness under the eyes and loss of jawline definition. Combined with age related soft tissue changes, laxity of the deep fascial and volume loss in the face with fat accumulation in the neck, leads to heaviness and skin laxity in the lower face and neck region.

Male skin is thicker than female skin, which puts men at a higher risk for bleeding during and after the face and neck lift procedure. On the other hand, the incisions typically heal much faster than with a female patient due to a better skin blood supply.

Are you suitable for a Male Facelift?

The best candidates for male facelift surgery are men who are unhappy with the appearance of their face and neck region.

If you are considering facelift surgery, it is important that you are:

  • Are medically and psychologically healthy
  • Close to ideal body weight or BMI (<29)
  • Do no smoke or vape
  • Do not drink excessive amounts of alcohol
  • Have realistic goals for the procedure and its recovery process

Benefits of Male Facelift Surgery?

  • Reduce lines around the eyes, mouth, and nose
  • Improve facial hollowing & cheek volume
  • Tighten skin around jawline and chin
  • Reduce fat excess in the neck and chin

Male Face & Neck Lift Surgery

It’s important to keep in mind that a face and neck lift in men must be performed using specific techniques and require a different aesthetic perspective than a more traditional facelift routinely performed on females. It needs to preserve the angular bone structure and jawline of the male patient, whilst at the same time restoring soft-tissue contours.

Incision placement

Shorter hair styles in men offer less scar camouflage which limits options for incision placement in face and neck lift surgery. Dr Turner’s preference is to place scars along the hairline (pretrichial) using a specialised technique of hair follicle preservation incisions (trichiophytic) to avoid as much as possible any scar visibility.

In men with minimal skin laxity in the neck, a ‘short scar’ facelift offers the advantage of no scarring that extends behind the ear into the posterior hairline. However, most men that see Dr Turner often require tightening of the neck skin and fat removal under the chin which requires a full face and neck lift.

While in female facelift surgery, Dr Turner frequently places the scar inside the ear canal behind the tragus (post tragal incision) to minimise the visibility of the incision, in male patients the beard makes this approach difficult. So Dr Turner recommends a pre-tragal incision where the incision is in front of the ear and tragus, as it prevents hair-bearing skin being pulled into the ear and distorting the natural tragal shape due to the thicker skin in men.

SMAS modification

The foundation of any modern facelift procedure is tightening of the underlying fascial layers of the face and neck, this is no different in men than it is for the female facelift procedure. However in male patients due to the thicker skin, subcutaneous tissue and beard, they require a more robust lift to the underlying SMAS to provide longevity to the male facelift procedure.

While there are several approaches to modifying the underlying SMAS layer, the two techniques listed below, are in Dr Turner’s opinion the most successful in rejuvenating the male face:

● Deep Plane Facelift – This is the treatment of choice for the majority of men undergoing a facelift procedure. This technique allows Dr Turner to release the facial retaining ligaments, elevate and tighten the SMAS into its new position and more importantly allows firm fixation to ensure we achieve a long term aesthetic result.

● SMAS Plication – In older male patients and those who have undergone massive weight loss, the deep plane technique may not be suitable or reliable. These patients have significant laxity in the SMAS, and it is often thinner and less durable than the younger male patient. In these cases it is more reliable to perform a SMAS plication to tighten the underlying SMAS.

In both procedures, male face and neck lift patients require modification to the neck, by addressing the excess fat (lipectomy), muscle tightening (platysmaplasty) and skin removal.

Restoration of facial volume

Men start noticing changes in the thickness of the facial soft tissue in the fourth and fifth decades of life. So it is imperative that part of any male facelift surgery includes conservative volume restoration, however we do not want to feminise by creating overinflated cheeks, brows, or eyelids that are more typical of female procedures.

Fat transfer can replenish the lost volume throughout the face, including the under eye and cheek areas. The grafted fat may also be used to subtly augment certain areas of the face which will benefit from more definition, such as the chin, jawline and cheekbones. If there is significant volume loss from skeletal loss, sometimes fat grafting only may be insufficient and we may require silicone facial implants for the cheek / malar regions or chin.

Complementary procedures

First, it’s important to remember that any facelift procedure, whether for men or women, affects the lower two-thirds of the face only. So if you require improvement of your upper face, including your eyelids or forehead, a blepharoplasty or brow lift may need to be included in your facelift procedure.

Men are naturally prone to loose skin and fat herniation on both upper and lower eyelids. Restoration of eyelid tissue by performing an upper blepharoplasty and transconjunctival lower blepharoplasty, will provide a significant to your facelift results.

Although a facelift will improve on jawline definition, it will not add projection to a receding chin or compensate for age-related bone reabsorption. A subtle chin augmentation can be achieved with fat grafting alone (usually 2-3mm), whilst a chin implant will offer a more prominent and square projection (usually 5-10mm).

Recovery after a Male Facelift

Postoperative recovery is usually faster in men than it is for women, due to their thicker skin and increased vascularity which promotes good healing. Most men return to work after two weeks and sports activities after six weeks.

Learn more about Recovery after Facelift Surgery

Risks of Male Facelifts

As with any surgery, it is important that you are fully informed of the potential risks associated with Male Face and Neck Lift surgery. While all care is taken to minimize these complications, they may and do occur despite the best medical care.

It is important that you carefully read and understand the potential risks and they will be discussed in further detail when you have your consultation with Dr Turner.

  • Wound infection
  • Bleeding or haematoma (much higher in males than females)
  • Poor scarring
  • Allergies or reactions to medications, sutures or topical treatments
  • Delayed healing
  • Skin flap necrosis
  • Hair loss & changes in hairline or beard position
  • Facial nerve injury & facial animation disturbance
  • Salivary gland / duct injury
  • Seroma formation
  • Chronic pain & numbness
  • Pigmentation changes

The information provided is for general purposes only, it is not intended to replace a professional consultation with a qualified plastic surgeon. Invasive procedures carry inherent risks and potential complications which will be discussed in detail. Results vary and should be used only as a guide as every client is unique, which is why a second opinion is advisable.