Men too want Botox, at ages 35 to 75 years old – Part 3
Between the ages of 55 and 65, the demand for filler treatments increases and the Botox treatments reduce to every year as opposed to every six months. Filler treatments are every six to months to a year. Some male patients from around the age of 55 and 65 start thinking about eyelid surgery, particularly the upper eyelids to correct hooding.
Upper eyelid surgery is called upper lid blepharoplasty and is done under local anaesthetic as a day case here at Clinica London with excellent results. I use TISSEEL fibrin adhesive, which helps to soothe wounds and accelerates the healing process.
Men in this age group are less inclined to want lower eyelid surgery. However, we do much less lower lid surgery now that we have TearFill and other filler techniques for the face and under the eyes.
Between the ages of 65 and 75 there is a significant drop-off in the use of Botox, but still, some filler is required intermittently. I use more Sculptra poly-L-lactic acid in this more mature age group, as it sits more naturally and tends to last longer.
With men aged 65 to 75, I am treating the whole face with filler, not just the upper cheeks and under-eye tear trough area, but also the lower face, around the mouth, the chin, particularly the marionette lines, nasolabial folds and the jawline. Therefore the volumes used can be greater – between seven and nine vials over a two-month period is not unusual to get good volume established. The men in this age group usually need top-ups after about a year.
There are a lot of requests by men in this age group for upper eyelid blepharoplasty, and some requests for lower lid blepharoplasty, where there are prominent eyebags, and lower lid laxity, for which lower lid eyelid surgery is required, called lower lid blepharoplasty.
If I have to do upper eyelid and lower eyelid surgery together, that is possible, but I warn the patient that the downtime will be greater, with more bruising and swelling, for a good three weeks after the surgery.
Men form a significant proportion of the aesthetic and skin patients seen at Clinica London. Our analysis shows that men already form 40% of our aesthetic patients and the age demographics are very similar to those for women, with men starting cosmetic treatments in their 30s and continuing until their mid-70s.
Men are acutely aware of their skin quality, and Dr Jennifer Crawley also sees these clients. Dr Crawley provides these clients with excellent skin care advice, including for conditions such as acne and rosacea, and she helps them with their sun-damaged skin as they get older. Men, just like women, want to look healthy and as young as they feel.
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