Before planning facial surgery or neck surgery the entire head-face-neck region has to be evaluated. Is the hairline receding? How full are the sideburns? Does the beard-growing skin extend up the cheeks or down the neck? Is the skin sun-damaged? Is the neck skin loose or droopy?
Great attention and experience are mandatory to rule the conditions of facial surgery for men. Differences of the men’s facial soft tissue such as the hardness and the density of the blood supply makes the men’s face lift hard work for the surgeon and the patient’s cooperation is invaluable.
Any scarring that may result from surgery may be more difficult for men to hide, since they don’t wear make-up or style their hair toward their faces, as many women do.
Hair growth and beard growth may play a major role in the outcome of a facelift. For balding or patients with thin hair, surgical artistry may be required to hide the facelift incision, especially in the temporal area. If the hair-bearing skin of the upper neck is pulled behind the ears during surgery, the patient may find that he must shave behind the ears or the back of the neck. However, with the newest laser techniques of hair removal this problem can be avoided.
A fatty double chin is also a concern for many men. Younger patients may benefit from liposuction alone. Older patients may require a full facelift and neck lift, which may include the removal of excess skin and tightening the muscles.