The Male Microlift and Surgery in Male Patients
The secret of Aesthetic Medicine lays in the combination of the different techniques. This chapter focus on the most combinations of the single interventions discussed in this book and – in which order – to combine them.
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Maurício de Maio
11.1 Introduction
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An ageing male population and a wider social acceptance of cosmetic surgery have resulted in an increased demand for procedures to rejuvenate the face and neck of male patients. In our society, there is a pressure to appear young and energetic. Active men strive to maintain their appearance through exercise and good habits, but this is not sufficient and need to turn to cosmetic procedures and ultimately to cosmetic surgery. For some patients, the available options for facial rejuvenation do not necessarily satisfy all of their needs. The techniques may require surgery and general anaesthesia, may be uncomfortable, may be expensive, may require long recovery periods, or may require the use of bandages or drains such as facelifts. In addition, some procedures may not be an option for certain patients. The health of men of a comparable age may not be as good as that of females. Men are more likely to have worked without sunscreens, among other risky behaviors, which include not following medical advice. When preparing a man for surgery, it is advisable to remember that high blood pressure and heart disease may be present but undiagnosed, causing a higher anaesthetic risk and so are smoking, alcohol abuse, and bleeding disorders. Male patients are also concerned that others may not know that they have had a procedure. Bruising and edema can occur following liposuction, redness and inflammation after chemical peel, and unnatural contours with injectable fillers. Facelifts can result in a pulled appearance of the skin, pixie ear deformity, visible incision lines, and loss of temporal hair (Kridel and Liu 2003; Mowlavi et al. 2005). So, what is the concept of cosmetic surgery? As published before, it is “The use of surgical procedures, in the absence of disease or physical trauma, to alter the physical appearance of the body in pursuit of psychosocial benefit” (Grossbart and Sarwer 1999). The target of the male cosmetic surgery is to minimize the effects of ageing that include loss of skin tone and facial volume with the atrophy and descent of facial fat. Men are seeking cosmetic facial surgery in steadily increasing numbers. However, the majority of male patients are not seeking extensive surgery but rather a more focused, limited treatment plan (Brackup 2003). In addition, they fear the surgery and the use of general anaesthesia and are concerned about the cost of the procedure (Zide 2003). For some cosmetic surgeons, male patients constitute 25% of all requests for cosmetic facial surgery (McCollough 1993).
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M. de Maio and B. Rzany, The Male Patient in Aesthetic Medicine, DOI: 10.1007/978-3-540-79046-4_11, © Springer-Verlag Berlin Heidelberg 2009
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35 A very good alternative for male patients is the Microlift technique that will be described 36 below. 37 Key pointers 38 39 40 41 42 43 44 45 46 47
• Concise preoperative analysis and planning are indispensable in t
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