Dr. Little’s Philosophies
Facial Rejuvenation in the Male
Men continue to elect facelift and other forms of facial rejuvenation in ever-increasing numbers, and they comprise a significant component of Dr. Little’s practice.
In general, Dr. Little’s rejuvenation philosophies and surgical techniques for men remain similar to those for women, but with some important differences. The pursuit of a healthy and vital facial shape or architecture remains the key goal for most (just as with women), specifically an “inverted-cone-of-youth” with elimination of the jowls and restoration of the neck. But with men, the curved outline of the “cone” should remain more subtle than in women and should not exceed that evident in their early pictures. Filling of the empty lower lid “tear-trough” is just as important in men as in women, as is filling of the upper orbital space (although men typically present less upper lid deficiency than women). Some restoration of outer eyebrow position is also important in men, but with a particular conservatism here. Dr. Little also utilizes the same hidden, “short-scar” incision pattern in men as in women. And he brings the front scar “inside” the ear, as with women (unless the man wears a beard).
The principle goal for many men is the return to a look of robustness and vigor…even strength, perhaps. Sculptural or volume-added techniques can create such effects without exaggeration or obvious change. Round cheeks, elevated eyebrows, and “clean” upper lids are all inappropriate in most men. Certain older men wish only a cleaner neck and jawline, without complete reversal of their jowls and their mature appearance of “gravitas.” Here the more limited “cable minilift” (with or without cervicoplasty) may offer the ideal compromise, bringing a cleaner neck and jawline, while retaining an element of the jowl with facial squaring. Men, even more than women, cite career concerns as their most common motivation for face and neck lift.
Illustration: Leonardo da Vinci, “Man’s Head,” Musée du Louvre, Paris