The number of male patients seeking cosmetic surgery is increasing every year. These patients usually want to look their age, not necessarily younger. A man at the peak of his productivity who feels young and energetic may desire to project such an image. Therefore, cosmetic facial surgery has become very popular, and procedures that deliver reliable, natural, and long-lasting results with minimal downtime are in high demand among these patients.

The earliest age-related changes are observed around the eyes, where the first indicators include sagging skin, droopy eyelids, and hooding. These signs give men a tired or angry appearance, which most men find undesirable.

Additionally, in men, aging signs are particularly noticeable in the eyebrows. Heavy brows may appear due to the laxity of skin, muscle, and ligaments that support the brow and the forehead. Alternatively, some patients have had a heavy brow since their youth, making it a hereditary condition. Regardless of the cause, lateral hooding and skin sagging over the eyelashes become visible due to brow descent. In some patients, the impact of brow descent causes more than just an aesthetic concern; it may also lead to visual impairment.

Endoscopic brow-lift for men

An endoscopic forehead and brow lift is the preferred procedure for men with heavy brows. This surgical approach is safe and minimally invasive, addressing the cosmetic signs of forehead and brow descent while restoring brow position. However, a male patient’s brow contour, forehead length, and the presence of a receding hairline may make this operation more challenging than for a woman.

Brow shape and contour differ substantially according to gender. In women, the tail of the brow assumes an arched contour, while in men, it has a flatter configuration. Therefore, the surgical approach must be tailored to the male brow to maintain a masculine appearance. Whereas in females, the surgeon aims to arch the brow by raising its tail, in males, the surgeon seeks to achieve a horizontal contour or T-shaped brow. This effect is achieved by setting the upper incisions closer to the midline and placing the Endotine devices – the absorbable implants that hold the brow in its postoperative height during the first months – also closer to the midline.

Males tend to have taller foreheads, making the endoscopic maneuvering more challenging for the surgeon. A way to counteract this variation in anatomy is to place the scalp incisions lower on the forehead. This strategy is the best way to facilitate the dissection and make the surgery safer and more efficient.

Receding hairlines also present a challenge for the cosmetic surgeon’s operation on the male forehead. The main advantage of an endoscopic brow lift is that the incisions are hidden in the hair-bearing scalp to prevent stigmatizing scarring. This approach is not feasible in bald males; therefore, the technique must be modified to preserve the same cosmetic result. In such cases, the surgeon attempts to hide the superior incisions in a natural crease or horizontal forehead wrinkle. Forehead incisions heal beautifully without leaving any noticeable scars. Thus, an excellent cosmetic result can be achieved by effectively elevating the brow without compromising the hairline position.