When treating men, I generally have some rules that I follow which is different from treating women. Men, by and large prefer to preserve their natural, youthful good looks and they typically desire to look more "relaxed" and "well-rested". As such my approach when treating men are rather conservative.
What are the treatments that can help them?
1. Droopy eyelids or Sagging eyelids
With excess skin which hangs over the eyelid margin make one appears tired, less attentive and unattractive. In more severe cases, one tends to use the forehead muscle to raise the eyelid to increase the visual field. In the long run, this will result in unwanted horizontal forehead lines which is commonly seen in men after 40's.
To correct this, a simple procedure whereby excess skin is removed. Or when the muscle that elevate the eyelid has become weak, muscle tightening may be done together with skin removal.
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| This patient under left muscle tightening procedure and skin removal in both eyes which yielded a much more alert and attractive eyes. |
2. Eyebags
Eyebags always make you look tired even when you are not. Eyebags result from weakening of a fibrous membrane called the orbital septum which holds the fat in place. As you age, the septum weakens causing the fat to prolapse forward and cause puffy under eye.
There are many approaches to correction eyebags. Depending on the severity, one may opt for surgery or non-surgery. Non-surgical eyebag correction involves injection of which may camouflage the puffy eyelids. This is a quick procedure done in the office with minimal or no downtime.
In more severe cases, eyebags require surgery for complete correction.
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| The under eye has been correction using hyaluronic acid gel filler which camouflaged the puffy lower eyelids. |
3. Forehead Lines
Many male patients come to me requesting to get rid of their forehead wrinkles. These forehead wrinkles may develop due to age and can be treated with toxins to relax the muscle. However, forehead lines may be due to excessive contraction of the forehead (frontalis) muscle. The lines formed are due to constant muscle contraction to compensate for the droopy or sagging eyelid. In this instance, correction of droopy or sagging eyelids by means of surgery will automatically relax the frontalis muscle and lessen the forehead wrinkles.
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| This gentleman complained of tired eyes and forehead wrinkles and wish to correct them. This is a typical patient with forehead lines due to constant contraction of his forehead muscle to lift his eyelids. After a simple procedure where the excess eyelid skin was removed, his forehead has naturally appear more relaxed and the lines has reduced tremendously. |
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| Another example of treating forehead lines without BOTOX. |
