Skin aging in males

Author: Dr. Astolfi Giorgio

Date: 25/02/2019

Aesthetic medicine is growing fast compared with aesthetic surgery.

If in 1997, 55 out of 100 services were of a surgical nature, in 2013 and 2014 aesthetic medical services – and therefore minimally invasive – rose to 86.

Only 14 those of a surgical nature.

Another interesting fact regards the distribution of patients.

Out of 100 patients, around 85 are women and 15 men.

What does this mean? Undoubtedly, in Italy the male approach to aesthetic medical practices is influenced by a cultural heritage that is certainly different from other European countries, where these percentages are different.

So what follows? What we are talking about is a market destined to grow, which will be developed and cultivated and that the approach to the male face is naturally different compared with the female face.

The approach is always ad hoc, personalised, and should be defined on the basis of the type of face in front of us. In males, the mandibular contour and angle, the zygomatic arch rather than the cheekbone, the bridge of the nose, if necessary, can be retouched, and even retouching the lips of a man is not blasphemous. The lips are also reabsorbed in males and can give a sad, melancholy appearance to the face and expression.

So, using intelligence, it is possible to work very well on the male face, without drastic changes, using increasingly high-performance fillers. I use hyaluronic acid for the lips and for some districts of the face, says Dr. Astolfi, as well as calcium hydroxylapatite and carboxymethylcellulose, which is one of the most innovative fillers on the market and has the property of being both a real filler and a biostimulant, with the advantage of not being hygroscopic; so, by not calling for water, it allows us to make very precise and well-defined corrections.

This benefits above all the lower third and definition of the mandibular contour. Then, careful observation of patients' faces will allow us to remedy even skeletal disharmonies and I refer mainly to the second skeletal classes – in any case to receding if not frankly short chins as in the second skeletal class – and therefore pay great attention to alignment between tip of the nose, line of the lips and projection of the chin.

It is certainly beneficial to give strength and angularity to the jaw and, to conclude, we must stress the importance of having good skin care, also in men, because we often forget that a skin with couperose, lentigo and keratosis is a skin that will look older. Attentive skin care can never leave aside volumetric restructuring of the face.

Aesthetic sense and sense of measure

Another important aspect is absolute respect for the physiognomy of the face. We should create beauty, improve the quality and appearance of the face, correct structural defects where possible and therefore we should have good taste, aesthetic sense and sense of measure; in fact, I am greatly inspired by the words of famous architect Ludwig Mies van der Rohe: "Less is more" or little for obtaining much.

This is the key to the success of a correct medical-aesthetic procedure, where science and good taste always meet patient expectations.

Astolfi Giorgio


Dr. Astolfi Giorgio

Medical Surgeon
Milan (Italy)

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