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| THE MALE FACE | ARTICLE Adjuvant whole-face procedures


Chemical peels are used as whole-face procedures in males as in females. In the authorsÕ experience, males prefer superficial peels because


of the reduced


downtime. Superficial peels include α-hydroxy acids (glycolic acid, lactic acid), β-hydroxy acids (salicylic acid, capryloyl salicylic acid), and Jessner solution (a combination of resorcinol, salicylic acid, lactic acid, and ethanol). β-Hydroxy acids have the advantage that they do not require a neutralising agent. Deeper peels like trichloroacetic acid peel (TCA) need more experience. Peels can be used to treat acne, hyperpigmentation, and photodamage (Figure 5)40–43


. Another technology for full-face procedures is


microdermabrasion (Figure 6). The primary target is the stratum corneum. It can be used in addition to lasers, or in conjunction with dermo-cosmeceuticals44


.


Fractional photothermolysis is another technology that can be used for partial or full-face procedures45


. The


target chromophore is tissue-bound water. Photothermolysis is available for different laser types, such as CO2


scandium-gallium-granat (2790 nm) (Figure 7)46


(10 600 nm), Er:YAG (2940 nm), and yttrium- . The


                                         


principle immediate effect comprises microscopic thermal ablation zones, whereas the delayed induction of collagen and hyaluronic acid is dependent on laser wavelength, spot density, pulse duration, cutaneous hydration, and cooling. The coverage of fractional


Key points


n When addressing male aesthetics it is also important to acknowledge masculinity


n Owing to peculiarities in anatomy, botulinum toxin therapy needs to be adapted with regard to dosage and injection points


n Dermal fillers are most useful for facial sculpturing in males.


n The cheeks, chin, and submental areas are key to facial attractiveness in male patients


n Lasers and peels can be used in conjunction with botulinum toxin and dermal fillers to obtain optimum results


photothermolysis should be less than 50% of the area to avoid unwanted adverse effects. Pre- and postoperative care is essential to achieve optimum results. More details can be found in a recent consensus paper on this topic47


.


Conclusions Men have become more interested in minimally-invasive aesthetic procedures during the last decade. The attempt to gain optimum results, however, has gender-specific features. The interaction between attractiveness and masculinity needs particular awareness. Men want to remain as natural as possible when considering aesthetic improvement.


 Declaration of interest Uwe Wollina has received honoraria for workshops and lectures from Allergan and Merz Aesthetics. Alberto Goldman has nothing to declare.


 Figure images ç Wollina


aesthetic cannula innovations                                       


                                                      


                                                                 "              "                                          


•                  "      "                                               •                                                     •                  "              "               •                                                                                 


                                                             


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