By: Beth Phillips, RPAC

One of the many increasing trends in male plastic surgical procedures is Botox (or other neurotoxins such as Xeomin or Dysport) injections. Laughingly referred to as Bro-tox, this procedure is used to soften wrinkles in the face.

In 2015, a study from the American Society of Plastic Surgeons (ASPS) showed that the number of men receiving injections increased by 337 percent since 2000.

While most women get Botox injections to look younger, most men seem to get Botox in order to stay competitive. Dr. Daniel Mills, president of the American Society for Aesthetic Plastic Surgery stated, “They’re simply having more procedures done because they want to maintain competitiveness in an increasingly ageist workplace.”

In our office, we have seen a huge increase in the number of men that are interested in plastic surgical procedures. Botox, or “Bro-tox”, is one of the most common.

Many, if not most men come in at the urging of their significant others. I would estimate that almost half of my male patients have had their first visit along with their wives or girlfriends. Sometimes they start as observers, but many times they become regular customers on their own.

Botox, Xeomin and Dysport are all considered neurotoxins and work by blocking the neurotransmitter acetylcholine, thus causing temporary paralysis of a targeted muscle. It is injected in very small aliquots using a small gauge needle in the areas deemed appropriate by the practitioner. The onset of action usually is seen within a couple of days, but can take up to two weeks to see the full effect.

Botox lasts approximately 3-4 months and then must be repeated in order to maintain the desired effect.

These injections are most commonly used to treat wrinkles in the glabella (commonly known as “eleven’s,” “frown lines” or “devil’s horns”), forehead and around the eyes. It is also used in the treatment of sweating. It can be injected in the palms of your hands, soles of your feet, or underarms to eliminate or at least greatly diminish perspiration in these areas. To be complete, I should mention that there is another area that botox has been reportedly used…also with a catchy name. “Scro-tox”, as you might have guessed, is botox injections to the scrotum. This has been cited as being effective for the treatment of both wrinkles and perspiration.

While Botox injection has become one of the most common male procedures in our office, there are still many other cosmetic procedures for the guys.

Other common procedures that our male patients have performed: facial fillers, liposuction, Sculpsure (non-surgical fat reduction), tummy tucks, facelifts, neck lifts, male breast reduction, PRP for hair loss, laser treatments for facial veins or toenail fungus.

Men have become more comfortable with coming in for aesthetician services such as facials and chemical peels.

With June being the month in which Father’s Day is celebrated, I thought it would be appropriate to mention that the male equivalent to the “Mommy Makeover,” now termed the “Daddy does-Over,” is further evidence that the guys don’t want to be left out!

Cosmetic procedures are not just for women anymore and have become very commonplace for men.

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