"Do you know any proven ways to slow down and reverse hair loss?"
"I am working out and eating healthy. Yet I am seeing signs of aging on my face. Why? And what can I do about it?"
I have been receiving many private messages from men with questions similar to those ones and decided to write a separate post on the matter.
In this post: male facial aging concerns - anti-aging in general and facial aging; male facial aging - three lines; rejuvenation options; information resources; male medical aesthetics is a growing trend; basic anti-aging advice.
Facial aging and anti-aging
I will begin by saying that unfortunately this is not entirely an anti-aging question.
Yes, nutrition, physical exercise, sleep, alcohol consumption, smoking, anti-aging supplements, fasting, etc influence how young a face looks; however, a person can be perfectly healthy and fit and have an amazing body, and the face will still show signs of aging due to genetics, environmental factors, prior weight gain - weight loss cycles, or, what I call, tear-and-wear.
There are several anatomical layers on the face: several layers of skin (epidermis and dermis), superficial fat pockets, muscles, deep fat pockets, connective tissue and, possibly, interstitium, and the bones. While the lifestyle and anti-aging regimens have a large impact, the anatomical layers still age, and they age at a different pace, under the influence of different factors.
Facial and body rejuvenation above and beyond what is/can be achieved with the lifestyle changes and anti-aging supplements is addressed by the medical branch called medical aesthetics.
Male facial aging concerns - the three lines
MDs who specialize in the male facial aesthetic treatments and know what their clients want, use an almost coined phrase, "Men are concerned with three lines: jawline, eyeline, and hairline." (unlike women who are concerned with so much more :))
Jawline - lost definition of the lower face, facial sagging and/or fat accumulation under the chin/jaw.
Eyeline - dark circles, hollowness or puffiness, "I look tired".
Hairline - the hair loss that frequently starts in 20s and affects at least 50% of men.
I will also add the fourth one - a deep line(s) between the eyebrows.
It is always better to prevent an issue than to correct it, and at the end of the blog post I included some basic anti-aging advice.
For those who are already facing the issues, modern aesthetic medicine and cosmetic industry offer numerous options, including inexpensive and non-invasive ones, for the facial rejuvenation and hairline restoration.
The full high-level lists of options to treat the three lines are -
Unfortunately, even in a long blog post, it is not possible to give an answer suitable for everyone as to what the best option is, not only because of the number of the options, but also because reasons for an aged look and the stage of aging vary from person to person, and the most suitable option also depends on the age of a patient and the budget.
Take the hair loss, for example.
It may be tempting to give an advice like in many blogs, "use minoxidil 5%, it's inexpensive, and has a high likelihood of effectiveness".
The reality is that -
Every situation is different, and in the section below I included information sources for research on possible treatments. In the end I also included a generic preventative facial anti-aging advice.
If you don’t have time for research and want information and advice geared precisely to your situation/question, I give private paid consultations on the phone (I have all the information starting with the facial anatomy, anatomy of the facial aging, and the treatment options, but I do not perform any treatments).
The line between the eyebrows
An easy answer can be given only to the question on treating the line (deep wrinkle) between the eye brows.
The only truly effective way to deal with it is an injection of Botulinum Toxin (Botox, Xeomin, or Dysport).
The Botulinum Toxin injections are statistically number one non-invasive cosmetic procedure, with 7.2 million procedures performed in 2017 in USA alone (2018 data is not yet available). Roughly 11% of those 7.2 mln procedures were performed for male patients.
The major difference between Botox injections between genders is that on the face too, men have bigger and stronger muscles and men typically require an injection of more units of Botox than women do to achieve the same result. The effect from the injections lasts 4 to 6 months, after that the muscle returns to the same state it was before the injection.
Information Sources for Research
There is a lot of information on the facial aging and rejuvenation treatments at:
Medical aesthetics for men is a growing trend
In case you were curious...
There already are medical aesthetics clinics, and more are opening, specializing in male procedures. In South America this was the case already 15-20 years ago; USA and Canada are starting to catch up. This is in addition to the medical aesthetics clinics, centers, spas, plastic surgery centers that service clients of both genders.
To clarify, aesthetic and cosmetic procedures include a wide range of non-surgical, non-invasive or minimally invasive options such as injectables and various device enabled treatments.
To elaborate on why there are separate clinics for men -
The point is that the mere fact that the number of those clinics grows is an indicator of the flourishing demand for the male aesthetic procedures, including facial ones. The statistics by American societies of plastic surgeons confirm the trend.
Reasons why men get interested in aesthetic treatments vary -
Whatever the reason, worldwide, male rejuvenation/aesthetic/cosmetic procedures is a fast growing area of the medical aesthetics. A recent survey showed that 40% of men were interested or possibly interested in cosmetic procedures, 43% were not satisfied with facial appearance. And sales in men's grooming industry reached $50 billion in 2017.
It is worth noting that men are more reluctant than women to reveal even to their peers that they had any cosmetic procedure done and they are less tolerant to the downtime after procedures.
Basic preventative anti-aging advice for the face
Just like with any anti-aging, the best strategy is to prevent rather than to correct. What measures above and beyond healthy lifestyle and broad-spectrum anti-aging approaches can be taken to delay the signs of facial aging?
Any comments, questions or suggestions are welcome.