How Is a Male Facelift Different Than a Woman’s?

A facelift, medically known as rhytidectomy, is a surgical procedure designed to lift and tighten the skin of the face and neck to restore a more youthful appearance. The goal is to reduce smooth out deep folds, and remove excess skin that develops over time due to the natural aging process. During a facelift, the surgeon will make incisions, usually along the hairline, around the ears, and sometimes under the chin, to access the underlying tissues. The skin is then tightened, excess fat and skin are removed, and the underlying tissue is repositioned to restore a firmer, smoother, more youthful contour to the face.

Anatomical Differences Between a Man and Woman’s Face

Before we dive into how a facelift for men differs from women, it’s important to understand the anatomical distinctions between male and female faces that influence the approach to surgery.

• Skin Thickness and Facial Structure

Men generally have thicker skin and stronger facial features than women, with higher collagen density and a more pronounced bone structure. Features such as a prominent jawline, stronger cheekbones, and a broader forehead play a crucial role in facelift planning. While facelifts for women focus on softening contours, male facelifts aim to enhance angularity and preserve masculine contours.

• Hairline and Scalp Position

Hairline placement is another crucial factor in facelift planning. Men usually have lower hairlines but face greater concerns with hair loss as they age. Incision placement must be meticulously planned to ensure a natural look, particularly for men experiencing thinning hair or baldness. Surgeons often conceal incisions in natural folds around the ears or behind the hairline.

For women, higher hairlines and fuller hair coverage provide more flexibility in incision placement. Surgeons may adjust their techniques based on a woman’s preferred hairstyle. For men, hair restoration techniques may be integrated to ensure seamless results.

How Facelift Surgery Differs for Men

Given the differences in facial anatomy and aesthetics between men and women, facelifts for men tend to follow a different approach. Here are some of the key factors that make a male facelift distinct:

• Preserving Masculine Features

Most men seek subtle rejuvenation rather than dramatic transformation. A skilled surgeon tailors the procedure to maintain a chiseled, defined jawline while avoiding an overly softened or feminized appearance. Men typically prioritize a firm, structured look, unlike women, who may desire a lifted heart-shaped contour.

Overcorrection can lead to an unnatural or “overdone” appearance. To prevent this, surgeons use conservative techniques to ensure the skin is not pulled too tightly and that facial volume is preserved appropriately.

• A Focus on the Neck Area

Sagging in the neck and jowls is a common concern among men. Due to natural aging patterns and differences in skin laxity, a male facelift often focuses as much on the neck as the face. Prominent platysma bands (vertical neck bands) may require correction to create a smoother, more defined neckline. Surgeons frequently incorporate a neck lift to enhance overall facial harmony and provide a natural, balanced result.

• Incision Placement

For men, discreet incision placement is a top priority. Surgeons carefully position incisions along natural facial contours to minimize visibility and avoid interfering with beard and mustache areas. Since male facial hair patterns can shift slightly after surgery, careful planning ensures incisions remain well-hidden, even if the patient maintains facial hair post-surgery.

• Consideration of Facial Hair and Grooming

Facial hair plays a significant role in a male facelift. Bearded or mustached men must consider how surgery may affect their facial hair. Surgeons will discuss how incisions may impact the beard line or future hair growth and adjust techniques to minimize any disruption. Any necessary trimming or shaving will be kept to a minimum.

Aesthetic Goals and Desired Outcomes for Men

While women often seek facelifts to restore a youthful, delicate appearance, men typically prefer a more subtle, masculine enhancement. The goal is to achieve a natural, refreshed look without appearing overly altered or “done.” Most men want to soften wrinkles and sagging skin while preserving the strength and angularity of their features. Key aesthetic goals for male facelifts often include:

• A more defined jawline: A chiseled, strong jawline is a hallmark of masculinity. Tightening the neck and removing excess fat under the chin can enhance definition.
• Smoothing the brow: Sagging in the forehead and around the eyes can make men look tired. A subtle brow lift can open the eyes and reduce forehead wrinkles while maintaining a masculine appearance.
• Reducing jowls and neck sagging: Addressing loose skin and muscle laxity in the lower face and neck helps create a more youthful profile while preserving natural male characteristics.