Surgeon Minute

Dermal Fillers for Men

Dermal fillers are popular among women as a way to restore a youthful look to the face. But, fillers are also very well suited to men to fight the signs of aging, says plastic surgeon Dr. Louis Bucky. The key is determining which filler is best, and in what quantity.

Dermal fillers are popular among women who want to minimize fine lines and restore a more youthful look to their face. But, men are also excellent candidates for facial fillers, says Philadelphia plastic surgeon Dr. Louis Bucky, because men have thicker skin and large facial bone structure.

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The type of filler that should be used depends not just on the patient’s age and the evidence of wrinkles or loss of volume in the face, but also on the patient’s gender, Dr. Bucky explains.

“With regard to the type of filler used in men versus women, when we’re really talking about robust or significant volume restoration, I tend to use fillers that have higher particle size,” Bucky said.

In all cases, a cosmetic surgeon has to consider the factors of gravitational changes, skin elasticity and deflational loss before deciding what filler best fits, and how much to use. And, of course, filler alone doesn’t replace a more elaborate procedure when it comes to making a noticeable difference.

“I think fillers are a critical part of restoring an aging face, if you will. But they’re not the sole component,” Dr. Bucky notes.

Facial gravitational changes are best addressed with a skin lift of some sort, he says, while deflational loss is better handled by fillers. For improving skin elasticity, the patient is often best served with dermabrasion, laser treatment, or facial peels.

“When you evaluate the face in toto, you can then determine how much of each component needs to be treated so you get a natural appearance, not one that is overcompensated by one versus the other, and not a distorted look,” he said. The people who are best at this, Dr. Bucky added, are board-certified plastic surgeons, with their deep understanding of those three facial factors.

“They are trained by people who have studied facial aging not for the past five years, but for the past fifty years,” he said. “And therefore there is a perspective that many physicians can’t bring to the table.”

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About the Author

Louis P. Bucky

Louis P. Bucky, MD, FACS is a Clinical Professor of Surgery within the Division of Plastic surgery at the University of Pennsylvania School of Medicine and Chief of Plastic Surgery at Pennsylvania Hospital. Dr. Bucky received his medical degree from Harvard...

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