Do men get Botox and fillers as much as women do?
Assessment of men and women for Botox and fillers
Both men and women come to Clinica London. We see a proportion of 50/50 for facial and periorbital rejuvenation assessment and advice. Patients under the age of 55 are keenest to have fillers with a hyaluronic acid gel such as Restylane and Juvederm plus Botox. Older patients are keener on biostimulation techniques such as Sculptra and Ultherapy. Those last two methods rely on their collagen stimulation.
Aesthetic assessment at Clinica London is done to establish whether the patient is going to be suitable for Botox and fillers. We take photographs and carefully assess the face and around the eyes area. We also test each of the muscles and observe their strengths relative to each other.
When assessing a patient for Botox I ask them to look very angry so I can test the glabellar muscles, then I ask them to raise their eyebrows so I can test the forehead muscles and then tighten their eyes shut very, very strongly as if someone has thrown pepper in them so I can test the strong orbicularis muscle, which causes crow’s feet and under eye wrinkles.
I also look at top sides of the nose to see whether there are bunny lines. The main thing with Botox is that I should only treat what the patient is concerned about.
Some men come just for Botox treatment of their very strong crow’s feet whereas other men come for Botox treatment only for their horizontal forehead lines. The art is being able to match the requirements and desires of the patient combined with giving them a very natural look, which is not over paralysed, that fits harmoniously with the rest of their face.
For possible filler treatment, I need to know whether they have had a history of previous fillers and other aesthetic procedures and I examine the relationships between the areas of the brow, eye, cheek, tear trough, outer cheek bone projection and temples.
I look at the volume of the upper outer brow to see whether there is rounding of the superior orbital rim laterally and I look at the temples to see whether there is hollowing, which can be very ageing.
I look at the cheek projection to see whether there is a continuous curve between the upper outer brow, the temples, and the upper cheek and then I look at the front of the cheeks to see how it blends in with the lower lids and the tear troughs.
Types of Botox and Fillers Treatment for men and women
If there are only small fatty bags in the lower eyelids and deep tear troughs, it is usually possible to do lower lid rejuvenation with fillers such as Restylane and Juvederm. That may involve doing single port entry cannula treatment with, for instance, Juvederm Voluma into the upper cheek and then a combination of Restylane Lyft and Restylane Lidocaine into the upper outer cheek zygoma area and the tear troughs. We can use Voluma for the temples and Restylane Lyft in the upper outer brows. Increasingly we are titrating the type of hollows and its location to the best kind of hyaluronate filler that suits that area.
We can use Hyaluronic acid gel fillers in the tear trough, such as TearFill.
At Clinica London, I use TearFill with Restylane and Lidocaine for the tear troughs and Restylane Lyft for the lid-cheek junction. In this way, we gradually build up the upper cheek zygoma area to provide the new support for the dark hollows beneath the eyes which make a patient look over-tired.
I can do the treatments in one or two sessions and, in the main, using a single port entry with a cannula, which reduces the risk of bruising and is often more comfortable for the patient during the treatment. It is also believed to have a lower risk of causing visual problems with injections, which although extremely rare have been described and can be severe.
We do all Botox and filler treatments at Clinica London with patient informed and signed consent. We usually do not do the procedures on the same day as the first assessment, but provide a medical report summarising the concerns, findings, and recommendations.
Then, we ask the patient to go away and think about this with their family, friends, and even colleagues and also particularly with their partners, whoever is their confidante, to help them decide whether they want to proceed with Botox or fillers. They then can call back and book in to have the treatment.
We do not treat Botox and fillers over the same areas, but we can do both treatments on the same day if they are in different regions of the face and around the eyes.
Although Botox only lasts three months, many patients choose to wait four to six months before having a top-up, and this fits exceptionally well with coming back in six months for aesthetic maintenance assessment to see whether any further treatment is required. Hyaluronic fillers usually last a minimum of six months, often 12 or even 18 months.