Botulinum Toxins: Increasing in Popularity for Men

botox-manBotulinum toxin injections are gaining popularity with men, according to new statistics from the American Society for Aesthetic Plastic Surgery. These injections are commonly known by their brand names of Botox, Dysport and Xeomin. The total number of botulinum toxin injections for men totaled 453,281 last year, per the ASAPS. This number equaled 9.9 percent of the total procedures performed on both sexes in 2016 and has increased 15 percent since 2000.

Motivations for men to get these injections include desires to look younger in order to stay competitive in the workplace and attract mates.The majority of men seeking this aesthetic procedure is between 35 and 65 years old. Sixty-nine percent of male cosmetic procedures also fell into this age group.

Most of the injections occur in the brow line or around the eyes in order to temporarily paralyze the muscles that allow the face to make movements that cause the signs of aging to occur. Repetitive movements or expressions over time like squinting or laughing can lead to the development of crow’s feet and laugh lines. These things cause people to look older than they are- which for many individuals is a cause of concern.

“No one wants to look older, and this is a motivation for people to seek out cosmetic procedures,” Dr. Bill Johnson, M.D., said.

Johnson is a cosmetic physician in Dallas, Texas, and uses Xeomin, a pure form of botulinum toxin a, to treat both male and female patients.

Xeomin provides big benefits when treated patients with moderate to severe frown lines. Frown lines occur between the eyebrows as a result of frowning or furrowing the brow. Once injected, the toxin temporarily blocks the muscle from moving to make those motions.

“People make facial expressions hundreds of times per day, unconsciously,” Johnson said.

Xeomin’s ability to temporarily stop these expressions saves the skin from damage caused by these motions.

“Aging depletes collagen and elastin from the skin, and this depletion allows creases to develop more readily,” Johnson said.

Collagen and elastin are critical to maintaining the skin’s ability to stretch and contract.

Xeomin is also beneficial in treating patients with sagging muscles in their brow that causes tissue to droop and sagging. Sagging tissue can impact the patient’s ability to see, but can also make patients look as if they are angry or tired. Xeomin is also approved to use around the eyes to help prevent crow’s feet from developing.

Since Xeomin is a pure form of botulinum toxin a, and does not contain additional additives likes Botox or Dysport, there is no risk of the patient developing antibodies against the injection that could compromise results.

Xeomin lasts three to six months, making it a good option for patients who want to improve their appearance, but may not want very invasive surgical solutions like the facelift procedure because of the risks associated with surgery and the lengthy downtime during recovery.

Men are also seeking dermal fillers to even out creases and lines. Popular dermal fillers, like Belotero and Radiesse, are used for both male and female patients.

Belotero is a hyaluronic acid based filler and is ideal for smoothing out moderate to severe lines and creases. Belotero is ideal for treating signs of aging that occur in the area of the nasal-labial folds near the nose and mouth. Results of Belotero last about six months.

Radiesse is a water-based gel filler and is made up of tiny calcium-based spheres. It is also beneficial around the mouth and nose, and once it is injected into the skin it reduces moderate to severe wrinkles. Radiesse triggers the body increase the production of collagen. Increased collagen production tightens the skin and helps smooth out the face. Radiesse lasts about nine to 12 months.

Facial procedures are not the only procedures men are scheduling. According to the American Society of Plastic Surgeons, men are also seeking other cosmetic procedures, such as liposuction, to sculpt tough to tone areas like the midsection and arms. Male liposuction procedures numbered 45, 012 in 2016.


American Society for Aesthetic Plastic Surgery. Initial Data from The American Society for Aesthetic Plastic Surgery Points to 20% Increase in Procedures. 2016.

American Society of Plastic Surgeons. Plastic Surgery Statistics. 2016.

Dr. Bill Johnson MD, MMM Innovations Medical
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