This review discusses aging patterns and surgical techniques for blepharoplasty in men, highlighting complications.
a) Aims and Background: Blepharoplasty is among the fastest-growing aesthetic procedures in male patients, reflecting shifting cultural norms and increasing demand for facial rejuvenation that preserves masculine features. This review outlines the anatomical and aging patterns specific to the male periorbital region and discusses contemporary surgical techniques tailored to this population. b) Anatomy: This section highlights the gender-specific anatomical differences in the periorbital region influence both surgical planning and outcomes. c) Male Periorbital Aging Patterns: Aging in men involves distinct patterns that must be addressed to preserve masculine facial identity. d) Surgical Techniques: Surgical strategies emphasize conservative tissue excision, preservation of eyelid fullness, and avoidance of feminizing features. e) Complications: Men are predisposed to complications like lower lid malposition, visible scarring, and wound dehiscence due to anatomical factors and skin characteristics. Overcorrection may lead to feminization, necessitating a conservative surgical philosophy and meticulous technique. f) Conclusions: A deep understanding of sex-specific anatomy and aging, coupled with meticulous surgical technique, is essential for achieving natural, harmonious outcomes that align with the male aesthetic ideal.
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Tripathi et al. (2025) studied this question.
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