Plastic Surgery for Men

Male Liposuction -- Before and After

Men Flock to Plastic Surgery But Need Different Procedures and Techniques
By Lloyd M. Krieger, MD

When I first started training in plastic surgery 12 years ago, I met only a few men who wanted to go under the knife. Plastic surgery was the domain of young women working on their bodies, and women over 35 refreshing their faces. Men picked up their wives and girlfriends after the procedures -- but stayed away from the operating room themselves.

Not anymore. Last year more than 800,000 men had plastic surgery procedures, according the American Society for Aesthetic Plastic surgery, and the number is growing. I see more and more men every month. Sports Illustrated now sits with Vogue in our magazine rack.

Men are turning to plastic surgery to feel better, look younger, and even help with their careers. But just as men are from Mars and women are from Venus in relationships, so too are they different when it comes to plastic surgery. With the wrong procedures, or the right procedures done incorrectly, men can wind up looking less like they did when they were in college -- and more like their college-aged daughters.

Why are men turning to plastic surgery?
The boom bust cycle we are living through helped draw men to plastic surgery.

With the greater wealth of the 90s, men, like women, wanted it all -- good times and good looks. Just as they purchased nice cars and stereo systems with their stock market winnings, they began to buy things to make them look better. Sometimes this meant fine suits or health club memberships. Increasingly, it meant plastic surgery.

Meanwhile our culture has become ever more obsessed with youth. Britney Spears is becoming passé as she nears her mid-twenties. Basketball players retire before 30. Youth represents health and success and men are embracing more aggressive ways of trying to maintain it.

With the lean times lately, many men tell me they feel professional competition from younger colleagues. Our youth culture does not reward aging gracefully, they explain, so one solution is to try to age more slowly. Plastic surgery offers some options for staving off the effects of time, and making men feel competitive in our more cutthroat workplaces.

Less Lifting, More Shaping
Where women tend to undergo lifts, men steer more toward reshaping and recontouring. Nationally, the top three surgical procedures for men are liposuction, rhinoplasty (nose work), and blepharoplasty (eyelid surgery). Increasingly, men are going for Botox and skin treatments as well.

Even in-shape guys have love handles that tend to scream "flab." These can be easily addressed with liposuction. Likewise, many men I see complain of fullness in the chest (and I am not talking pecs here) that diminishes their masculine look. Liposuction provides excellent results here as well. This surgery can help bring back the abs men had in college.

Liposuction often provides desired outcomes that often cannot be achieved at the gym. Localized fat deposits that are hard to exercise away become inviting targets for liposuction. I had one patient nickname my liposuction machine his "mechanical personal trainer." Results like this are improved still more as men head back to the gym after their procedures.

Like rings in a tree trunk, lines reveal our age. In men, they tend to develop around the eyes and forehead. When treated early, Botox smooths fine lines on the face. By weakening tiny facial muscles, it stops the constant pulling that leads to lines on the overlying skin. Though the results only last between three and six months, the changes are impressive.

When fine lines around the eyes graduate to true wrinkles, eyelid surgery turns back the clock. By removing excess skin and fat of either the upper or lower eyelid, men look refreshed without changing their overall appearance.

As men age, their faces reveal the harsh effects of the sun. Fine lines, uneven skin tone and blotchiness are the after-effects of time spent outdoors playing sports. Chemical peels, often done without anesthesia, ease these signs of aging and provide a fresher, more youthful skin tone.

Different Procedures for Different Folks: Why Men Are Unlike Women in Plastic Surgery
Men have different goals from women in seeking plastic surgery. And their distinct anatomy means that simply offering the same procedure to men as women will leave men dissatisfied with the results.

Women tend to do well with fairly long recovery periods. Many go to special centers where they receive loving care and embrace the process as a sort of medical vacation. Men want to recover quickly and get back to work and play immediately.

Women tend to want more shape. Larger breasts, rounder bottoms. Men want a better defined, more angular shape on both their bodies and faces. Where women often crave dramatic results, many men seek subtle changes. So while a gall bladder surgery is the same for men and women, (with the exception of a little more whining from the guys) plastic surgery requires different approaches to the sexes.

In the face, for example, a standard facelift will often soften the features. While this is flattering for a woman, it can sometimes leave a man looking somewhat feminized. This means fewer facelifts for men, wider use of alternatives, and a rather different procedure for those men who are good facelift candidates.

Men tend to have fewer problems with "jowls" or loose skin on the lower parts of the face. They have more issues around the chin, neck and forehead. So where women of a certain age do well with facelifts, many men do better with such alternatives as chin liposuction, neck lifts, and forehead lifts. These three smaller procedures can often be combined, and provide a better result than the larger facelift operation. And the recovery is shorter, so the impatience my male patients display is not overly tested.

When men do go for facelifts, their thicker skin means they need a unique procedure. Less pulling of the skin itself, which tends to become overly thin when pulled, and more work tightening the deeper tissues of the face. Since men have beards, care must be taken not to move the hair-baring areas too close to the ears, or men will have to shave right up to their ear lobes.

Noses also need to be carefully sculpted in men. The pert little nose with a slightly uplifted tip is flattering for women – and a disaster for men. Conservative is the watchword for male nose surgery. The nose should not be made too small, and some of the hump in the middle should be left in place. This will give men the results they desire, without making them look like their wives and girlfriends.

And while both men and women both have great results from liposuction, they have fat deposits in different places. I rarely do lipo on men’s thighs, but I do a lot on their abdomens, love handles, and chests. Men often have more resilient skin than women, so it tends to shrink better following the procedure. This allows for more fat removal in some men.

Plastic surgery is no longer for women only. Men have great results, just like women. But their bodies, goals, and temperaments are different. So the correct procedures, done in the right way, need to be selected to give men the outcomes they're looking for.

Lloyd M. Krieger, M.D. is the founder and medical director of Rodeo Drive Plastic Surgery in Beverly Hills, CA. He welcomes your questions and comments by phone at 310-550-6300 or email at

More information is also available at

Ten Things Men Should Know About Plastic Surgery

Plastic surgery is increasing popular among men. As you consider Los Angeles plastic surgery, it is best to understand the how procedures and outcomes are specialized for men.

1. Liposuction does not replace working out, but it definitely can remove fat from areas that exercise tends to miss (like the chest and love handles).

2. Your results from lipo will be best if you continue regular work at the gym after the procedure.

3. Calf implants and pec implants tend to migrate with time and have other problems. Better to use liposuction to sculpt the surrounding areas, and make the pecs and calfs appear more distinct.

4. Lipo cannot make your abs look like Schwarzenegger’s, but it can bring you close to where you were in college.

5. You will probably have better results from reshaping rather than lifting. This will give you a more chiseled and angular masculine look.

6. Even if you have wrinkles and sagging on your face, you probably do not need a facelift. In some cases, facelifts make men look feminized. Better to have a neck lift, brow lift, and work on the eyes.

7. A chemical peel, which can be done without general anesthetic, is not a “facial” and can get rid of fine lines, uneven tone, and blotchiness.

8. Botox is not only administered at parties. And it can erase wrinkles as well in men as in women.

9. You will probably be happiest with subtle changes, that make you look more refreshed and youthful, rather than dramatically altering your appearance.

10. You will have to set aside some time to recover from your procedure. Impatience leads to complications.

Lloyd M. Krieger, MD is the founder and medical director of Rodeo Drive Plastic Surgery in Beverly Hills. He specializes in plastic surgery in California for men and welcomes your questions and comments by phone at 310-550-6300 or email at

More Hispanics are Opting for Plastic Surgery

In 2006, Hispanics led minority racial and ethnic groups undergoing cosmetic procedures (9% of all procedures performed, up from 6% in 2000), according to the American Society for Aesthetic Plastic Surgery. More Hispanic women are seeking plastic surgery nationwide, and at Rodeo Drive Plastic Surgery we've found that over 30% of our patients are Hispanic men and women.

The majority of our patients who ask for the "The Rodeo Drive Mommy Makeover" here in Los Angeles are Hispanic women in their 20's and 30's. The "Mommy Makeover" consists of a tummy tuck, breast lift and frequently a small breast implant.

Breast augmentation Beverly Hills is in high demand among young Hispanic women, either as a single procedure or as part of the "Mommy Makeover."

Hispanic women and men who opt for rhinoplasty are concerned with keeping their ethnic identity, so our procedures procedure enhance the face but do not erase ethnic origins.
Hispanic skin is generally thicker and less prone to wrinkling; signs of aging tend to be sagging rather than the crinkled look found in Northern Europeans.

Generally darker than Caucasian skin, Hispanic skin is more prone to scarring and uneven skin tone. Special approaches are necessary in procedures for Hispanic patients to avoid unsightly scarring and to preserve the skin tone.

Liposuction is in high demand by both Hispanic men and women. Our male patients ask for liposuction to eliminate love handles and achieve the look of a flat chest and washboard stomach.
More information can be found at .

Although word has it TV’s Nip/Tuck is headed for Rodeo Drive, in the real world, Rodeo Drive Plastic Surgery is the first and only plastic surgery center on Beverly Hills’ ultimate address. Lloyd Krieger, M.D., founder and Medical Director of the center, who has been featured in such media as Fortune, The New York Times, the Wall Street Journal, Access Hollywood and other media, is known both as an artist and an innovator in the world of Beverly Hills plastic surgery, including such procedures as tummy tuck and Beverly Hills breast reduction.

The Rodeo Drive Chin Rejuvenation™:

Perhaps best known for his Rodeo Drive Mommy Makeover™, created for women who want their stomachs and breasts to look the way they did before their pregnancy, Dr. Krieger now introduces the Rodeo Drive Chin Rejuvenation™, a transformational minimally-invasive plastic surgery procedure, ideal for patients who (no matter how much they exercise or how much weight they lose) are tired of seeing that double chin staring back at them in the mirror.

The Rodeo Drive Chin Rejuvenation™ is a unique form of facial rejuvenation, a chin and neck liposuction procedure that does not take a long time in the operating room or have a prolonged recovery period. Despite its minimally invasive nature, this cosmetic surgery can make a dramatic change in a person’s appearance. In the past, patients would need a facelift or necklift to correct the problem of excess fat under the chin and in the neck. But, for appropriate candidates, this procedure is effective, has little downtime and successfully addresses the problem of the annoying "double chin" or overly full-looking neck. The Rodeo Drive Chin Rejuvenation™, which is ideal for both men and women, can dramatically improve a person’s appearance with minimal downtime and less risk of scarring. Compared with the routine facelift or necklift, Dr. Krieger’s procedure is less expensive, easier to recover from, affords minimal recovery time and can have remarkable benefits for the ideal candidate.

Rodeo Drive Plastic Surgery is Beverly Hills’ most elegant of medical facilities, featuring state-of-the-art exam rooms, marble counter tops, bamboo floors, and leather chairs. To accentuate the aesthetics of the center, there are original Andy Warhol paintings hanging on the walls.

Dr. Krieger completed his education at Stanford University and the University of Chicago. He completed his residency at UCLA and maintains plastic surgery operating privileges at UCLA and Cedars-Sinai medical centers.

What to Look for in an Ambulatory Surgery Center

Times have changed in surgery. About fifteen years ago, just about all surgery – no matter how routine or small the procedure – was done in the hospital. Now, the majority of all surgical procedures are performed in outpatient surgery centers. These facilities are usually freestanding and are not attached to the hospital.

Now, even relatively complex and lengthy procedures are performed in outpatient surgery centers. These facilities are sometimes also called ambulatory surgery centers. More than 90% of all plastic surgery procedures such as breast augmentation as well as liposuction California rhinoplasty are performed in outpatient facilities. This is especially the case with plastic surgery in Los Angeles.

This shift puts the burden on the patient or consumer to choose wisely. Surgery of all kinds has never been safer or more effective. But it is still a serious undertaking and the facility where it is performed is a key component of overall safety.

There are several things to look for when evaluating whether you should use a particular outpatient surgery center. The most important issue is safety. You should check on the certification of the outpatient surgery center. Some states offer licensure of these facilities, while others do not. There are certifying organizations that inspect facilities. Some of these include AAAHC and Medicare. When a facility has these sorts of certifications, they have been thoroughly inspected for their physical layout, staff training, safety equipment, and emergency protocols to assure they have the highest level of professionalism and safety.

You should ask your surgeon why he chooses to use the given surgery center. Has he found the surgery center to be safe and convenient for patients? You should ask if the surgery center has a transfer agreement with a local hospital. In case of a problem, this confirms that you can get quick access to emergency care in the hospital setting. You should ask about the safety equipment on hand at the facility. Following your procedure in an outpatient surgery center, you likely will go home. You should ask your surgeon what provisions are made for contacting him and her with questions and concerns during off hours. You should also ask who will be performing your anesthesia. Is the anesthesiologist or nurse anesthetist experienced in outpatient surgery? You might also ask to receive any prescriptions for post-procedure medications prior to your surgery day, so you need not go to the pharmacy following your surgery.

Outpatient surgery is now routine and safe. But it is important to check on the outpatient surgery center prior to deciding where to have your procedure performed.

I was reading through some of the feedback e-mail from our website, and notice a lot of e-mails from women, showing concern about the lack of women plastic surgeons in their area, so I thought I would blog about that today.

More and more women are flocking to plastic surgeons' offices to have some kind of work done. But it's hard to feel comfortable in the hands of men, wondering about a breast augmentation with them, or a breast reduction and just thinking how would they know how it feels, they don't have to deal with that, right?

Well, for that group of women, (and men, I guess...) I suggested to one of our writers to gather some of those surgeons and write an article about them, what they think makes a difference and how they approach this world of surgeons, ruled by men, pretty much.

It's quiet interesting, he intereviewed Dr Mariam Awada in Michigan, and Dr Kimberly Henry in Northern California.

Women Plastic Surgeons


Rodeo Drive Plastic Surgery's Patient Privacy Program

Plastic surgery is a private undertaking and a very personal decision. At Rodeo Drive Plastic Surgery, the first and only plastic surgery center on world-famous Rodeo Drive, we have developed a unique patient privacy program to assure the utmost discretion for our clients. Because of our unique location and relationships, our plastic surgery center caters to members of the entertainment industry. But when it comes to privacy, we adhere to the same standards for celebrity plastic surgery as for all of our patients.

The program starts with the physical layout of our offices and on-site surgery center. We built a hidden back entrance -- far from prying eyes of celebrity photographers -- that leads to a discreet service elevator. This elevator opens deep in the building's parking structure and also on the alley behind Rodeo Drive. Our back entrance is unusual among medical offices and assures discretion. This novel feature of our design and layout has been featured in Elle magazine, Denmark’s Q magazine and on France’s Télévision Française 1, France’s most popular TV network.

Our plastic surgery staff, in our offices and our operating rooms, is thoroughly trained in patient privacy issues. Our organization has a designated privacy officer to oversee the routine work of the staff and confirm that our strict confidentiality policies are enforced. No member of our staff will discuss any aspect of patient care (or even that someone is receiving care) with anyone at any time, unless that person have given us permission to do so.

Each employee signs an agreement to maintain patient privacy at all times -- again, this applies to celebrity plastic surgery and for all patients who go our plastic surgery center. Patients also are asked to designate how they would like to be contracted (such as cell phone only), so communication is always done in the manner that makes the patient most comfortable and allows for the most discretion.

These steps offer reassurance to all patients that their confidentiality will be maintained. And since we treat every patient like a celebrity, we take firm steps to maintain discretion and safeguard confidentiality for all our patients.