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While it is true that the overall number of plastic surgery procedures performed in the past few years is up, and the number of men as a percentage of this total is increased, women still far outnumber male patients by about 10:1 for most practices. While male plastic surgery procedures are somewhat different from woman’s, their motivations for undergoing plastic surgery are also different.

While both men and women undergo plastic surgery to look physically better, you have to dig beyond this obvious level to understand what their true motivations are. The desired physical concerns or desired changes are just a reflection of their unspoken concerns. As a general statement, most women’s motivations for plastic surgery are true self-image issues. They want to fell better about themselves. Correcting a physical flaw is one approach to self-improvement. (and perhaps the easiest?) Whether it is to have a breast augmentation to look better in clothes or to have a facelift to not look old, women seem to be much more concerned about doing the surgery truly for themselves. I hear this over and over…’my husband doesn’t think I need it…or…’my friends say I look fine’. But yet, women want to have the surgery anyway…becasue they want to fell better about themselves. Men, conversely, often undergo plastic surgery because they want things. Whether it be to have more women, sex, money or power…it most always deep down is motivated by a desire for external or more tangible things. As a plastic surgerycorollary to ‘Men are Venus, Women are from Mars’…Women do things for themselves, Men usually do things for somebody else.

Men undergoing plastic surgery also are different from women in other ways as well. They usually are not interested in complex procedures that involve any significant recovery, they are usually less compliant than women, their response and tolerance to pain is often more pronounced, and they often are more critical of the results. (or they are at least more vocal) Much of this has to do with the general greater impatience of men who want to get to the final result quickly…and usually more discretely. This is why smaller more subtle procedures for men are often better, even if the result is not as significant. Men get no accolades, and certainly little sympathy, in society for suffering through a plastic surgery recovery. Women, conversely, garner more empathy if they are suffering to look more ‘beautiful’. In fact, our society expects them to do so.

The handling of the male plastic surgery patient, I have found, is quite different from a female patient. And not all plastic surgeons can work well with men. They often require more time and patience than most female patients. And the demands of the younger male patient are higher than that of an older man. The young ‘narcisistic’ male patient can be the most demanding and the most likely to require revisional surgery to achieve a their satisfactory result.

Dr. Barry Eppley

Indianapolis, Indiana

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