Trends published in the press and social media, as well as our own combined clinical experience, suggest that the demand for treatment of the lower facial third has become increasingly popular in recent years for both male and female patients. When planning treatment, gender differences with regards to the anatomy, histology of the hard and soft tissues, surface contours and soft tissue features should be considered, as well as how these evolve through the distinctive male and female patterns of ageing.
In the developmental stages, all faces phenotypically start ‘female’, regardless of biological gender. Approaching adulthood, however, the male face forms a more masculine appearance through changes driven by testosterone, including adaptations in skeletal shape, subcutaneous fat distribution and cutaneous physiology.1,2 The facial height to width ratio gives the overall facial type – the…
