Full Transcript Introduction to Male Facial Aging 0:01 If you're a man looking in the mirror 0:01 If you're a man looking in the mirror and thinking, "I don't look bad, but I 0:04 and thinking, "I don't look bad, but I 0:04 and thinking, "I don't look bad, but I don't look like myself anymore," 0:07 don't look like myself anymore," 0:07 don't look like myself anymore," this is where I stop and pay attention. 0:10 this is where I stop and pay attention. 0:10 this is where I stop and pay attention. Because what most people miss is how 0:12 Because what most people miss is how 0:12 Because what most people miss is how male faces actually age, why standard 0:15 male faces actually age, why standard 0:15 male faces actually age, why standard aesthetic treatments often fail men, and 0:18 aesthetic treatments often fail men, and 0:18 aesthetic treatments often fail men, and why things like structure, hormones, 0:20 why things like structure, hormones, 0:20 why things like structure, hormones, weight changes, and skin quality matter 0:23 weight changes, and skin quality matter 0:23 weight changes, and skin quality matter far more than simply chasing wrinkles. 0:25 far more than simply chasing wrinkles. 0:26 far more than simply chasing wrinkles. I've seen the same pattern repeat itself 0:28 I've seen the same pattern repeat itself 0:28 I've seen the same pattern repeat itself over many years in practice. And when 0:30 over many years in practice. And when 0:30 over many years in practice. And when it's ignored early, people often end up 0:33 it's ignored early, people often end up 0:33 it's ignored early, people often end up compensating later with more filler, 0:36 compensating later with more filler, 0:36 compensating later with more filler, more procedures, and results that feel 0:38 more procedures, and results that feel 0:38 more procedures, and results that feel less and less natural. Today, I want to
Why Male Rejuvenation Needs a Different Approach 0:42 less and less natural. Today, I want to 0:42 less and less natural. Today, I want to walk you through what I see going wrong 0:44 walk you through what I see going wrong 0:44 walk you through what I see going wrong in male facial rejuvenation and what I 0:47 in male facial rejuvenation and what I 0:47 in male facial rejuvenation and what I do differently. Now, if you're new here, 0:49 do differently. Now, if you're new here, 0:49 do differently. Now, if you're new here, I'm Dr. Fred Bloom. I practice 0:51 I'm Dr. Fred Bloom. I practice 0:52 I'm Dr. Fred Bloom. I practice integrative holistic anesthetic medicine 0:53 integrative holistic anesthetic medicine 0:53 integrative holistic anesthetic medicine and my work lives at the intersection of 0:55 and my work lives at the intersection of 0:55 and my work lives at the intersection of anatomy, biology, hormones, and 0:58 anatomy, biology, hormones, and 0:58 anatomy, biology, hormones, and long-term facial health. This channel 1:01 long-term facial health. This channel 1:01 long-term facial health. This channel isn't about doing more procedures. It's 1:03 isn't about doing more procedures. It's 1:03 isn't about doing more procedures. It's about thinking more clearly. If that 1:06 about thinking more clearly. If that 1:06 about thinking more clearly. If that resonates with you, take a moment to 1:07 resonates with you, take a moment to 1:07 resonates with you, take a moment to like this video, subscribe to the 1:09 like this video, subscribe to the 1:09 like this video, subscribe to the channel, and join my newsletter if you 1:11 channel, and join my newsletter if you 1:11 channel, and join my newsletter if you want deeper, longer form education 1:13 want deeper, longer form education 1:13 want deeper, longer form education beyond social media. One of the biggest 1:15 beyond social media. One of the biggest 1:15 beyond social media. One of the biggest mistakes I see is treating male faces 1:17 mistakes I see is treating male faces 1:17 mistakes I see is treating male faces like slightly modified female faces. Men 1:21 like slightly modified female faces. Men 1:21 like slightly modified female faces. Men age differently. Bone loss tends to 1:23 age differently. Bone loss tends to 1:23 age differently. Bone loss tends to occur earlier and more aggressively. Fat 1:26 occur earlier and more aggressively. Fat 1:26 occur earlier and more aggressively. Fat pads behave differently. Skin is thicker 1:29 pads behave differently. Skin is thicker 1:29 pads behave differently. Skin is thicker but collapses structurally. And hormones 1:33 but collapses structurally. And hormones 1:33 but collapses structurally. And hormones play a much larger architectural role. 1:35 play a much larger architectural role. 1:35 play a much larger architectural role. >> Men lose structure first, not softness.
The OG Curve and Facial Structure 1:39 >> Men lose structure first, not softness. 1:39 >> Men lose structure first, not softness. >> So when we apply soft feminizing 1:41 >> So when we apply soft feminizing 1:41 >> So when we apply soft feminizing techniques or overused neurotoxins, we 1:45 techniques or overused neurotoxins, we 1:45 techniques or overused neurotoxins, we don't actually rejuvenate men. We make 1:47 don't actually rejuvenate men. We make 1:47 don't actually rejuvenate men. We make them look off. And men sense this 1:51 them look off. And men sense this 1:51 them look off. And men sense this instinctively. That's why they often 1:53 instinctively. That's why they often 1:53 instinctively. That's why they often say, "Just don't make me look weird." 1:56 say, "Just don't make me look weird." 1:56 say, "Just don't make me look weird." That's not vanity. That's identity. One 2:00 That's not vanity. That's identity. One 2:00 That's not vanity. That's identity. One of the most important and misunderstood 2:02 of the most important and misunderstood 2:02 of the most important and misunderstood concepts in facial aesthetics is the OG 2:04 concepts in facial aesthetics is the OG 2:04 concepts in facial aesthetics is the OG curve. The OG curve is the natural 2:08 curve. The OG curve is the natural 2:08 curve. The OG curve is the natural S-shaped contour of the face. It's 2:11 S-shaped contour of the face. It's 2:11 S-shaped contour of the face. It's created by the relationship between 2:13 created by the relationship between 2:13 created by the relationship between bone, fat, skin, and light. It runs from 2:16 bone, fat, skin, and light. It runs from 2:16 bone, fat, skin, and light. It runs from the lateral cheekbone gently inward 2:18 the lateral cheekbone gently inward 2:18 the lateral cheekbone gently inward beneath the eye and then outward again 2:21 beneath the eye and then outward again 2:21 beneath the eye and then outward again toward the lower cheek. When that 2:23 toward the lower cheek. When that 2:23 toward the lower cheek. When that transition of light and shadow is 2:25 transition of light and shadow is 2:26 transition of light and shadow is smooth, the face looks rested and 2:28 smooth, the face looks rested and 2:28 smooth, the face looks rested and supported. When it collapses, the face 2:31 supported. When it collapses, the face 2:31 supported. When it collapses, the face looks tired even without wrinkles. And 2:35 looks tired even without wrinkles. And 2:35 looks tired even without wrinkles. And when it's overbuilt, the face starts to 2:37 when it's overbuilt, the face starts to 2:37 when it's overbuilt, the face starts to look puffy or unnatural. This is where 2:41 look puffy or unnatural. This is where 2:41 look puffy or unnatural. This is where male and female faces must be treated 2:43 male and female faces must be treated 2:43 male and female faces must be treated differently. In women, a softer and 2:46 differently. In women, a softer and 2:46 differently. In women, a softer and slightly more medial OG curve can look 2:49 slightly more medial OG curve can look 2:49 slightly more medial OG curve can look attractive. In men, the OG curve should 2:52 attractive. In men, the OG curve should 2:52 attractive. In men, the OG curve should remain flatter, more lateral, and more 2:55 remain flatter, more lateral, and more 2:55 remain flatter, more lateral, and more structural.
Assessing Collapse, Volume Loss, and Sex-Specific Anatomy 2:57 structural. 2:57 structural. Too much medial projection in a man's 2:59 Too much medial projection in a man's 2:59 Too much medial projection in a man's face quickly feminizes it. When I assess 3:03 face quickly feminizes it. When I assess 3:03 face quickly feminizes it. When I assess the OG curve in consultation, I'm not 3:05 the OG curve in consultation, I'm not 3:06 the OG curve in consultation, I'm not thinking about filler yet. I'm thinking 3:08 thinking about filler yet. I'm thinking 3:08 thinking about filler yet. I'm thinking about structure, biology, and light. The 3:12 about structure, biology, and light. The 3:12 about structure, biology, and light. The first thing I do is look at the face at 3:14 first thing I do is look at the face at 3:14 first thing I do is look at the face at rest. Not smiling, not posing, just 3:18 rest. Not smiling, not posing, just 3:18 rest. Not smiling, not posing, just neutral. I'm asking myself where light 3:21 neutral. I'm asking myself where light 3:21 neutral. I'm asking myself where light reflects naturally, where that 3:23 reflects naturally, where that 3:23 reflects naturally, where that reflection breaks, and where the face 3:26 reflection breaks, and where the face 3:26 reflection breaks, and where the face flattens, and where it collapses. A 3:28 flattens, and where it collapses. A 3:28 flattens, and where it collapses. A healthy OG curse flows. A disrupted one 3:32 healthy OG curse flows. A disrupted one 3:32 healthy OG curse flows. A disrupted one tells a story. Next, I look at the face 3:35 tells a story. Next, I look at the face 3:35 tells a story. Next, I look at the face from oblique and profile views because 3:38 from oblique and profile views because 3:38 from oblique and profile views because straight-on views often lie. The OG 3:41 straight-on views often lie. The OG 3:41 straight-on views often lie. The OG curve reveals itself when someone turns 3:43 curve reveals itself when someone turns 3:43 curve reveals itself when someone turns their head slightly, when they're 3:45 their head slightly, when they're 3:45 their head slightly, when they're talking naturally, and when the face is 3:48 talking naturally, and when the face is 3:48 talking naturally, and when the face is seen in motion. That's where you start 3:50 seen in motion. That's where you start 3:50 seen in motion. That's where you start to notice loss of lateral support, 3:52 to notice loss of lateral support, 3:52 to notice loss of lateral support, overfilled medial cheeks, and early 3:55 overfilled medial cheeks, and early 3:55 overfilled medial cheeks, and early structural collapse. When someone looks 3:57 structural collapse. When someone looks 3:58 structural collapse. When someone looks okay straight on, but distorted when 4:00 okay straight on, but distorted when 4:00 okay straight on, but distorted when they move, something isn't right. Then I 4:03 they move, something isn't right. Then I 4:03 they move, something isn't right. Then I ask a critical question. Is this volume 4:06 ask a critical question. Is this volume 4:06 ask a critical question. Is this volume loss or is this structural loss? Not all 4:10 loss or is this structural loss? Not all 4:10 loss or is this structural loss? Not all OG curve loss is caused by fat loss. 4:13 OG curve loss is caused by fat loss. 4:13 OG curve loss is caused by fat loss. Sometimes it's bone remodeling, ligament 4:15 Sometimes it's bone remodeling, ligament 4:15 Sometimes it's bone remodeling, ligament laxity, skin thinning, and overall 4:18 laxity, skin thinning, and overall 4:18 laxity, skin thinning, and overall tissue quality decline. If you treat 4:20 tissue quality decline. If you treat 4:20 tissue quality decline. If you treat structural loss with soft volume, you 4:23 structural loss with soft volume, you 4:23 structural loss with soft volume, you don't get lift, you get puffiness. And
Hormones, Weight Loss, and Facial Deflation 4:26 don't get lift, you get puffiness. And 4:26 don't get lift, you get puffiness. And finally, I always assess sex specific 4:29 finally, I always assess sex specific 4:29 finally, I always assess sex specific anatomy. Men should not be treated with 4:32 anatomy. Men should not be treated with 4:32 anatomy. Men should not be treated with the same OG targets as women. In men, 4:35 the same OG targets as women. In men, 4:35 the same OG targets as women. In men, I'm aiming for less medial fullness, 4:38 I'm aiming for less medial fullness, 4:38 I'm aiming for less medial fullness, more lateral support, straighter 4:40 more lateral support, straighter 4:40 more lateral support, straighter transitions, and preserved angularity. 4:43 transitions, and preserved angularity. 4:43 transitions, and preserved angularity. That's how you rejuvenate without 4:46 That's how you rejuvenate without 4:46 That's how you rejuvenate without erasing identity. As we age, the face 4:49 erasing identity. As we age, the face 4:49 erasing identity. As we age, the face doesn't just develop wrinkles. The 4:52 doesn't just develop wrinkles. The 4:52 doesn't just develop wrinkles. The architecture changes. Bone slowly 4:54 architecture changes. Bone slowly 4:54 architecture changes. Bone slowly resorbs, ligaments weaken, fat pads 4:57 resorbs, ligaments weaken, fat pads 4:57 resorbs, ligaments weaken, fat pads descend or deflate, and skin thins and 5:01 descend or deflate, and skin thins and 5:01 descend or deflate, and skin thins and loses elasticity. 5:03 loses elasticity. 5:03 loses elasticity. The OG curve doesn't disappear, it 5:05 The OG curve doesn't disappear, it 5:06 The OG curve doesn't disappear, it collapses. That collapse is why people 5:09 collapses. That collapse is why people 5:09 collapses. That collapse is why people often look tired even when they're 5:11 often look tired even when they're 5:11 often look tired even when they're sleeping well and taking care of 5:13 sleeping well and taking care of 5:13 sleeping well and taking care of themselves. Chasing lines alone misses 5:16 themselves. Chasing lines alone misses 5:16 themselves. Chasing lines alone misses the real issue. Weight loss adds another 5:19 the real issue. Weight loss adds another 5:19 the real issue. Weight loss adds another layer to this, especially rapid or 5:22 layer to this, especially rapid or 5:22 layer to this, especially rapid or significant weight loss, which we're 5:23 significant weight loss, which we're 5:23 significant weight loss, which we're seeing much more often now. Facial fat 5:26 seeing much more often now. Facial fat 5:26 seeing much more often now. Facial fat disappears faster than skin can adapt. 5:29 disappears faster than skin can adapt. 5:29 disappears faster than skin can adapt. The midface flattens. the light 5:31 The midface flattens. the light 5:32 The midface flattens. the light transition breaks. That's why people 5:34 transition breaks. That's why people 5:34 transition breaks. That's why people often say, "I feel healthier, but my 5:37 often say, "I feel healthier, but my 5:37 often say, "I feel healthier, but my face looks older." The answer is not to 5:40 face looks older." The answer is not to 5:40 face looks older." The answer is not to overfill. The answer is restoring 5:44 overfill. The answer is restoring 5:44 overfill. The answer is restoring lateral support, improving skin quality, 5:47 lateral support, improving skin quality, 5:47 lateral support, improving skin quality, sequencing treatments properly, and 5:50 sequencing treatments properly, and 5:50 sequencing treatments properly, and respecting facial tension lines. 5:52 respecting facial tension lines. 5:52 respecting facial tension lines. Overcorrecting weight loss faces is how 5:54 Overcorrecting weight loss faces is how 5:54 Overcorrecting weight loss faces is how the pillow look happens. Hormones 5:57 the pillow look happens. Hormones 5:57 the pillow look happens. Hormones quietly influence all of this. They 6:00 quietly influence all of this. They 6:00 quietly influence all of this. They control bone density, collagen 6:02 control bone density, collagen 6:02 control bone density, collagen production, fat distribution, skin 6:05 production, fat distribution, skin 6:05 production, fat distribution, skin thickness, healing response, and 6:07 thickness, healing response, and 6:07 thickness, healing response, and long-term tissue behavior. In men, low 6:10 long-term tissue behavior. In men, low 6:10 long-term tissue behavior. In men, low testosterone accelerates bone loss, 6:12 testosterone accelerates bone loss, 6:12 testosterone accelerates bone loss, flattens the midface, weakens jaw lines, 6:15 flattens the midface, weakens jaw lines, 6:15 flattens the midface, weakens jaw lines, and thins the skin. Chronically, 6:18 and thins the skin. Chronically, 6:18 and thins the skin. Chronically, elevated cortisol, worsens tissue 6:20 elevated cortisol, worsens tissue 6:20 elevated cortisol, worsens tissue breakdown and deflation. In women, 6:23 breakdown and deflation. In women, 6:23 breakdown and deflation. In women, estrogen decline reduces collagen and 6:26 estrogen decline reduces collagen and 6:26 estrogen decline reduces collagen and flattens the OG curve, while insulin 6:28 flattens the OG curve, while insulin 6:28 flattens the OG curve, while insulin resistance often causes puffiness 6:30 resistance often causes puffiness 6:30 resistance often causes puffiness without structure. This is why purely 6:33 without structure. This is why purely 6:33 without structure. This is why purely aesthetic treatments often don't hold. 6:36 aesthetic treatments often don't hold. 6:36 aesthetic treatments often don't hold. The biology underneath isn't supported. 6:39 The biology underneath isn't supported. 6:39 The biology underneath isn't supported. That's also why I integrate 6:40 That's also why I integrate 6:40 That's also why I integrate biioidentical hormones when appropriate. 6:43 biioidentical hormones when appropriate. 6:43 biioidentical hormones when appropriate. When hormones are optimized 6:45 When hormones are optimized 6:45 When hormones are optimized thoughtfully, skin quality improves,
A Better Treatment Strategy for Men 6:48 thoughtfully, skin quality improves, 6:48 thoughtfully, skin quality improves, structural treatments last longer, less 6:50 structural treatments last longer, less 6:50 structural treatments last longer, less filler is needed, and faces age more 6:53 filler is needed, and faces age more 6:53 filler is needed, and faces age more slowly and more naturally. In selected 6:56 slowly and more naturally. In selected 6:56 slowly and more naturally. In selected patients, peptides can also support 6:58 patients, peptides can also support 6:58 patients, peptides can also support collagen synthesis, tissue repair, 7:01 collagen synthesis, tissue repair, 7:01 collagen synthesis, tissue repair, inflammation control, and recovery after 7:03 inflammation control, and recovery after 7:03 inflammation control, and recovery after procedures. At that point, aesthetic 7:06 procedures. At that point, aesthetic 7:06 procedures. At that point, aesthetic stop fighting biology and start working 7:09 stop fighting biology and start working 7:09 stop fighting biology and start working with it. What I do differently today is 7:12 with it. What I do differently today is 7:12 with it. What I do differently today is simple, but it's not easy. I treat skin 7:15 simple, but it's not easy. I treat skin 7:15 simple, but it's not easy. I treat skin first, respect male anatomy, use less 7:18 first, respect male anatomy, use less 7:18 first, respect male anatomy, use less product rather than more, sequence 7:21 product rather than more, sequence 7:21 product rather than more, sequence treatments carefully, address hormones 7:23 treatments carefully, address hormones 7:23 treatments carefully, address hormones and metabolism, and focus on long-term 7:26 and metabolism, and focus on long-term 7:26 and metabolism, and focus on long-term facial integrity. The goal isn't to look 7:30 facial integrity. The goal isn't to look 7:30 facial integrity. The goal isn't to look done. The goal is to look healthy, 7:33 done. The goal is to look healthy, 7:33 done. The goal is to look healthy, strong, and congruent with who you are. 7:36 strong, and congruent with who you are. 7:36 strong, and congruent with who you are. If this perspective helped you think 7:38 If this perspective helped you think 7:38 If this perspective helped you think about facial aging differently, please 7:40 about facial aging differently, please 7:40 about facial aging differently, please like this video, subscribe to the 7:42 like this video, subscribe to the 7:42 like this video, subscribe to the channel, and consider joining my 7:44 channel, and consider joining my 7:44 channel, and consider joining my newsletter for deeper integrative 7:45 newsletter for deeper integrative 7:45 newsletter for deeper integrative education. And I'd love to hear from you 7:47 education. And I'd love to hear from you 7:47 education. And I'd love to hear from you in the comments. Has anyone ever 7:50 in the comments. Has anyone ever 7:50 in the comments. Has anyone ever explained facial aging to you this way? 7:52 explained facial aging to you this way? 7:52 explained facial aging to you this way? Have you noticed changes in your face 7:54 Have you noticed changes in your face 7:54 Have you noticed changes in your face after weight loss or hormone shifts? And 7:57 after weight loss or hormone shifts? And 7:57 after weight loss or hormone shifts? And would you like a deeper breakdown of 7:59 would you like a deeper breakdown of 7:59 would you like a deeper breakdown of male versus female facial structure 8:01 male versus female facial structure 8:01 male versus female facial structure next? Drop your thoughts below. I read 8:03 next? Drop your thoughts below. I read 8:03 next? Drop your thoughts below. I read them. 8:06 them. 8:06 them. >> [music]
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