Although men account for about 15% of the current Botox® use in the United States, the number is quickly growing. In my Los Angeles-based Plastic Surgery practice, men account for about 20% of Botox® users. Although most practitioners typically treat men and women similarly with respect to Botox® dosing, that trend may be changing. At the 61st Annual American Academy of Dermatology meeting, doctors presented a study showing that men need twice the amount of Botox® than women to achieve similar results. This difference is mostly due to the greater tone of facial muscles and thickness of facial skin in men, and may vary for between patients.
Dr. Alastair Carruthers, the Clinical Professor of Dermatology at the University of British Columbia, studied the safety and efficacy of four dose ranges of Botox® Cosmetic when used on male frown lines. Carruthers found that men treated with 40-80 units of Botox® had the most satisfactory treatment results. In women, only 20-40 units of Botox® are needed to achieve optimum results. The findings are useful in establishing the proper dose for optimal results on men.
There has been a rapid incline in the amount of non-surgical cosmetic procedures among men. Male cosmetic surgery has become more commonplace in the media and no longer is associated with social stigmata. Furthermore, growing competition in the workplace has resulted in men taking extra measures to ensure job security.