Enter the ‘Brotox’ Era

FRIDAY, June 8 (HealthDay News) — The public’s common image of a
Botox patient is a middle-aged woman hoping to look more youthful through
the minimally invasive procedure.

But plastic surgeons say that “brotox” — the use of Botox by men — is
gaining in popularity.

Between 2000 and 2010, there was a 258 percent increase in the number
of men undergoing treatment with botulinum toxin type A, according to the
American Society of Plastic Surgeons.

In fact, more men in 2010 chose Botox treatment than any other form of
cosmetic surgery or enhancement, the society reported, with 336,834 males
receiving shots of the toxin to relax muscles and deaden nerves to improve
their appearance.

“I think the stigma of it to men has dropped,” said Dr. Stephen B.
Baker, an associate professor and program director of the department of
plastic surgery at Georgetown University Hospital in Washington, D.C.
“These days, you can get it done everywhere but a gas station, and maybe
in some states even there.”

Men tend to use Botox to smooth out a furrowed brow that otherwise
makes them look angry, said Baker and Dr. John Sherman, a clinical
assistant professor of surgery at the Weill Cornell Medical College in New
York City.

“Most of the men, what bothers them is the forehead wrinkles and the
wrinkles between the eyebrows,” Sherman said.

However, the doctors agreed that men tend to request spot treatment for
smoothing of specific facial details whereas women tend to want a complete
makeover.

“Men want a little more subtlety than women,” Sherman said. “They want
movement of the face, but they don’t want deep furrows in their
forehead.”

Men also tend to prefer Botox because the effects are temporary,
lasting only three to four months, Sherman added.

“The nice thing about Botox is, it wears off,” he said. “It’s
reversible, so if you have a complication it’s not forever. It’s not like
surgery.”

Marcus Gogas, 49, of Alexandria, Va., had Botox treatment for the first
time two years ago. A senior investigative analyst for the Internal
Revenue Service, Gogas is an actor on the side and said he wanted to
freshen up his looks. He found Botox an attractive option because it’s an
outpatient procedure and didn’t seem as extreme as actual plastic
surgery.

“I’d seen bad plastic surgery,” Gogas said. “You see people on TV, and
they don’t look like who they were. I didn’t want any drastic
changes.”

He had deep creases in his forehead smoothed out and also had crow’s
feet removed from around his eyes. He’s since gone back every eight months
or so for new treatment.

“For me, I just like the way I feel,” he said. “I don’t want plastic
surgery. This is a great way for me to look good, feel good and feel
refreshed, and it’s affordable for me. Also, there’s no downtime. You can
go about your day, and as the days go on you see the effects.”

Treatment usually costs $200 to $300 for men, the doctors said. The
most common complications are small red bumps or bruises where the shots
are given, but those generally fade quickly.

The Botox shots take effect in four or five days, and some men have to
go back at that point for a touch-up if one side of the face has responded
better to the shot than the other.

“This is a pretty easy thing,” Baker said. “There aren’t a lot of
complications to it. It’s like getting a cavity filled.”

More information

The American Society for Dermatologic Surgery has more on Botox treatment.

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