Adam Augenstein, MD, Plastic Surgeon in Charlotte, NC, Discusses Popular Male-Focused Procedures

The latest statistics for the past year from the American Society of Plastic Surgeons (ASPS) show that more and more men in the country are dipping their toes into cosmetic procedures, increasing by nearly 30 percent since 2000. Adam C. Augenstein, MD, dual board-certified plastic surgeon in Charlotte, NC, and founder of Aesthetic Surgery of Charlotte, explains how awareness is spreading among men about the benefits of both surgical and minimally invasive aesthetic procedures.

The latest techniques practised by plastic surgeons today tend to be quick and require little to no downtime. This has also led to plastic surgery becoming much more accessible and offering benefits to men from a variety of backgrounds. Men are also taking more interest in their physical appearance, as exhibited by the metrosexual and hipster grooming habits of today.

The competitive job market often propels men to opt for facial rejuvenation procedures such as BOTOX® Cosmetic (often dubbed “brotox”), dermal fillers, or facelift surgery, due to a fear of encountering ageism in the workplace and wanting to appear more fresh-faced and energetic. Additionally, cosmetic procedures can provide men with a shot of confidence as they increasingly become single later in life and re-enter the dating pool.

Non-surgical methods, such as Kybella® (to reduce chin fat) and the above-mentioned facial rejuvenation injectables, are very convenient options with minimal treatment and recovery time, and provide subtle but effective improvements without the average person being able to tell they had a procedure performed.

Surgical procedures tend to be performed quite differently for male and female patients. Popular cosmetic surgeries for men include:

  • Liposuction: The most often-treated areas in men include love handles and the “beer belly”. Liposuction for the neck and chin area is also becoming popular as a way to achieve a more chiseled jawline.
  • Chin augmentation: Along with reducing chin fat, an augmentation can strengthen the look of the jawline. In 2016, 55 percent of surgical chin augmentations were performed on men.
  • Rhinoplasty: In men, the overlying skin on the nose is typically thicker, which will affect the extent of change surgery can produce. Men’s noses also tend to have a higher bridge and greater width. Men often prefer a more prominent, angular nose with a less delicate tip. Many are also looking to correct injured noses or a deviated septum to improve both form and function.
  • Gynecomastia (enlarged male breast) reduction and pectoral implants: A sculpted and toned chest is the ideal for most men.
  • Eyelid surgery: Skin, muscle, and fat can be tightened, or skin and fat may be removed from the eyelids if they are in excess and cause drooping (which can also cause obstructions to a clear field of vision). Eyelid contours may also be improved. The result is a more wide-awake, youthful appearance.
  • Facelift: As the gold standard in facial rejuvenation, this procedure can tighten facial tissues, remove excess, sagging skin and fat, and boost volume in deflated areas. Brow lifts and eyelid surgeries are often performed in conjunction with a facelift.

Both surgical and non-surgical cosmetic procedures can carry an element of risk, which is why it is important to conduct your own research on both the procedures you may be interested in, as well as potential doctors you plan to visit (ensure they are board-certified in plastic surgery and experienced in the procedures of your interest).

The consultation is the first step to determining what treatment plan would be most beneficial for you. Be prepared with information about your personal and family medical history, which areas of the face or body you would like to improve, and any questions you may have for the surgeon.

Adam C. Augenstein is one of the few plastic surgeons in the Charlotte, NC, area to be certified by both the American Board of Plastic Surgery and the American Board of Otolaryngology – Head & Neck Surgery. He would be happy to advise anyone looking to learn more about cosmetic and reconstructive surgery or non-surgical cosmetic procedures. To request a consultation with him, contact Aesthetic Surgery of Charlotte online or by phone at (704) 837-1150.


Statistics on Facial Plastic Surgery: The Bay Area’s Dr. Stanley Jacobs Notes Increases

The face has been an object of attention for as long as humanity has been around: It graces ancient pottery, fills museums of antiquities, and now is presented virtually on countless smartphones and social media platforms each day. In addition to driving technology’s ability to capture and preserve someone’s looks for posterity, the world’s collective fascination with the face has also given rise to a growing desire to adjust individual features, an endeavor possible now like never before via facial plastic surgery. Bay Area facial cosmetic surgeon Dr. Stanley Jacobs has studied the long and fascinating history of facial aesthetics, which is why he noted with interest the recently released statistics from the American Society of Plastic Surgeons.

According to the published numbers, plastic surgeons in the United States performed about 17.1 million total cosmetic procedures in the United States in 2016, an increase of three percent over the year before.

While the most commonly performed surgery was breast augmentation, three other surgeries in the top five—rhinoplasty, blepharoplasty, and facelift—are focused solely on the face, and the other—liposuction—is frequently used to shape specific regions of the face. Given that the numbers for each procedure were higher in 2016 than 2015, it’s safe to say that facial plastic surgery is on the rise.

Liposuction—a surgical fat-removal technique that can be used on the neck, cheeks, and elsewhere—is in the second slot, with 235,237 procedures reported. That’s an increase of six percent in one year.

The next three most commonly performed procedures ranked as:

  • Nose reshaping, up two percent to 223,018
  • Eyelid surgery, up two percent to 209,020
  • Facelift surgery, up four percent to 131,106

Breast augmentation was the most commonly chosen cosmetic surgery procedure among women. Not surprisingly, this didn’t register at all on the list of male-chosen surgeries. For men, facial plastic surgery ruled the year, with nose reshaping and eyelid surgery taking the top two spots. Liposuction and facelift were at places four and five, respectively, with male breast reduction sitting at No. 3.

As facial plastic surgery is proving increasingly popular, so, too, are minimally invasive procedures that focus on temporarily rejuvenating and refreshing the skin. The uncontested top procedure overall—dominating over all other options, nonsurgical and surgical alike—is an injectable form of botulinum toxin type A. The 7,056,255 injection sessions in 2016 are up four percent from 2015’s 6,757,198.

There are several brand names available in this category (Dysport® and Xeomin® among them), but the most prominent is BOTOX®. Injections reduce muscle contractions. If properly applied with precision by a trained and experienced injector, BOTOX® can slow activity in the specific muscles that cause noticeable frown lines on the forehead, as well as crinkly crow’s feet.

Second to botulinum toxins, but still far surpassing surgical choices are soft-tissue fillers, tallying 2.6 million applications in 2016. This is followed by chemical peels with 1.3 million

Often, patients can combine the effects of facial plastic surgery and nonsurgical options to get a benefit unattainable from a single procedure or treatment. Dr. Jacobs, for instance, combines a surgical facelift with a the carefully controlled application of chemical peels to address both the skin and its underlying architecture in what he’s called a SynergyLift™.

The American Society of Plastic Surgeons compiles its statistics annually by sending out a survey to member surgeons, combing a dedicated database, and extrapolating the resulting aggregated information. The results are considered by many to be the most comprehensive statistics exploring cosmetic and reconstructive plastic surgery in the United States each year.

Dr. Stanley Jacobs is a triple board certified doctor specializing in facial plastic surgery. Bay Area residents may recognize him from his segments on KRON4, as well as his frequent appearances at events in the greater community. For more information, call his office in Healdsburg at (707) 473-0220 or in San Francisco at (415) 433-0303. He also has an online contact form.

Men Choose Rhinoplasty in San Francisco and Elsewhere

If you ask a man what he’d like to change about his appearance, you’re likely to hear something about his face, and specifically his nose. As an expert in rhinoplasty, San Francisco’s Dr. Stanley Jacobs often performs the surgery on men, and he’s noted that the procedure topped the list of the American Society of Plastic Surgeons’ most commonly performed cosmetic surgeries for men in 2014.

Contrast that with women, who tend to choose breast augmentation, liposuction, and eyelid surgery in greater numbers. Though rhinoplasty still made it into the top five for the female-based statistics, it’s clearly more of a priority for the males of the United States.

There are several reasons a man may decide to get a rhinoplasty. The nose shaping procedure can accomplish one or more alterations, including straightening out a crooked line, changing the angle or size of the nostril openings, eliminating a hump, and more. It can also help to improve function by altering the nasal passageways to help patients breathe easier.

Triple board certified facial plastic surgeon Dr. Stanley Jacobs also recognizes that while rhinoplasty is the most popular, other facial procedures score high on the list, too. Blepharoplasty—better known as an eyelid lift—comes second to rhinoplasty in terms of frequently performed surgeries, and facelift lands two spots below that, making the majority of the top five male-chosen cosmetic procedures face-focused.

There are many reasons for this demographic trend, to be sure, but a contributing factor may be that men are increasingly recognizing two things:

First, facial aesthetics can certainly be a masculine endeavor, as caring for your appearance isn’t limited to women. But while women tend to want to erase years from their faces, men seem to want to get a refreshed look that still preserves some signs of aging, indicating experience in the world. A strand of gray hair or some thin wrinkles here and there convey authority, as only those who’ve been around the block a time or two will bear the marks of their time and effort. Men don’t want to look old, but want to appear distinguished.

Second, a specific facial cosmetic surgery, such as a rhinoplasty, can technically be performed as an isolated procedure, but everything is connected. A change to one aspect of the face can alter how another feature is perceived. Thus, a rhinoplasty is not merely about making a nose deemed too big smaller and being done with it. Similarly, a tightening procedure on the neck may have the greatest impact if other sagging regions are tightened as well. An experienced and talented plastic surgeon will take all of this into account when developing a plan during a consultation.

Dr. Stanley Jacobs takes great care to assess a patient’s face as a whole, whether he’s performing a rhinoplasty alone or is combining a facelift, blepharoplasty, and forehead lift for an overall rejuvenated look.

The other top cosmetic surgeries for men, coming in under rhinoplasty, are breast reduction (to counter the effects of gynecomastia) and liposuction. Considering that small amounts of fat are frequently removed via liposuction to help with contouring in facelifts and neck lifts, it’s clear that everything from the neck up takes precedence for men—especially considering that the sixth and seventh most popular procedures also concern this region.

Will rhinoplasty hang onto its place on the charts for men in years ahead? Only time will tell, though it seems better than likely that a general focus on faces will continue to drive the most commonly chosen male cosmetic surgeries in the future. Keeping that in mind, it’s reasonable to assume that there will always be a place for rhinoplasty on or near the top of the list.

To find out more about rhinoplasty in the San Francisco Bay Area, as well as other popular facial procedures frequently chosen by men, contact Dr. Stanley Jacobs, a triple board certified facial plastic surgeon, by calling (707) 473-0220 for his Healdsburg office or (415) 433-0303 for his San Francisco office. You can also send a message online.

Philadelphia Rhinoplasty Remains One of the Top Cosmetic Surgery Procedures for Creating a Natural and Refined Nose

With more people desiring a natural, yet refined look, cosmetic procedures in the United States rose three percent from 2013 to 2014, according to the American Society of Plastic Surgeons’ (ASPS) most recent statistics, and rhinoplasty remains the second most popular procedure overall. Philadelphia rhinoplasty patients who went to facial cosmetic surgeon Timothy M. Greco, M.D., FACS in 2014 for their rhinoplasty were among 217,000 patients nationwide who underwent the procedure.

The information comes from the ASPS’ annual report of plastic surgery procedural statistics, which revealed that rhinoplasty was the second most requested procedure after breast augmentation in 2014. Though the total number of rhinoplasties that year showed a 2 percent drop over the previous year, it stayed in the top five most frequently performed cosmetic procedures. In fact, rhinoplasty was the most popular procedure in the New England, New Jersey, New York, and Pennsylvania region, making up 29 percent of all cosmetic surgery procedures performed in that area last year.

Rhinoplasty involves reshaping the bones and cartilage in the nose to achieve a desired look and to improve breathing. It can be performed using an open or closed procedure. In the closed procedure, the doctor uses incisions hidden inside the nose. In an open procedure, an incision is made across the tissue between the nostrils along with the inside incisions. Both open and closed rhinoplasty will provide the doctor access to reshape nasal bones and cartilage to get the particular look a patient wants to achieve, however, revisions and complicated primary rhinoplasties are usually performed through the open approach.

Trends change, but now what patients want to achieve aesthetically is a natural look without significant alterations. In the past, rhinoplasty was performed to achieve a smaller, delicate nose that was very narrow. Today, the procedure involves maintaining structural support while aesthetically refining the nose. The art of rhinoplasty has evolved to create a more natural-looking appearance, according to commenters on Many patients favor keeping the overall features of the nose they have with natural improvements, including removing a large bump or straightening a deviated nose. Other patients may also want to reduce an over-projecting tip or lift a drooping nasal tip.

Rhinoplasty is more than just a cosmetic procedure. Patients regain a sense of confidence from reshaping their nose. On plastic surgery forums like the one at, you’ll find patients who confess they’ve gone through a better part of their life uncomfortable about their profile and others who were teased about the size or shape of their nose. Still other patients have discovered after numerous selfies that they just aren’t happy with their facial appearance because of their nose. For these patients and others, finally undergoing rhinoplasty can make a difference in their self-confidence. The boost in confidence can have a dramatic positive effect on other aspects of their life, such as work and social interactions.

The procedure can improve function as well as appearance. For people with breathing problems, a deviated septum or misshapen internal cartilage may be to blame. Nasal blockage can happen as the result of injury or other damage. It can simply be a result of normal development. In most cases, rhinoplasty to reshape the internal structures of the nose can aid in better breathing.

If you are considering rhinoplasty, Philadelphia patients have a number of options for surgery, so it’s best to do your research. Patients want to achieve a look that appears natural and balanced, and want a nose that compliments their face. Whatever the reason, the first place to start is by talking to a doctor who specializes in facial cosmetic surgery and rhinoplasty, like Philadelphia’s Dr. Greco, who is double board-certified in otolaryngology (ENT)/head and neck surgery and facial plastic and reconstructive surgery. His training uniquely allows him to treat the aesthetic as well as the functional concerns of your nose. Whatever your concern, it’s one of the most prominent features on your face, and feeling confident about your nose may help you put your best face forward.

Contact Dr. Timothy M. Greco, M.D., FACS at Eastern Cosmetic Surgery Institute at (610) 664-8830 to learn more.

Men turn to liposuction to get the bodies they want

Earlier this year, the American Society of Plastic Surgeons released the findings from its annual study of cosmetic surgery procedures. The results showed that men made up about 13 percent of the total number of patients who chose to get one or more cosmetic surgeries in 2013.

Rhinoplasty—more commonly known as a nose job—topped the list of procedures that appealed to males, followed by blepharoplasty (eyelid surgery), liposuction, breast reduction, and facelift.

While the study noted 57,391 rhinoplasty surgeries on men for the year, putting that procedure in the No. 1 spot, a closer look at the numbers reveals fat removal to actually be the most popular choice.

Liposuction, obviously a mechanical means of eliminating unwanted fat, was listed as being the procedure of choice for 23,558 men in 2013. That technically put it in the No. 3 spot. Breast reduction to address gynecomastia—enlarged breasts on men—came in at 22,939 procedures to sit at No. 4.

The main means of reducing the size of unwanted breasts is fat removal via liposuction, however. Combined, the two procedures—liposuction and breast reduction—totaled 46,497, which would bump them collectively up to second place.

Considering that facelifts and other lifts may also include liposuction, as can a tummy tuck, the grand total for procedures that involve surgical fat removal to some degree would appear to surpass even nose jobs in terms of prevalence according to the study.

Liposuction is such a common choice because it offers long-lasting results by physically and permanently removing fat cells from the body. Men who aim to change their appearance by eating well and exercising regularly may nonetheless find that they can’t get rid of all of the fat they’re trying to lose. Despite their best efforts, some accumulated fat cells can remain at their midsection, on their sides, on their thighs, and elsewhere.

Also, losing weight in the classical sense reduces the size, but not number of fat cells. If a man diets his way to a slimmer body, but then begins to regularly eat fatty foods again, the cells that had previously shrunk will expand again to a larger size, creating bulges in all the same places they were before.

Liposuction offers a means of finally getting rid of the stubborn fat. A trained and experienced doctor—such as Dr. A.H. Nezami in Jacksonville, Florida—will make small incisions in the area to be treated and insert a device known as a cannula to loosen unwanted fatty tissue and vacuum it out. These results will last as long as a man continues to eat well and maintain a healthy body.

As noted above, gynecomastia is also a reason men may choose liposuction. The development of breasts due to hormone fluctuations, which can be triggered by a variety of causes, can be embarrassing and frustrating to a man who desires a masculine chest. Breast reduction surgery in these cases won’t remove the glands involved, but liposuction can eliminate the fat that makes up the enlarged breasts.

Finally, while tummy tucks and face lifts involve tightening skin that has become loose or baggy over time, the procedures may also include the removal of some fat that would otherwise obscure the sleek contours hidden underneath. Double chins, for instance, can be reduced via liposuction so a man’s jaw line is more defined and prominent. Talk to a professional to determine exactly which methods are employed in a particular procedure at a particular practice.

Of course, liposuction is more than simply removing fat from wherever it isn’t wanted. Dr. Nezami notes that the best doctors will use their surgical tools to contour and sculpt the body, creating organic results that appear as natural as they are aesthetically pleasing. Because liposuction’s results are dramatic and ideally permanent, it’s important for the procedure to be done correctly and with an eye for detail.

At Jacksonville Cosmetic Surgery Center, for instance, Dr. Nezami works to keep scarring to a minimum by making only a couple small incisions. He works with each patient as an individual to determine which type of liposuction—traditional, tumescent, or ultrasonic and laser—will work best on the region to be treated.

Learn more by calling (904) 399-5061 or visit Dr. Nezami’s website to set up a consultation or discover further information about liposuction and its benefits for men looking to make a change to their appearance.


The nose is the most prominent facial feature, which is why a rhinoplasty—also known as a nose job—is such a popular surgical procedure. Patients looking to present the most balanced face they can choose rhinoplasty so they can “take control” of their nose and determine its size and shape for themselves.

A patient may also desire a nose job to correct a medical issue that impacts his or her ability to breathe freely and clearly.

Just as the nose is a critically important part of the face, the right doctor is a critically important element of a rhinoplasty. Such an obvious and key piece of facial anatomy demands a talented and experienced professional, so making the choice for a trained and licensed plastic surgeon is imperative.

What Does Rhinoplasty Address?

While a patient dissatisfied with his or her nose may see the problem merely as one of size, a rhinoplasty is not a simple reduction surgery. The nose is a complex structure, and its size and shape impact the entire face.

A rhinoplasty may involve any of the following:

  • reducing the size of the nose as a whole
  • altering the nose’s width at the bridge
  • creating smoother, straighter lines for a cleaner profile
  • increasing nasal symmetry
  • addressing a less-than-ideal nasal tip
  • changing the size or shape of the nostrils
  • correcting challenges to unobstructed breathing, such as a deviated septum

What Does a Rhinoplasty Involve?

A rhinoplasty is a straightforward surgery, even though it may consist of one or all of the items on a list of features to address. Specific details vary from person to person, but patients can generally expect a nose job to include:

1) the administration of an anesthetic, either local or general.

2) the doctor making an incision in a place selected to offer the greatest access while hiding any scarring.

3) lifting the skin of the nose to reveal the structures underneath.

4) surgical work performed to add or remove cartilage as necessary. This is also the rhinoplasty step during which the doctor will correct a deviated septum, if needed.

5) the closure of the incisions.

What Comes After Rhinoplasty Surgery?

Patients who receive a rhinoplasty will need to be sure that the new shape of their nose stays protected while it heals. The doctor may use a splint on the inside and/or outside to provide the structure with support. Patients may also find that outer bandages and inner packing are necessary after a nose job.

Swelling may last for several weeks after a nose job, so results from this surgery are not necessarily immediately visible. In fact, the nose may heal slowly after the procedure. Swelling may subside and then return during the recovery period, which can make mornings a particular time to pay attention to the healing nose, as a patient’s head will have typically been horizontal throughout the previous night.

Over the course of a year, the swelling will fade and eventually not return as the nose area continues to heal.

Rhinoplasty patients should also be sure to follow their doctors’ guidelines to ensure the best outcome. Important instructions include maintaining proper facial hygiene, taking any prescribed medications as instructed, watching for infection symptoms and other signs of a developing medical issue, and scheduling and attending follow-up visits.

Making the Choice for Rhinoplasty

A rhinoplasty at the hands of a licensed plastic surgeon can offer a dramatic shift in the overall shape and character of a face. People seeking a nose job should be sure to select a doctor they connect with and trust due to that professional’s reputation and demonstrated ability to perform a quality surgery. Proper planning and selection in advance will yield long-term results that reward patients for the rest of their lives.