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Traditionally as male individuals age, the greatest signs of aging occur in the neck. Males often do not have deepening of the nasolabial fold as seen in females. Therefore, I often find the best way to rejuvenate the face in males is to address the neck.

This can be done with the same incision as seen in female patients to address the lower face and neck or it can, in some males, be performed with the z-plasty on the anterior aspect of the neck. The incision is limited to the area beneath the chin and above the thyroid cartilage.