Procedures for Men
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Dr. Horton
Emily Sespaniak, MSN, FNP-C
Danielle Bautista, MSN, ANP
A Specialized Approach to Male Plastic Surgery
Liposuction
Post-Weight Loss Body Contouring
Umbilicoplasty (Belly Button Surgery)
Gynecomastia Correction (Male Breast Reduction)
Male Facial Plastic Surgery
Non-Surgical Treatments for Men
Men take pride in their appearance and want to look as strong, healthy, and youthful as possible at every stage of life. Today, male Plastic Surgery offers targeted solutions that align with these goals—enhancing definition, restoring balance, and maintaining a natural, masculine appearance.
As a Board-Certified Plastic Surgeon, Dr. Karen Horton offers a comprehensive range of surgical procedures tailored specifically to men in San Francisco and the entire Bay Area. Each treatment plan is customized to account for a man’s anatomy, lifestyle, and aesthetic preferences, ensuring results that are masculine, refined, proportional, and never overdone.
A Specialized Approach to Male Plastic Surgery
Male Plastic Surgery requires a distinct approach. Men typically have:
- Thicker skin
- Stronger underlying musculature
- Different fat distribution patterns
- Aesthetic goals focused on definition rather than volume
Dr. Horton carefully tailors each procedure to enhance masculine features while avoiding feminization or looking overdone. The goal is always subtle, but meaningful improvement—results that look natural and appropriate for each individual male patient.
Before & After
Watch as Dr. Horton weighs in on the stigma surrounding Plastic Surgery for men in this ASPS Roundtable discussion.
Liposuction
Liposuction is a surgical outpatient procedure performed under general anesthesia that typically takes 1–2 hours. It provides more dramatic and targeted fat reduction compared to non-surgical options. A particular type of liposuction employing ultrasound energy is often required for effective fat removal in male patients.
Through small, strategically placed incisions, a cannula is used to remove localized fat deposits from areas such as:
- Abdomen
- Flanks
- Back
- Neck
This process contours the body to create a more chiseled, athletic appearance. While liposuction permanently removes fat cells, maintaining results requires a healthy diet and regular exercise.
Post-Weight Loss Body Contouring
After significant weight loss—whether through lifestyle changes, GLP-1 medications or bariatric surgery—men may experience excess skin and residual fat deposits.
Post-weight loss body contouring can address:
- Chest (including gynecomastia correction)
- Abdomen (liposuction or abdominoplasty)
- Flanks, back, and thighs
Facial aging may also become more apparent after weight loss. Surgical procedures such as a facelift or neck lift, as well as non-surgical aesthetic treatments such as injectable fillers or laser treatments, may be considered to restore a more balanced appearance.
Gynecomastia Correction (Male Breast Reduction)
Gynecomastia is a common condition that results in excess breast tissue in men, often caused by genetics, weight changes, aging, or medications.
Male breast reduction is a short outpatient procedure that may involve:
- Ultrasonic-assisted liposuction
- Removal of glandular tissue
- Skin excision when needed
The goal is a flatter, firmer chest that aligns with a masculine physique. In more advanced cases, additional techniques may be used to reposition the nipple and remove excess skin.
Umbilicoplasty
Umbilicoplasty refines the appearance of the belly button to create a more subtle, natural contour.
Men often consider this procedure to address:
- Small umbilical hernias causing a bulge
- An “outie” belly button
- Cosmetic concerns related to shape or position
Umbilicoplasty is frequently combined with abdominal liposuction, tummy tuck surgery, or post-weight loss body contouring to enhance overall abdominal aesthetics.
Male Facial Plastic Surgery
Facelift, Eyelid Surgery, and Neck Lift
Facial Plastic Surgery for men requires a nuanced approach that preserves masculine features while addressing visible signs of aging.
Common concerns include:
- Skin laxity along the jawline and neck
- Drooping eyelids
- Deep facial creases
Procedures that can rejuvenate the face and neck while maintaining a strong, natural appearance:
Results are designed to be “subtle, but significant”—refreshing your appearance without making it obvious that surgery was performed.
Procedures are performed under general anesthesia, with a typical recovery of 2–4 weeks and long-lasting results.
Non-Surgical Treatments for Men
Non-surgical treatments are performed by our experienced Nurse Practitioner Emily Sespaniak, NP. These treatments are customized specifically for male anatomy and aesthetic goals.
BOTOX® Cosmetic and Dysport®
Men often develop deeper expression lines due to stronger facial muscles. Neuromodulators such as BOTOX® Cosmetic and Dysport® can soften these lines while preserving natural expression.
Treatment for men differs from women in both technique and placement to maintain a masculine appearance.
Results typically last 3–4 months.
Dermal Fillers
Dermal fillers restore volume and soften deep creases using gel-like substances that provide immediate improvement.
Treatment is carefully tailored for men to:
- Maintain facial structure
- Avoid overfilling
- Preserve masculine contours
Results are natural-looking and may last from 6 months to 2 years or longer.
Hyperhidrosis Treatment (Excessive Sweating)
Hyperhidrosis can affect the hands, feet, and underarms, often impacting comfort and confidence.
Treatment options may include:
- Topical therapies
- BOTOX® injections
These treatments can significantly reduce sweating and improve day-to-day comfort.
IPL Treatments
Intense Pulsed Light (IPL) is a non-surgical treatment that improves skin tone and quality using light-based technology.
IPL can address:
- Sun damage
- Broken capillaries
- Pigmentation irregularities
- Red or brown scars
There is minimal downtime, and results are often visible after a series of treatments.
Medical-Grade Skin Care
An effective skincare routine for men should be simple, consistent, and clinically proven.
Medical-grade skincare products:
- Treat and prevent sun damage
- Address signs of aging
- Contain higher concentrations of active ingredients
Patients work with our experienced Aesthetic Nurse Practitioners to develop a personalized regimen that fits their lifestyle, with clear guidance on product use and long-term maintenance.
Learn More About Male Plastic Surgery
To learn more about cosmetic treatments for men and rejuvenation procedures tailored specifically to men, explore our related blog posts.
Schedule a Consultation
If you are considering male Plastic Surgery in San Francisco, an in-person consultation is the best way to explore your options.
As a Board-Certified Plastic Surgeon in private practice since 2006, Dr. Horton will evaluate your anatomy, discuss your goals, and develop a personalized treatment plan designed to achieve natural, balanced results.