The International Society of Aesthetic Plastic Surgery says men had 14.1 percent fewer aesthetic procedures in 2025 than the year before. Women fell 7.7 percent. Gynecomastia surgery, the one operation only men have, fell 26.2 percent.
No, in my practice it has been completely the opposite. We’ve seen dramatic growth in men coming in for plastic surgery, including liposuction, eyelid surgery, facelift and neck lift surgery, and gynecomastia.
The Reason Is Not in the Report
I think the GLP-1s are actually increasing the amount of demand we see in the office for consultations. The first thing patients notice is the deflation on the face, which we may treat early with fillers like Sculptra, Lipoderma or hyaluronic acid to restore this lost volume. But as the patient progresses in their weight loss journey, just filling these areas is no longer enough to maintain their youthfulness, and many are turning to face and neck lifts.
The other thing I am seeing often is that the patient feels better and is healthier, but the body, with the loose skin, is not showing that externally. So many men are coming in for gynecomastia and tummy tucks, and some men are coming in to restore the volume they have lost in the buttock, where we do liposuction and fat grafting. Some weight loss patients have skin that has recoiled pretty well, so we can get away with just liposuction and skin tightening using Renuvion J-Plasma and/or BodyTite.
Men are getting healthier, slimmer, and ready for their bodies to match the way they feel.
What They Ask For
In my practice, the most common procedure I perform in men is gynecomastia surgery. That is number one. Number two is liposuction, which usually involves the abdomen and the lower back, but sometimes it is extended to the neck, upper back, lateral chest and even the breast itself. Number three is eyelid surgery. Number four is rhinoplasty, which is very common in younger men. Last but not least, facelifts and neck lifts have become more and more common in men, especially with the GLP-1s.
What I Will Not Do to a Man
When we do facelifts, we do not like to raise the brow as much. In men, it should pretty much line up with the superior orbital rim. Male rhinoplasty is usually a more masculine, closed rhinoplasty aiming for a straight dorsum, the Roman style. We want to avoid the curved dorsum and the more projected, refined tip. Also, when we do buttock fat grafting in men, we usually skip fat grafting to the hips, because we want to avoid a feminine curvature and instead project the gluteus maximus muscle.
The full list, and the ISAPS table, is in the full post on the Agullo Plastic Surgery site.
Why Me
Double board-certified, Mayo Clinic trained, Clinical Associate Professor of Plastic Surgery at Texas Tech, Castle Connolly Top Doctor 2014 through 2026. The men in my waiting room are still there, and there are more of them.
Ready to Talk?
Call (915) 590-7900, text 1-866-814-0038, or book online. #StayBeautiful
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