Custom Bodywork

By Walter Unger, M.D.

The top 10 cosmetic procedures for men--and why one of them may be right for you

These days, you have as many options for upgrading your looks as you have for upgrading your computer. And the number of men availing themselves of a nip here and a tuck there keeps growing: The American Society for Aesthetic Plastic Surgery reports a 47 percent increase in male procedures in 6 years, from 640,000 in 2000 to 940,000 in 2006. Why the jump? Cosmetic surgery has grown into a precise, often pain-free way to slow the visual effects of aging or simply to add the final detailing on a body you've worked hard to build through diet and exercise. Still, there are people who should pass on the surgical solution. With this primer, you'll be able to decide whether a cosmetic fix should be in your future.

You want to change your . . .

WRINKLED FOREHEAD

Cosmetic fix: Botox

A man can feel happy, calm, and rested, but "a wrinkled brow will make him look angry, tense, and tired," says Patricia Wexler, M.D., an associate clinical professor of dermatology at New York's Mount Sinai school of medicine. "Botox produces a more relaxed and likable look."

How it works: The doctor injects diluted botulinum toxin into your wrinkle zone. In about 4 days, the Botox begins to temporarily block nerve transmissions to the muscles that create the wrinkles. As a result, your skin smooths out dramatically. Brief side effects, such as bruising, swelling, or headaches, are possible but uncommon. You'll need new injections every 4 to 6 months to stay smooth. 

Fine points: Avoid the "mask effect" by going to a doctor whose Botox practice includes at least 10 percent to 15 percent men; the doc will be sure to leave some expression lines on your face--especially the crow's-feet. 

* Price ranges reflect differences in the amount of work performed, your geographical location, and the experience of the doctor.

Number of men who received Botox in 2006: More than 300,000 

Price: $350 to $1,200