October 13, 2026 | Male Procedures, Plastic Surgery News
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.
That was my answer when I read the International Society of Aesthetic Plastic Surgery’s survey of procedures performed in 2025. Worldwide, procedures on men fell 14.1 percent in a year, against 7.7 percent for women. Gynecomastia surgery, the second most common male operation, fell 26.2 percent to 282,954. Men are 14.8 percent of all aesthetic procedures.
| Men, worldwide 2025 (ISAPS) | Procedures | Share of that procedure |
|---|---|---|
| Eyelid surgery | 548,407 | 22.3% |
| Gynecomastia | 282,954 | 100% |
| Rhinoplasty | 247,477 | 24.4% |
| Liposuction | 237,835 | 12.9% |
| Facelift | 120,154 | 16.3% |
| Neck lift | 98,792 | 18.3% |
| Abdominoplasty | 106,791 | 10.3% |
Source: ISAPS International Survey on Aesthetic/Cosmetic Procedures Performed in 2025. Men’s procedures down 14.1 percent vs 2024; women’s down 7.7 percent.
What Men Come In For Here
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. I see it more and more frequently, especially the upper eyelids, but oftentimes upper and lower eyelids and the tear trough deformity.
Number four is rhinoplasty, which is very common in younger men. More often than not, it is to soften or decrease the size of the nose, not so much for a completely different look.
Last but not least, facelifts and neck lifts have become more and more common in men, especially with the GLP-1s. The face loses fat fast, and it is one of the most noticeable changes as a patient is losing their weight. They also look older from the loss of volume.
Why I Think the Numbers Diverge
The survey never mentions weight loss medication. I do, because it is the reason my waiting room changed.
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.
So it is a mix of procedures, and it is certainly increasing as the use of GLP-1s continues. Men are getting healthier, slimmer, and ready for their bodies to match the way they feel.
What I Do Differently for Men
Although the techniques and the surgeries are pretty much the same in men and women, there are some specific changes. Most men want to appear more masculine, so the procedures are modified to achieve this desire.
For example, in liposuction, it is more likely that we will perform etching to show off the abdominal muscles and the six-pack during liposuction. Sometimes we add fat grafting to the pectoralis major muscle to increase the size of the muscle itself, or even the biceps.
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. We also have to modify where the incisions lie so that they can be easily hidden, depending on whether the patient has lost hair in the scalp, including at the sideburn and temple.
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.
What I Talk Men Out Of
I don’t think I’ve actually encountered many situations where I have to talk somebody out of a procedure. Oftentimes they don’t come in wanting a specific procedure, they come in with a problem and a consultation on how we can fix it.
So instead of saying that I am talking somebody out of it, I am explaining the best approach for the problem and how to reach their expectations.
Why Choose Dr. Agullo
I am certified by the American Board of Plastic Surgery and the American Board of Surgery, trained in plastic surgery at the Mayo Clinic, and teach as Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center. Castle Connolly has named me a Top Doctor every year from 2014 through 2026. Gynecomastia, male liposuction with etching, male eyelid and facial surgery are a growing part of my practice, whatever the worldwide numbers say.
Ready to Talk?
Call the office at (915) 590-7900, text us at 1-866-814-0038, or book a consultation at agulloplasticsurgery.com/appointments. Pricing is on the fees page. #StayBeautiful
Find me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.
