Partly because of the whiskers, facial skin on men tends to be thicker than
on women, and the skin doesn't hang and cause jowling as early or as severely as
it often does in the female face. On the other hand, the male's heavier skin is
grabbed by gravity more firmly, and it's difficult to obtain a long-lasting face
lift improvement in men.
Still, the operation works, and often a great deal of excess skin is removed
during a face lift on middle-aged men.
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How Do You Fix a Nose with a Bulbous Tip?
How exactly is excess tissue removed from the tip of the nose?
(Questioner submitted photos)
Dr. Denenberg's answer: By modifying the cartilages in the tip, not so much by removing them!
The tip cartilages are very thin, but they are arched, and if the arches are wider, then then the tip will look wider. There are various ways to change the position and shape of the cartilages to narrow the tip.
The Web reference link below goes to the first page of an essay I wrote on narrowing the tip of the nose. Careful, though, because there are photos taken during surgery, although not on the very first page of the essay.
Link to this question on RealSelf.com