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Once considered taboo, BOTOX for men, affectionately dubbed "Brotox”, has become one of the fastest-growing trends in cosmetic medicine. At Sunder Plastic Surgery in Beverly Hills, Dr. Sarmela Sunder has witnessed this evolution firsthand. 

As one of the few double board-certified female facial plastic surgeons in Beverly Hills, Dr. Sunder brings a unique perspective to male aesthetics, understanding that men require a different approach to injectable treatments, one that preserves masculine features while addressing the signs of aging that can impact confidence and professional presence.

Let's explore why more men are choosing BOTOX and what you need to know before your first appointment.

Men and BOTOX Are Having a Moment

The amount men spend on BOTOX has grown by approximately 400% since 2000, with male procedures specifically referred to as "Brotox" increasing by 403% from 2000 to 2018. This surge reflects changing attitudes about self-care, professional competitiveness, and the normalization of aesthetic treatments.

Several factors are driving this trend, such as:

  • Workplace competition: Looking refreshed and energetic can provide a competitive edge in video conferences and professional networking
  • Social media presence: Personal branding matters, and appearance plays a role in professional and social presentation
  • Shifting masculinity norms: Modern masculinity embraces self-care without stigma
    Preventative mindset: Younger men are starting BOTOX early to prevent deep wrinkles from forming

Why Men Need a Different Approach to BOTOX

Male faces require different treatment strategies than female faces. Men typically have stronger facial muscles, particularly in the forehead and glabella. According to research published in Science Daily, male patients often require higher doses of neurotoxins to achieve the same degree of muscle relaxation as female patients, due to greater muscle mass.

Men generally want to maintain a strong, angular brow position rather than achieving a lifted appearance, preserve natural movement for authentic expression, and keep treatments subtle enough that colleagues notice they look refreshed but can't pinpoint why.

What BOTOX Actually Treats for Men

BOTOX works by temporarily blocking nerve signals to specific facial muscles, preventing them from contracting and forming wrinkles. 

The most commonly treated areas include:

  • Horizontal Forehead Lines: These deep furrows can make you appear worried or older. BOTOX relaxes the frontalis muscle, smoothing these lines while preserving natural movement.
  • Glabellar Lines (The "11s"): The vertical lines between your eyebrows often convey anger or intensity. These lines are particularly responsive to BOTOX and are FDA-approved treatment areas.
  • Crow's Feet: The lines radiating from the outer corners of your eyes can add years to your appearance. BOTOX creates a more refreshed, well-rested look.

How Long Does It Last, and What About Maintenance?

For most men, BOTOX results last 3-4 months. However, several factors influence longevity, including:

  • Muscle strength: Men with particularly strong facial muscles may metabolize BOTOX slightly faster.
  • Metabolism: Higher metabolic rates can reduce duration.
  • Exercise habits: Intense, frequent workouts may shorten the duration of results.
  • Treatment consistency: Regular treatments often lead to longer-lasting effects over time as muscles become "trained" to relax.

Some of Dr. Sunder's long-term male patients stretch their appointments to 5-6 months after several years of regular treatments.

The Investment

BOTOX is typically priced per unit, with most men requiring 40-80 units for common treatment areas. In Beverly Hills, expect to invest $600 to $1,200 per treatment session. When you factor in the 3-4-month duration and the expertise of a double-board-certified facial plastic surgeon, many men find BOTOX more cost-effective than initially expected.
Discover What Brotox Can Do for You at Sunder Plastic Surgery

If you're ready to explore how BOTOX can help you look refreshed and energetic, Dr. Sarmela Sunder is here to guide you. Schedule your consultation at Sunder Plastic Surgery in Beverly Hills today.


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