101 Park Pl #200,
San Ramon, CA 94583

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For Men


The Difference

While Men and Women are created equal, they have different needs when it comes to rejuvenation. This is due to anatomy, the aging process and secondarily self perception and perception by society. In both men and women, symmetry, averageness, gender characteristics (prominent forehead;lower brows large nose, strong jawliine and chin, full head of hair); skin colour and tone/smoothness and tautness play major roles in attractiveness and facial communication. Yet aging is different. Dr Gladstone was the senior author of a landmark study demonstrating the difference in structural facial aging between men and women.
For most of the 20th century, the large majority of men ignored the aging process and traditionally did not have cosmetic procedures. With increased life expectancy, technology to functionally slow the aging process, and subsequent longer careers, more active retirements, and more romantic opportunities, more mature men have considered rejuvenating procedures. Youthful robustness has also become more important in younger men who hope to advance in the workforce.

Men tend to have thicker and oily skin from sebum generated by testosterone. Men have larger thicker facial bones and larger muscles. Men lose facial fat in different ways than women. All of these anatomic qualities determine the types of treatments and amounts used—for instance more Botox or Dysport may be need in men’s frown lines for forehead. Fillers may need to be placed in different facial areas in the cheek and temporal areas. Certain tightening and procedures such as liposuction of the neck may help to produce a stronger jawline along with a chin augmentation with a filler.

Men have different areas of excess fat deposits, most commonly on the flanks known as “love handles.” These fat deposits extend to both the front and back and blunt the desired muscular triangular physique desired by most men. Men also have different hair concerns than women. Aside from more scalp hair loss, excess chest and back hair tend to be concerns.

*The results described are not typical and will vary based on a variety of factors.

Pre Upper Blepharoplasty
Post Upper Blepharoplasty

*The results described are not typical and will vary based on a variety of factors.

The Experience

While the Gladstone Clinic strives to provide the best and compassionate care for all patients, men generally want a different cosmetic visit experience. Men have a problem that they want solved—hair removed, for instance. Understanding the risks, benefits and alternatives are always important for any treatment, but during a consultation, men want it streamlined: what the procedure is; the time involved; how many times; the cost. The plan either works for them or doesn’t. Most Men are intolerant of downtime as well as putting cover up on to camouflage the short term effects of a procedure.


At the Gladstone Clinic, we strive to minimize pain during procedures and maximize patient comfort. There is some truth that women handle cosmetic procedures better than men. While this may be experiential, it is also anatomic. Men have thousands of hair follicles in their face which have nerve endings and a generous blood supply. On the face, they will be more sensitive and more prone to bleeding. This may translate to a longer time for topical numbing creams for certain procedures.

Though more men are considering rejuvenation procedures, many also desire that both consults and treatments be performed in a more private, customized setting compared to the standard cosmetic environment. In the fall of 2015, the Gladstone Clinic will begin offering exclusive “Menaissence” sessions.

Pre Neck Lift
Post Neck Lift

*The results described are not typical and will vary based on a variety of factors.

Skin Care

This is an often overlooked aspect of men’s rejuvenation, but it is simple and has very little downtime. Dr Gladstone understands that men want solutions that are simple and straightforward—not 5 different creams to be placed on at different times of the day. Sunblock, moisturizing and anti-oxidant creams that quench free radicals, and keep your skin healthy are carried by the Gladstone Clinic.

For many men, polishing their skin with the No Downtime Derma Sweep may be the solution. Our aesthetician, Tracie Nystrom is an expert with this machine and creates glowing results.


Your face is an organ of communication. Have you ever wondered why your deep forehead “worry” lines or your frown lines have given people the wrong impression of you. Communicating the appropriate first impression is important both in the professional and social worlds. Botox or Dysport can relax those lines for 3-4 months in a natural manner. Dr Gladstone is an expert injector. He has taught dermatologists how to inject.

Fillers & Placement

Have you ever wondered why you were passed up for that promotion or plum project? Part of the reason may be you appear worn and less energetic even though you are not! Recreating the facial angular roundness of youth by filling in temples, cheeks and decreasing demarcations such as the prejowl groove will make you appear more youthful. Dr Gladstone injects most fillers from Restylane to Sculptra and also including fat depending on your needs. He has taught other physician his techniques and is part of a highly acclaimed training video on injecting both Botox/disport and fillers.

Lasers and Light for Rosacea and Nasal Veins

At the Gladstone Clinic, we have both Intense Pulsed Light (IPL) and Pulsed Dye Laser (PDL). IPL is an excellent device for decreasing redness from rosacea. While it does require 5 treatments to achieve good results, each treatment takes less than 15 minutes and there is no downtime. For those industrial strength nasal veins, the PDL is the gold standard. It will require multiple treatments, but each treatment requires less than 10 minutes. Generally, there is no downtime though there can be bruising.

Laser Hair Removal

At the Gladstone Clinic, we use the Gentlemax Alexandrite and Nd:Yag for effective and efficient hair removal. Back and chest hair that used to take hours to remove now takes a fraction of the time with this state of the art machine

Love handles and Coolsculpt

Coolsculpt is the revolutionary new device that noninvasively freezes fat with no downtime and improves body contour. It can be used for many different areas from double chins to the abdomen to the back and sides. At the Gladstone Clinic, we have dual Coolsculpt machines which decrease time of treatment by half.

Acne Scars

Acne scars come in different shapes and forms, and require a combination of treatments. At the Gladstone Clinic, we combine the latest fractional carbon dioxide laser resurfacing with subscision. This combination improves your skin topography by breaking up the scars and creating new collagen.


Rhinophyma is the end stage of rosacea. Many middle aged men have this condition. Rhinophyma can distort a very handsome face. Dr Gladstone has published his technique in the Archives of Facial Plastic Surgery. He uses high tech laser resurfacing and traditional techniques to achieve significant improvement. There is down time, but most men believe it is worth it to have a more normal appearing nose.

Aesthetic Surgery

Dr Gladstone performs aesthetic surgery with local anesthesia and oral sedation which leads to a quicker recovery.

Tumescent Liposuction

Tumescent liposuction is performed with microcannulas. It can be very effective for the double chin and shaping the neck. To turbocharge the result, Dr Gladstone will often add a noninvasive tightening procedure 2 months after the neck liposuction which further tightens the skin.

While CoolSculpt may be appropriate for many men, in some men tumescent liposuction may provide better results. Liposuction can be used on the chest to reduce gynecomastia (man boobs), on the abdomen, flanks, and back are the most common areas. Down time may be up to a week, though normal daily activities except for heavy lifting and athletic activity, can usually be resumed in 48 hours. The final results for liposuction which also includes some tightening of the skin may take 4-6 months.

Tumescent liposculpture is used for contouring. It is not for weight loss. While many men begin to have protruding midsection as they approach their forties, some of this fat may be “intra-abdominal” and not accessible by liposuction.

The best candidates are not far from their ideal weight and have a healthy diet and work out on a regular basis.

Upper Eyelid and Bags Surgery

Pre Lower Blepharoplasty
Post Lower Blepharoplasty

*The results described are not typical and will vary based on a variety of factors.

Extra skin on the upper eyelids and bags underneath the eyes can make you look tired, not alert and older than your age. Upper eyelid tuck known as a blepharoplasty will surgically remove skin. Unlike women, less skin is removed from a man’s upper eyelid in order not to feminize them. Removing skin will make your eyes appear larger and more youthful. They will not feel as heavy. As an adjunct to an upper blepharoplasty, Dr Gladstone may recommend a browlift. There are both noninvasive and surgical browlifts which will slightly elevate the eyebrows and stabilize them.

A lower blepharoplasty reduces bags underneath the eyes. Dr Gladstone uses the transconjunctival approach meaning that there is no visible scar. The key is remove some of the fat but not all of it otherwise underneath the eyes will appear hollow and contribute to aged look. As an adjunct to the lower blepharoplasty, Dr Gladstone almost always performs laser resurfacing which will tighten the skin around the lower eyelid and reduce wrinkles. This is performed the same day.

Dr Gladstone performs these procedures with local anesthesia and oral sedation. Down time is usually one week, though you can work from home.

The Neck

The chin, underneath the chin and the neck really helps to define a man’s facial masculinity. Combination procedures are utilized. If you have a double chin, then neck liposuction, a minimally invasive procedure will provide you with a much improved neck contour. Dr Gladstone often perform a noninvasive sin tightening procedure a few weelk after the neck liposuction to further tighten the skin. For many men, this combination will also provide better chin definition and prominence. Down time is 3-5 days for neck liposuction—usually you can go back to work on Monday if the procedure is performed on Thursday.

For men with loose skin and neck bands—the dreaded turkey neck—surgery is required. Dr Gladstone performs a formal neck lift using local anesthesia with oral sedation. The scar starts behind the ear and continues into the hairline. For men with very short hair, the scar may be noticeable. Dr Gladstone uses absorbable stitches which reduces the hassle of having the stiches removed. It is important to understand that a necklift will not take care of your jowls.

For men who really don’t tolerate the downtime of surgery for the neck, a combination of Botox for the neck bands (which will require repeated treatments) and a noninvasive tightening procedure (multiple treatments) will provide some improvement.

Pre Neck Liposuction
Post Neck Liposuction

*The results described are not typical and will vary based on a variety of factors.


For both men and women, a natural looking facelift is very important. A facelift that is too tight or in the wrong direction will make a man appear very unnatural and strange appearing—not more masculine and rejuvenated.

Though it may be natural to focus on neck bands and loose beck skin, the neck and the face need to be harmonious. Therefore, a facelift for many men may be the better option.

Special considerations need to be taken into account when performing a facelift on a man. The skin is thicker and heavier. The neck’s platysmal muscle which creates the bands may be thicker. Hair follicles in the beard area may create a higher risk of bleeding. A man’s hair style makes it virtually impossible to hide the front part of the facelift scar.

If a man is only concerned about his lower face and does not have major neck issues, then a short scar mini facelift will be appropriate. It improves jowling. Dr Gladstone includes neck liposuction in this procedure. Down time is about 5 days.

A full lower facelift is essentially a necklift combined with a short scar mini facelift. It provides the best effect though down time is about 10 days. Dr Gladstone will often combine either facelift procedure with fractional laser resurfacing since a facelift does not reduce wrinkles. For the man who has both lax skin and prominent cheek acne scarring, a facelift combined with laser resurfacing will significantly improve the scars.

Facelift scars in a man can require several months to become much less visible. At the Gladstone Clinic, we offer medical micropigmentation (permanent camouflage) which blends away most of the scar.

*The results described are not typical and will vary based on a variety of factors.