What Is “Manopause”?
While menopause is often discussed in women, men can experience their own version of midlife changes. Sometimes referred to as “manopause,” this stage is marked by gradual shifts in hormones, metabolism, and body composition that impact not only health, but also appearance and self-esteem.
Testosterone levels begin to decline in a man’s 40s and 50s – sometimes even earlier. These changes can affect energy, muscle tone, and even mood.* Many men notice that their once-lean physique is harder to maintain, or that their skin has lost its elasticity. Combined with the effects of stress, poor sleep, or diet changes, these shifts can make men feel unlike themselves — physically and emotionally.
Fortunately, modern surgical and non-surgical treatments now make it possible to reverse many of the visible signs of aging that accompany this stage of life. After meeting with you to discuss your unique goals, our Sacramento plastic surgeon can plan a personalized “midlife male makeover” to help you look refreshed, youthful, and strong again.
Common Signs of “Manopause”
The “Dad Bod”
The so-called “Dad Bod” is typically the result of a slower metabolism and hormonal changes, which can cause fat to accumulate around the abdomen, chest, and flanks. Even active men may notice stubborn bulges that are resistant to diet and exercise.
Aging Eyes & Drooping Brows (Brow Ptosis)
As we get older, the skin around our eyes can stretch, our brows can descend, and our upper eyelids can become heavy. These effects can create a tired, aged, or even angry expression that doesn’t reflect how vibrant we feel inside. Some men may also experience vision obstruction from sagging upper lids.
Sagging Facial Skin
Loss of collagen and elasticity can lead to jowls, deep folds, and loose neck skin. In these cases, a once-strong jawline can appear less defined, which can in turn contribute to an older or heavier appearance. In addition to the aging process, environmental exposure and genetics can accelerate this process over time.
Gynecomastia
Sometimes referred to as “man boobs,” gynecomastia is characterized by the appearance of female-like breasts. This condition, which is more common than many realize, can affect self-esteem, intimacy, and posture.
Flaccid Penis & Loss of Girth
Aging, decreased vascularity, and tissue changes can lead to reduced firmness and thickness. These changes can affect both self-image and intimacy, adding to the emotional toll of midlife transitions.
Plastic Surgery and Aesthetic Treatment Options
As a board-certified plastic surgeon with over 20 years of experience, Dr. Perry offers a range of procedures designed specifically for men. His goal is to restore a robust, masculine look while maintaining natural balance and proportion.
Brow Lift
A brow lift can raise drooping brows, remove excess skin, and refresh the upper face. By restoring proper brow position, men can achieve a more alert, rested, and approachable appearance without feminizing their facial features.
Eyelid Surgery (Blepharoplasty)
Eyelid surgery, or blepharoplasty, can remove excess skin and fat from the upper and/or lower eyelids. This procedure can not only make the eyes appear brighter and more awake, but – in many cases – can improve peripheral vision affected by sagging skin.
Facelift and Neck Lift Surgery
For men dealing with jowls, sagging cheeks, and loose neck skin, a facelift or neck lift can produce a smoother, firmer aesthetic. Dr. Perry tailors these procedures to preserve a strong, masculine jawline and natural contours, avoiding the overly tight or “done” look.
Liposuction and Body Contouring
Targeted liposuction can remove stubborn fat deposits in the abdomen, flanks, and chest — areas commonly affected during “manopause.” Combined with body contouring, these procedures can sculpt a leaner, more athletic build.
Male Breast Reduction/Chest Liposuction
For men with gynecomastia, male breast reduction can remove excess glandular tissue to restore a flatter, firmer chest. In many cases, Dr. Perry incorporates chest liposuction into male breast reduction procedures to further enhance body contours.
Penile Enhancement with Filler Injections
For men experiencing loss of penile girth due to aging or vascular decline, filler injections can provide a safe and effective enhancement. These treatments are minimally invasive and typically offer both quick results and improved confidence in intimate settings.
Non-Surgical & Lifestyle Enhancements
Plastic surgery often delivers the best results when combined with healthy habits and lifestyle changes to support longevity. In Dr. Perry’s professional experience, this may include:
- Exercise and strength training: Building lean muscle and maintaining cardiovascular fitness can combat fat accumulation and keep testosterone levels optimized.
- Balanced nutrition: A diet rich in protein, healthy fats, and antioxidants can support recovery, metabolism, and hormone balance.
- Improved sleep and stress reduction: Quality sleep and stress management can improve mental clarity, mood, and testosterone production.
The Confidence Boost
Correcting the physical signs of “manopause” is about more than looks; it’s about how men feel in their bodies and in their lives. Dr. Perry’s male plastic surgery patients frequently report:
- A stronger self-image and renewed confidence
- Improved performance in personal and professional settings
- Enhanced motivation to maintain fitness and health
- Greater satisfaction in intimate relationships
Final Thoughts
“Manopause” doesn’t have to mean decline. With today’s advanced surgical and non-surgical options, men can reclaim their vitality, masculinity, and self-image at any age.
If you’re noticing midlife changes and want to explore your options, a consultation with a board-certified plastic surgeon can help you design a customized plan for looking – and feeling – your best. Contact our team at Chrysalis Cosmetics to learn more about our “midlife male makeover” options.
