Men book their own consultations at Southwest Plastic Surgery now. A few years ago most of them came in alongside a wife or a partner. That has changed, and the list of what they ask for is short and consistent.

Dr. Frank Agullo, who founded the practice, ranked that list for us and explained what he does differently when the patient is a man. His full version, with published starting prices, is on agulloplasticsurgery.com. This is the practice summary.

The Five Procedures Men Ask For

What do men actually come in for in 2026? What are the most common procedures you perform in men?

Dr. Agullo: “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. Usually it is to take down the dorsal hump or to make the nose a little bit narrower or straighter, while keeping the patient’s identity and a masculine 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.”

Each of those has its own page on this site: gynecomastia surgery, liposuction, eyelid surgery, rhinoplasty, facelift and neck lift. The number one procedure also has its own cost post, what gynecomastia surgery costs at Southwest Plastic Surgery.

What Changes When the Patient Is a Man

What do you do differently, technically, for men?

Dr. Agullo: “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. For this we can use the patient’s own fat or alloClae.

“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. These considerations are all taken into account.

“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.”

He added one more, for men who want more projection behind: “When we do buttock fat grafting in men, we usually skip fat grafting to the hips, because we want to avoid a feminine curvature and instead project the gluteus maximus muscle.”

For the chest, the practice also offers pectoral implants for men who want a fuller muscle without a graft.

Does He Talk Men Out of Procedures?

What do you talk men out of?

Dr. Agullo: “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.

“For example, patients who come in for under-eye bags really are not aware that it may take multiple procedures to create a nice contour underneath the eyes. Many think it is just a blepharoplasty, but I use the blepharoplasty approach to remove the fat bags, I use fat injections into the tear trough, and I use Morpheus8 microneedling with radiofrequency to tighten the skin. Sometimes I even use AccuTite to tighten the skin, avoiding an incision that can give you a visible scar, or even an ectropion.”

Morpheus8 and AccuTite are both available through the practice, which is why an under-eye plan here can combine surgery and skin tightening in one visit.

The GLP-1 Effect

Has GLP-1 changed the male mix?

Dr. Agullo: “Yes. 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. Some weight loss patients have skin that has recoiled pretty well, so we can get away with just liposuction and skin tightening using Renuvion J-Plasma and/or BodyTite.

“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 It Costs

Dr. Agullo publishes starting prices for every male procedure on the fees page. As of September 2026, gynecomastia surgery starts at $7,050, etching at $7,500, rhinoplasty at $15,000, a neck lift at $15,000, and pectoral implants at $8,500, all-inclusive except prescriptions. Non-surgical enhancement for men is covered separately in the practice’s men’s enhancement post. An exact quote can only be provided after a consultation.

Dr. Agullo is certified by the American Board of Plastic Surgery and the American Board of Surgery, completed his plastic surgery fellowship at the Mayo Clinic, and serves as Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center.

Schedule a Consultation

To plan a male procedure at Southwest Plastic Surgery, call (915) 590-7900 or text 1-866-814-0038. Bring the problem, not the procedure name. #StayBeautiful