Which surgical procedures in which sequence?

It is possible and plausible to genuinely look an age between 30 and 40, regardless of how old one really is, and for a man, this means to therefore look and be, in principle, sexually attractive to any female on the planet (apart from Western teenagers who have a very limited age range they consider acceptable).

But whatever the age range of an aimed-for appearance, the agenda anyway is to look as young and attractive as possible. This is a never-ending challenge, at the base of human health and the center of human sense-of-life perceptions.

So, what to start with?

I would say that the first effort will have to be undertaken not at the cosmetic surgeon’s but the dentist’s. There is, in the modern world, no excuse for not having a full set of visible teeth, and for one’s teeth not to be symmetric and appealing.

Next, while there are cosmetic procedures for other body parts, 90 percent of good looks are facial attractiveness. While there certainly is nothing wrong with having an athletic appearance and being of ideal weight, looking good does primarily mean having an attractive face.

Cosmetic surgeons anyway can do little (or rather: almost nothing) to improve overall physique, and apart from that, what you can do yourself is very time-consuming indeed.

OK, don’t be overweight, or no more than 10 or 20 percent overweight. To achieve this may require some dieting, which requires self-discipline. I have found to delay one’s first meal of the day to noon or later the most promising strategy, and apart from that, to stick to low-carb meals (which, among other benefits, aides in the prevention of adult-onset diabetes).

There is no easy surgical route to not being overweight. “Liposuction” sounds much better than it is. You can forget it for abdominal fat reduction, and even when it is used for contouring, such as the removal of love handles, the results are meager, and the outcome may lack symmetry. My advice to heavy men is to either go on dieting, or to live with being 10 or 20 percent overweight. Liposuction won’t do the trick.

On some physical parameters, no surgical intervention is possible. Among these is a lack of height. Such a problem is best solved not by trying to doctor on one’s features but by moving to a location where one still has a competitive edge. Men who are considered short in Europe or North America can still be of above-average height in East Asia.

So much about the limitations for cosmetic surgery. Now for the potentials.

King among all cosmetic surgical procedures is, without doubt, the facelift. For any person beyond the mid-30s, a facelift has an almost magical effect. I say that the effect is magical because even people one regularly meets won’t see that you had a facelift. All they see is that, subtly, you just look younger, fresher, healthier.

And it may even happen that a woman you have met many times, and who never was interested in you, all of a sudden, after your facelift, becomes sexually attracted to you. She may relate the following to a friend later: “You know, I met Jack several times over the past few months, and I never thought much of him, until just recently, after he came back from a leave, it struck me that he is quite a good-looking guy, and I decided I want him. It was like love at first sight, but happened at the tenth or twentieth sight. Strange, isn’t it?”

No other cosmetic surgical intervention can have such a profound impact. And if one doesn’t have the funds for anything else, a facelift is what one certainly should have. Everyone from his end-30s will benefit from it, and for those in their 40s or beyond, the effect can be dramatic.

But you can do more, and if you do more, the facelift should, in most cases, not be the first measure.

For most men, the first measure should be a forehead lift. It should be the first measure, even though the effect it has on a man’s appearance won’t be dramatic. But a forehead lift should be done first, simply because it should precede a hair transplant.

If I were to list cosmetic surgical procedures by effectiveness on overall appearance, then a hair transplant would be in second place, after the facelift.

But a hair transplant is not something that will go rather unnoticed if a man returns to his usual environment after a week or so. A hair transplant needs about 6 months to look natural.

Now, if a forehead lift is done, the scars will be located above the hairline, and you want these scars well hidden. And you want your hairline to look natural.

But in case a hair transplant is done first, the hairline is moved in a subsequent forehead lift, and there may be an asymmetry, or the hairline may just not look perfect, and then, to correct this, another hair transplant would be necessary to achieve an optimal result.

But hair transplants, especially if done to correct a receding hairline, are a comparative disadvantage for many months. It is visible for up to half a year that “you did something”, and even when people in your normal recognize that you look younger, you can’t really score attractiveness points because your improved attractiveness won’t be attributed to you, but your “cheating”. Hair transplants are not as subtle as are facelifts.

I am in a lucky situation because I live in different countries at different times, and after I have undergone a procedure that is recognizable, I just move somewhere else where nobody knows how I looked less perfect a year ago. And I believe that anybody who has some savings and follows my advice can do the same thing.

If you really want to transform yourself into a sexually successful man in a range you only dared to dream about so far, then you set up a proper strategy. And this involves not just a sequence of cosmetic procedures but also a regular change in locations that allows you to enjoy the full benefit of your increased attractiveness (which requires that nobody knows that you underwent surgical procedures).

So, what do we have so far?

Improved dental appearance (no change in location needed; your environment does not consider you an appearance cheater because you improve your teeth)

Forehead lift (won’t be widely noticed)

Hair transplant (very visible that you had “something” done; suggested move of location 6 to 12 months after the procedure.

What next?

Work on your eyes. Upper and lower eyelid surgery. But especially the lower eyelid surgery won’t look natural for up to 8 weeks, because the lower eyelid may not align tightly to the eyeball. Your environment may notice that there is “something” with your eyes. Blame a cold or an eye infection.

Talking about eyes: for a youthful appearance, it is very important not to need glasses for reading because you want to project yourself as being in your 30s.

And while some women don’t mind if a man wears glasses all of the time, glasses just don’t match the athletic appearance you want to achieve to signal that you are a genuine alpha male.

The solution is Lasik surgery. This, of course, is not done at the operating room of a cosmetic surgeon, but at a special ophthalmological clinic. There, a layer of the eyeball is cut off, reshaped, and then reattached.

It sounds scary, but is a quick operation, and after just a few days, one is back to normal… if there are no complications.

Complications are rare, but eyes are eyes! If something goes wrong with a cosmetic operation, one may have to live with an ugly scar.

But if something goes seriously wrong with a Lasik operation, one may lose one’s eyesight. Now, that is an ugly perspective, worse than plain ugliness.

Most Lasik institutions may want to sell you the operation for both eyes at the same time. After all, they are in the business of selling such operations, and more sales means more income.

I have had Lasik. On both eyes. But the operations were done half a year apart from each other. And the same, I recommend. You do the second eye when you are absolutely sure that nothing went wrong with the first one.

Because eyesight is so important for humans, we have an amazing capability to compensate the shortcomings of one eye by just using the other one.

Yes, 20/20 vision on both eyes is best. But you can be 20/20 on one eye and almost blind on the other one, and in practically all standard life situations, it won’t make a difference.

For this reason, one can perfectly “cheat” with Lasik surgery. You can have one eye designed to be far-sighted and one eye to be short-sighted. That way, even if you are in your 50s or 60s, you can read small print without glasses, and with your far-sighted eye, you can, at the same time, recognize your girlfriend at a distance of 100 meters.

If people judge you by your eyesight, you score as a perfect alpha male who hasn’t reached the age of 40. But it’s just a perfect cheat. You had Lasik.

I think that the best timing for your first facelift is about 8 months after your hair transplant, and two months after your eyelid surgeries. You can have your two Lasik operations after the hair transplant, but before the first facelift. There are no cross effects between the Lasik operations and the procedures at the cosmetic surgeon’s.

Your best timing for a complete change of environment would be about one month after the facelift. A complete change of environment means: don’t bring anybody along. Anybody whom you may bring along may become a traitor out of envy. And if people talk behind your back about your cosmetic procedures, you will lose much of the competitive edge that is due to your operations.

You better enjoy your new life alone. As an unattached alpha male. Claiming to be 10 or 20 years younger than you actually are.



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Strasser, Eugene J. M.D, An Objective Grading System for the Evaluation of Cosmetic Surgical Results, Journal of the American Society of Plastic Surgeons, Plastic & Reconstructive Surgery: December 1999 – Volume 104 – Issue 7 – ppg 2282-2285


Liu, Tom S. M.D., M.B.A.; Miller, Timothy A. M.D.Economic Analysis of the Future Growth of Cosmetic Surgery Procedures, Journal of the American Society of Plastic Surgeons, June 2008 – Volume 121 – Issue 6 – pp 404e-412e


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