Pret-a-Reporter

Hollywood's Hot Plastic Surgery Trend for Men: "Tie Tucks" to Tighten Jaws

Illustration by StudioMH

Among those with the most coveted jawlines? Tom Brady, Daniel Craig and Brad Pitt.

A strong jawline signifies strength, health and confidence, so it's no wonder that men are taking aim at jiggling jowls. Naomi Watts' dermatologist David Colbert conceived of his new "tie tuck" treatment when Kyle MacLachlan came into his NYC office for some "sprucing" before filming David Lynch's Twin Peaks reboot. After Colbert looked at images from the original '90s series in which the actor starred, a light bulb went off. "With age, the skin along the jaw can sink into a pocket of fat," he says.

The two-hour tie-tuck procedure involves a mix of radio frequency and Ultherapy, both of which lift and tighten, the latter using ultrasound technology; fat-melting compound Kybella; crease filler Radiesse; and Botox sibling Dysport — all to reduce fatty deposits under the neck and cheek jowls and deliver a more defined jawline ($4,500 to $6,500). Colbert advises patients to have the procedure done annually, maintaining results with Botox and laser toning.

Lisa Goodman, founder of Brentwood's Goodskin Los Angeles, performs similar treatments on 90 percent of her male clients. "The process of aging involves bone loss on the jawline," so the licensed physician assistant recommends a "calcium jowl lift," which replaces lost bone with calcium filler, or Radiesse ($2,200 to $3,500 a session) or Kybella to eliminate fat and sculpt the jawline ($1,600 for one of three treatments). Another option: a dissolvable thread lift, which can reposition fat pads and lift skin ($2,500 to $4,500) or a neck lift that includes muscle retraining using a neurotoxin like Botox ($900 to $1,200). This latter procedure changes how the muscle functions so that it no longer pulls the face and neck down. "We are retraining muscles with Botox to maintain lift in the face and neck," says Goodman, who adds: "Using Botox for wrinkles is very 10 years ago."

Beverly Hills plastic surgeon Garth Fisher (Kris Jenner is a patient) suggests a more invasive face and neck lift (from $35,000) or a combination of liposuction (from $5,000) and chin and jaw implants ($12,000). Says Fisher, "The quality of the end result and how natural it looks is most important — not which procedure is the quickest."

While Tom Brady's is the go-to jawline requested in Fisher's office, Colbert's patients admire the chiseled chins of Daniel Craig, Brad Pitt and Outlander's Sam Heughan, and he cites an increasing interest in Canadian Prime Minister Justin Trudeau: "He's got a great-looking jaw!"

A version of this story first appeared in the April 26 issue of The Hollywood Reporter magazine. To receive the magazine, click here to subscribe.

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