Based on the anatomic differences in female and male cervicofacial skin, a retrospective study of 115 male facelifts was undertaken to identify those factors that contributed to a satisfactory esthetic result and the avoidance of complications. Incision modifications are reported, as well as the need for ancillary procedures (in 37% of the patients) to obtain facial rejuvenation. An increased incidence of hematomas (9.6%) was noted.