BACKGROUND: In recent years, male aesthetic surgery has significantly risen in popularity, attributable to surgical technique advancements and societal changes. Research in this subject area has increased accordingly, underscoring the need to identify the most influential articles. This study evaluates the bibliometric characteristics of the top 100 most cited male aesthetic surgery articles published in the last 50 years. METHODS: The 100 most cited articles in male aesthetic surgery from 1974 to 2024 were identified using Web of Science. We examined key trends in authorship contribution, institutional affiliation, country affiliation, citation count, journal impact factor, eigenfactor score, article influence score, and funding agency contribution. RESULTS: As of June 2024, the top 100 articles were cited a total of 7,341 times, with individual citation counts ranging from 18 to 243. The top cited article was "A Review of Psychosocial Outcomes for Patients Seeking Cosmetic Surgery," published in 2004. Of the 100 articles, the top contributing authors were Dr. Joel E. Pessa (5%) and Dr. Rod J. Rohrich (4%). The top contributing organization was the University of Texas System (8%). The peak year for publications was 2008, accounting for 10% of articles. The USA contributed to 60 of 100 articles. Plastic and Reconstructive Surgery was the most prolific journal, publishing 33% of articles. CONCLUSION: Through a historical analysis of the field's development up to its present state, our findings serve as a valuable resource for those interested in advancing their understanding of male aesthetic surgery literature. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors  www.springer.com/00266 .