Larry Fan, a San Francisco-based plastic surgeon, estimates that about 25 percent of his patients now are men — the vast majority of whom work in tech. Increasingly, he says, they are struggling with beauty standards that have long tormented women.

“In Silicon Valley, it’s commonly believed that if you’re over the age of 35, you’re seen as over the hill,” said Fan, who touts himself as an expert in penile enhancement and Botox injections. “People here value the young for their passion and their ability to look at things in new ways.”

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