Former teen model Marco Maranghello had always been handsome. But when he was 25, he began seeing some changes.

โ€œI noticed my forehead was beginning to wrinkle,โ€ says the Upper East Side resident, now 43 and a hairstylist to stars such as Jennifer Lopez.

At the encouragement of an older client, Maranghello booked an appointment for his first Botox consultation at age 25. Heโ€™s been going two or three times a year ever since.

โ€œWhen youโ€™re young, you have a certain look, and itโ€™s hard to let that fade,โ€ says Maranghello, who recently underwent Ultherapy, an FDA-cleared, noninvasive, outpatient procedure that lifts and tightens the neck, chin and brow using ultrasound.

โ€œI am letting some things go with grace โ€” I donโ€™t like to go overboard,โ€ he says. โ€œPeople cannot tell that I had anything done, so I think thatโ€™s the key.โ€

More guys feel the same, especially in high-power cities such as New York or Los Angeles, where they feel pressure to compete with youthful, energetic men for jobs and career advancement. Many believe looks have a lot to do with that success.