Category: brow bone reduction | plastic surgery case study

Plastic Surgery Case Study – Mid-Forehead Approach to the Shaved Head Male Brow Bone Reduction

Background: Brow bone reduction is most commonly known today because of transgender facial feminization surgery. While that patient population makes up the majority of brow bone reduction surgery today, it is a procedure that has also been used in cis-males as well. For the male with over developed brow bones due to excessive frontal sinus Read More…

Plastic Surgery Case Study – Total Bony and Soft Tissue Transgender Forehead Feminization Surgery

Background: Occupying a third of the face the forehead is well known to have a gender specific shape and features. For this reason forehead procedures is one of the most common focuses of facial feminization surgery. In male to female forehead feminization the brow bone reduction procedure is most commonly associated with it and, while Read More…

Custom Brow Bone Implant Designs Based On Anatomic Brow Bone Topography

The brow bone area of the forehead is a frequent target for aesthetic change. Brow bone reduction is most commonly known undoubtably due to its higher profile association with facial feminization surgery. But brow bone reduction is also done for males with extremely strong brow bone prominences as well as for asymmetric brow bones due Read More…

Long Term Assessment of Frontal Sinus Function After Brow Bone Reduction Surgery

Brow bone reduction, as it is most commonly performed, is really frontal sinus surgery. The size of the frontal size is essentially reduced by changing the position of the front wall (anterior table) of the forehead air cavities. Usually the mucosa of the frontal sinus as well as the frontonasal duct are not manipulated. Thus Read More…

A CT Scan Analysis of Brow Bone Reduction – Indications for Shaving vs Setback Bone Flap

Brow bone reduction surgery can be performed by two different methods. The most commonly used technique is a bone flap. This is where the anterior table of the frontal sinus is removed, reshaped and then put back. The other technique is bone burring in which the bone thickness is reduced by shaving. Both methods have Read More…

Plastic Surgery Case Study – Male Unilateral Brow Bone Reduction For Asymmetry

Background: The brow bones are seen as the protrusions above the eyes that many assume are made up of solid bone. But that is only true for the outer calfs or tail of the brow bones. Half of the brow bones, the inner half on each side, is composed mainly of air because their shape Read More…

Plastic Surgery Case Study – Secondary Tail of the Brow Bone Recontouring After Fracture Displacement

Background: While the brow bone is often perceived as a uniform raised bar of bone above the eyes, its topographic anatomy is more complex. The medial brow bone is made up of the expanded underlying frontal sinuses with a midline dip between them due to the septum which separates the paired sinus cavities. The outer Read More…

Technical Strategies – The Window Technique In Brow Bone Reduction Forehead Reshaping

Significant brow bone reduction requires more than a burring technique. The thickness of the bone over the frontal sinus is too thin to permit more than a few millimeters of brow bone reduction. A bone flap setback technique is the definitive brow bone reduction method. By removing the entire bone cover over the frontal sinus Read More…

The Transpalpebral (Upper Blepharoplasty) Approach To Lateral Brow and Orbital Rim Contouring

Brow bone reductions are an integral procedure in facial feminization surgery. Much of the focus in this surgery is in reducing the prominent central brow bones due to pneumatization of the frontal sinus cavity. Often the lateral brow bones are overlooked or forgotten and may need to be addressed secondarily. In rare cases only the Read More…

Plastic Surgery Case Study – Male Brow Bone Reduction Without Complete Bone Flap Replacement

Background: Male brow bone reduction almost always requires a bone flap technique for maximal effectiveness. However, it is not the technique of brow bone reduction that is the major consideration in the surgery for men. Rather it is the location of the incision that I find to be the most important consideration which not only Read More…