Technical Strategies – Endoscopic Custom Forehead Implant Placement

  Aesthetic forehead augmentation to correct a sloped, irregular or deficient frontal bone can be done by a variety of materials placed on top of the bone. Having used every one of them, they each have their merits and each material type can be successfully used in experienced hands. But the forehead augmentation method that…Read More…

Technical Strategies – Pretrichial Approach to Forehead Craniotomy Defect Reconstruction

  Craniotomies that involve the frontal and/or frontotemporal bones are commonly done for a variety of intracranial problems such as bleeding from trauma or for access to tumors. While the bone flap is put back into position using low profile plates and screws and the detached temporalis muscle resuspended, residual skull deformities are common. Frontal…Read More…

Case Study: Forehead Augmentation for Forehead Horns

  Background: The desirable features and shape of the male forehead is well known. It consists of a brow bone prominence, a superior brow bone break and a smooth slightly convex shape of the upper forehead to the hairline. A wider or more square forehead shape is often seen as an asset as well. Some…Read More…

Case Study: Custom Male Forehead Implant

  Background: The male forehead is uniquely different from that of females. It has more prominent brow bones, a well defined brow break and a forehead that has no more than 10 to 20 degree angulation backward into the frontal hairline superiorly. This is quite different from a female’s forehead which ideally has little to…Read More…

Minimal Incision Forehead Augmentation Cranioplasty

  Forehead augmentation is done for a variety of aesthetic reasons including increasing the convexity and projection of the forehead. A forehead that slopes back too severely or lacks brow bone projection can be built up by an onlay or augmentative cranioplasty. This is always done with an alloplastic material rather than a bone graft…Read More…

Case Study: Forehead Augmentation for Correction of Pseudo Brow Protrusion

  Background: A brow bone prominence is largely a male feature caused by a greater pneumatization (expansion of air cavity) of the frontal sinuses than in women. While female brow bones are relatively flat, most men will have some degree of prominence or ridging that creates a brow bone break as it ascends into the…Read More…

Case Study: Hydroxyapatite Forehead Augmentation

  Background: Although the forehead occupies almost 1/3 of the entire face, it is the one bony facial structure that is least changed for aesthetic purposes. Chin, cheeks, noses and jaw angles are far more commonly surgically altered than the much larger forehead. The most common forehead change is augmentation of a flat or recessed…Read More…

The Psychological Aspects of Facial Structural Surgery

There are many reasons that patients request surgical changes to their face. With over twenty different facial regions that can be altered, there are seemingly endless options and combinations. But when you break it down, there are two main reasons for making cosmetic changes to the face. I divide these into either facial anti-aging surgery…Read More…

Forehead Contouring and the Coronal Incision

Contouring of the forehead is an uncommon procedure in plastic surgery but the techniques to do it are not. Whether it is to reduce frontal bossing, soften prominent brow bones, or change the slope of the forehead, the forehead can be reshaped in a variety of dimensions. Most reduction changes are more subtle to moderate…Read More…

Biomaterials for Forehead Augmentation – PMMA (Acrylic) vs HA (Hydroxyapatite)

The desire for forehead reshaping in adults is done for three reasons. Most commonly, it is someone who has a residual forehead deformity due a congenital skull deformity. (e.g., craniosynostosis) As one gets older, or as hair loss occurs in men, the frontal skull deformity becomes more aesthetically obvious. Secondly,  a frontal skull deformity exists due to an injury or after a…Read More…