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Transillumination of The Frontal Sinuses in Brow Bone Reduction Surgery

One of the original contouring procedures in facial feminization surgery is that of reshaping the forehead. Brow bone reduction still remains one of the defining facial contouring procedures that separates male vs. female appearance. It is a well described technique that fundamentally can be done by either burring reduction or a bone flap setback technique. Read More…

Technical Strategies – Infra Eyebrow Approach to Brow Bone Reduction

Brow bone reduction for prominent supraorbital ridges is done in both men and women. The standard approach is from a scalp access whether that is done from a coronal or frontal hairline incision. By exposing the entire forehead and brow bones through forehead flap turn down, burring or bone flap reduction techniques can be used. Read More…

Basic Concepts of Transgender Male to Female Brow Bone Reduction

In facial feminization surgery (FFS), forehead recontouring is an important one-third of the facial changes needed. There may be a few patients in which burring of the brow bone is sufficient to reshape the entire superior orbital rim. But most male to female brow bone reductions of any significance require the well described type III Read More…

Concepts in Female Brow Bone Reduction

Cis-gender females undergo brow bone reduction much less frequently than men as it would be unusual for them to have a significant brow bone protrusion. These smaller protrusions do not usually require a bone flap setback technique as the amount of reduction needed can be done by bone burring alone. If the reduction needed is Read More…

Concepts in Male Brow Bone Reduction

While brow bone reduction is done in both men and women, the techniques may be different based on the amount of brow bone reduction required. In my experience most men that consider and undergo reduction of their brow bone prominences do so because they are extremely large and have a dramatic impact on the perception Read More…

The Healing of Brow Bone Reduction Flaps

Brow bone reduction surgery is a common forehead reshaping procedure in my practice and is done for three specific indications. Men that have very prominent ‘Neanderthal’ brow bones seek it to make their facial appearance less strong. Male to female patients have it done to create a gender appearance transition. Lastly patients that have a Read More…

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