Category: brow bone reduction | technical strategies

Technical Strategies – Frontal Sinus Obliteration Brow Bone Reduction

Brow bone reduction is a forehead reshaping procedure for both men and women. In men it is done to reduce an overly prominent brow bone appearance but yet maintain some accepted male brow bone presence. This almost always requires a setback bone flap technique. In some women it may be done to soften the brows Read More…

Plastic Surgery Case Study – Microplate Fixation of Transgender Brow Bone Reduction

Background: Brow bone reduction is one of the more recognized forms of forehead reshaping. Outside of tumor, fracture or asymmetry issues, brow bone reduction is done in two main patient populations. Male patients seek treatment for very strong brow bones to eliminate the ‘Neanderthal’ look. The transgender male to female patient seeks to feminize their Read More…

OR Snapshots – Tail of the Brow Bone Reduction Through An Eyelid Incisional Approach

Brow bone reduction is a well known aesthetic procedure for reducing the horizontal projection of the lower forehead. Done by either burring for minor changes or an osteoplastic bone flap setback technique for more major setbacks, the horizontal position of the brow and/or its convex shape can be reduced. But no matter what brow bone Read More…

The Osteoplastic Bone Flap Technique in Brow Bone Reduction Surgery

Brow bone reduction is done for a variety of reasons in both men and women. While the primary objective is to reduce an overlying prominent brow protrusion, there are differences in why it is done and the technique used to achieve it. In men reduction of the brow bone is done to get rid of Read More…

OR Snapshots – Transpalpebral Brow Bone Reduction for Vertical Eye Opening

Brow bone reduction surgery reduces the prominence of the supraorbital ridges of the forehead and can be done in both men and women. Whether done for males to reduce the ‘Neanderthal’ brow or in male to female transgender facial feminization procedures, the main direction of reduction is in the horizontal dimension. Reducing the brow bone Read More…

Plastic Surgery Case Study – Male Brow Bone Reduction with Bone Flap Setback Technique

Background: Males almost always have much more pronounced brow bones than females due to a greater pneumatization effect of the frontal sinuses. Numerous studies have shown that the male frontal sinus is bigger, usually asymmetric and has a bigger left side than that of the right. This is clinically evident in the external shape of Read More…

OR Snapshots – Transpalpebral Brow Bone Reduction

Brow bone reduction surgery reduces the prominence of the lower forehead bone just above the eyes. It is most commonly done in men for large “Neanderthal’ like brow bone protrusions or in male to female transgender facial feminization surgery. Whether it is done using a bone burring method or a more complete osteoplastic bone flap Read More…

OR Snapshots – Brow Bone Reduction by Burring

Brow bone reduction is useful for both men and women who have frontal sinus development that creates an unaesthetic appearance. It is far more commonly done in men whether it be for reduction of very prominent brow bone protrusions or as part of an overall facial feminization surgery for male to female transgender patients. In Read More…

Technical Strategies – Male Direct Brow Bone Reduction Through Mid-Forehead Incision

Brow bone reduction can be done by two basic techniques. A burring reduction of the outer table of the frontal sinus wall is one option. The amount of reduction achieved will be limited by the thickness of the outer table bone which can be anywhere from 2 to 5mms. The other method of brow bone Read More…

Plastic Surgery Case Study – Tail of Brow Bone Reduction

Background: Reduction or augmentation of the brow bones is typically thought of as a horizontal change in their prominence. Such movements create more or less of a brow bone prominence most easily seen and appreciated in a lateral or side view. Such degrees of horizontal brow bone prominence is very gender-specific and is the motivation Read More…