Category: brow bone reduction | plastic surgery case study

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…

Techniques in Forehead Feminization Surgery

One of the many important areas to change in facial feminization surgery (FFS) is that of the forehead. The typical male forehead has a prominent brow bone, a visible brow bone break into the upper forehead and a central forehead area that is often flat or even slopes backward to some degree. This is Read More…

Technical Strategies – Transpalpebral Brow Bone Reduction

Brow bone reduction is one of numerous types of facial bone reshaping procedures. In its most traditional sense it is done to reduce the horizontal or forward projection of the brow bones. In essence this is to reduce the bulge or outward prominence of them. This is usually done either in men with very large Read More…

Technical Strategies – Brow Bone Reduction with Mid Forehead Nerve Sparing

Excessive brow bone protrusion, known as brow bone hypertrophy, is a well recognized phenomenon that is due to over pneumatization of the frontal sinus. While many people think that it is due to excessive bone growth, it is actually due to an over enlargement of the frontal sinus air cavity. This pushes out the air Read More…

Case Study – Secondary Brow Bone Reconstruction with Cranial Bone Grafts

Background: Most frontal sinus problems can be successfully managed with an endoscopic approach. But if frontal sinus drainage can not be successfully established, an open approach for its treatment may be needed to eliminate the entire frontal sinus.. The osteplastic bone flap approach for frontal sinus obliteration has been around for a long time to Read More…

Mid-Forehead Approach for Male Brow Bone Reduction

Reduction of the prominent brow bones can be done by two basic techniques and is done for different reasons/patient populations. (e.g., prominent male brow, part of facial feminization surgeries) The type of patient and the degree of brow bossing will determine the best surgical technique. In some cases augmentation of the forehead above the brow Read More…