Category: forehead reduction | hairline advancement | plastic surgery case study

Plastic Surgery Case Study – Composite Forehead Reduction (Frontal Hairline Advancement and Frontal Bossing Reduction) in a Thin Caucasian Female

Background: While there are many features they define an aesthetically pleasing forehead two of them are of particular relevance. First the length of the forehead, as defined by the vertical distance between the eyebrows and the frontal hairline, should be proportionate to the lower facial thirds. Secondly the slope of the forehead, the relationship between Read More…

Plastic Surgery Case Study: Male Brow Bone and Forehead Reductions with a Persistent Metopic Suture and Frontal Sinus Agenesis

Background: While brow bone reduction surgery has been around for a long time it has gained more recent popularity because of the emergence of facial feminization surgery. (FFS) But before facial feminization surgery brow bone reductions were done in men although far less commonly than FFS today. The use of a bone flap setback is Read More…

Technical Strategies – Forehead Horn Reductions Through A Frontal Hairline Approach

The forehead is usually thought of as having a broad flat surface but in reality its topography is a bit more complex. Its shape varies amongst men and women but the one feature that is consistent is the projection of the upper forehead should not exceed that of the lower half of the forehead. Such Read More…

Plastic Surgery Case Study – Bony and Soft Tissue Forehead Reductions in a Female

Background: The large surface area of the forehead creates a major aesthetic component of the face. While lacking the projecting topographies of the lower 2/3s of the face it nonetheless has a few significant features that define it. These include the frontal hairline superiorly, the eyebrows/brow bones inferiorly and the shape of the entire frontal Read More…

Outcome Assessment of Forehead Feminization Surgery

The forehead has been described as the most significant facial feature for gender identification. As a result it is a major focus in facial feminization surgery whether it is in the trangender or cis-female patient population. There are three well known types of such procedures consisting of isolated burring reduction for mild brow bone protrusion Read More…

Plastic Surgery Case Study – Total Female Forehead Reshaping with Frontal Hairline Advancement and Bony Reductions

Background: Reshaping the upper third of the face, as opposed to more commonly known rejuvenation techniques has a different objective and patient population. Forehead rejuvenation strives to make the upper face look less aged primarily by reduction of skin wrinkles and changing the position and arc of the eyebrows. Conversely the primary goal of forehead Read More…

Ligamentous Scalp Attachments and Hairline Lowering Surgery

There are various aesthetic procedures that require the separation of the scalp from the underlying skull bone to create their effects. The most well known historically is the endoscopic browlift at the front part of the scalp. But in some ways the reverse of an endoscopic brow lift is the hairline lowering forehead reduction procedure. Read More…

Plastic Surgery Case Study – Temporal Hairline Incisions for Bony Forehead Reductions

Background: There are a variety of aesthetic upper forehead prominences that can benefit from reductive reshaping. While the frontal bone of the skull is not overly thick a certain amount of bone can be removed until the diploid space is encountered. Such prominences as osteomas, forehead horns, frontal bossing and prominent temporal lines represent the Read More…

Plastic Surgery Case Study – Fat Injections for Softening the Male Supra Brow Bone Break

Background: One of the anatomic features of the forehead, most prominently seen in men, is the supra brow bone break. This is the transition between the prominence of the brow bones and the beginning of the more vertical forehead slope. The more prominent the brow bones the deeper the brow bone break is which is Read More…

Plastic Surgery Case Study – Male Combined Frontal Bossing and Sagittal Ridge Skull Reductions

Background: The shape of the forehead in profile for both men and women has the upper forehead falling behind the projection of the brow bones. Because men have greater brow bone development than women they will have a greater backward slope to the forehead profile. But regardless of whether it is a male or female Read More…