Category: forehead reduction

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…

Plastic Surgery Case Study – Frontal Hairline Approach to Upper Forehead Lipoma Removal

Background: The forehead is prone to the development of benign masses or growths more so than any other surface of the skull or scalp. Whether it is because it is more visible or whether it sustains more low level trauma the forehead is prone to developing benign slow growing masses. The most common forehead masses Read More…

Plastic Surgery Case Study – Reduction of a Male Unilateral Bony Forehead-Skull Protrusion

Background: The forehead is the largest surface area of the face without distinct features. Between the eyebrows and the frontal hairline lies a surface that, while not completely flat, generally is smooth without obvious prominences. Thus when a bump or projection appears on the forehead it is easily observed. Unless there is hair covering the Read More…

Plastic Surgery Case Study – Female Forehead Bossing Reduction Combined with Frontal Hairline Advancement

Background: The shape of the forehead is well known to be gender specific with distinctly different features for both men and women. While there are variations amongst these gender specific features (e.g., slope and width of the forehead) an excessive forward projection of the upper forehead (frontal bossing) is abnormal whether it occurs in either Read More…

Technical Strategies – Single Incision Endoscopic Removal of Benign Forehead Masses

Solid masses of the forehead appear as round immobile protrusions. They are visually unavoidable given the broad surface area of the forehead. They start out as small discrete round bumps and then gradually over time get bigger. How big they get is uncertain but anywhere from a the size of an eraser to a quarter Read More…

Plastic Surgery Case Study – Male Forehead Reshaping with a Combined Frontal Bossing Reduction and Frontal Hairline Advancement

Background: The forehead is an important facial feature for both men and women. There are specific gender differences in their shapes with the forehead in men being more retroclined, broader and with more visible temporal lines. The male forehead can also be higher due to a recessed frontal hairline or no hairline at all. The Read More…

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

Background: Forehead feminization today is typically associated with a transgender male to female patient. The most common procedure used for this forehead softening effect is a brow bone reduction. Because the congenital male brow bone is more developed than a females the technique used to adequately reduce its projection is a bone flap setback technique Read More…