Reshaping the Prominent Brow Bone With Plastic Surgery

The need to change the shape of the forehead or frontal bone is very unusual. Redesign of the forehead or the brow bone (the bone below the eyebrows) is possible, but there are different procedures that can be made based on the shape of the forehead and brow bones.

The shape of the skull between a male and a female is often quite different. The male often has the fullness of the forehead, brow bones brow shape or supraorbital prominence with a flat forehead knownover this area. The female forehead, conversely, has a more or convex shape and face little or no significant supraorbital stamp. These forms give the face a male or a female gaze.

The degree of frontal face and the face shape will help determine which type will be done by surgical recontouring needs. With the exception of one further important consideration ... the frontal sinus. The sinus, an air-filled cavity in the bone that sits just under the brow, like bone and is developed, it will affect surgical decisions. For this reason, any surgical efforts on the forehead / frontal changes have a simple skull X-ray (side view) before the operation.

Among patients with mild to moderate brow and forehead (thick skull bone over the frontal sinus, or missing a frontal sinus), bone-reduction by trimming can be carried out with a nice result. If the front character is present, but the bone thickness of the frontal sinus is thin, simple bone> Reducing contouring is impossible without entering the frontal sinus. Many try, a little bone reduction, without entering the sinus, but that is not enough difference to justify the expense. Distance of only 1 or 2 mm of bone is not enough to make a difference. In this situation, an option to open the sinus, cutter and the edges of the bone and the "outer cover" again put in a more inner contour and thus the preservation of the frontal sinus. The other option is toto obliterate and fill the sinus with bone substitute material, so that a flat face insert contour with the bone or cement. (and not primarily the outer table of the bone again) I've done both and both work. If I get a good brow shape and still the frontal sinus is present and functional, this is my first choice.

Each brow and forehead contouring requires an open approach with a scalp or hairline incision. The forehead skin must be "peeled back to get" that good accessfor surgery. An endoscopic approach or more limited approach is not sufficient to do a good job. In most women, the hairline and hair density patterns make an open approach possible. If this procedure is seen in men, makes the scalp hair is an open question approach potentially problematic.

The most common patient in my experience, because the frontal bone is reduced in the female feminization surgery (FFS), where the reduction in the prominence of the frontal bone helpsthe general conversion of the facial male to a female apparition. In a few males to choose very prominent brow bone, this procedure is a big difference in the softening of the more "Neanderthal" face.

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