Forehead contouring and reduction
Forehead is one of those facial features that depending on the shape and size can appear masculine or feminine. Masculine foreheads normally have a bony ridge right above the eyes and beneath the brows, known as “brow bossing”, while feminine foreheads are smoother.
Forehead contouring surgery is carried out in order to reduce prominent foreheads. It reshapes the brow bossing, forehead slope, forehead bones, and the bones around the eyes to create a more natural feminine appearance.
The surgery is commonly performed on men as a part of feminization, but it also can be carried out on women who have this feeling that their foreheads appear too masculine or prominent.
Forehead contouring surgery can be done to fulfill the following:
• Improving the curve of the forehead profile by implantation
• Reducing the forehead approximately 3-5 mm by bone shaving
• Bone depression for those having prominent forehead bone and deep set eyes
The method of performing the surgery varies based on the patient’s anatomy. It usually takes up to 3 hours, and done under local anesthesia. It can be carried out through following methods:
1. Fat injection. Surgeon can draw fat from patient’s body. It can be done local anesthesia. In this method, there are no scars, but the method is not permanent.
2. Bone cement. Most surgeons prefer to use bone cement, which is the patient’s living bone, as it is durable, strong, and easy to be adjusted. This method creates scars.
3. e-PTFE (Gore-Tex). It is a synthetic substance that can be placed inside the body through delicate incisions.
4. Silicone sheet. The material used in this method is difficult to adjust and not flexible. That’s why it is not very popular.
Also, some patients prefer to have hair transplant in the new hairline, but in most cases it is not necessary.
After the surgery
Bruising and swelling around the eyes are common after the surgery. That is why a soft dressing is placed around the forehead overnight to reduce the swelling, and then it is replaced with a bandage for about 10 days.
Stitches will be removed approximately a week after the surgery.
Loss of sensation is also common. Healing may take up to 10 months in patients.
Vigorous exercises causing sweat, like running and yoga, are not permissible for at least 6 weeks.
Washing the hair is permissible but it must be done gently.