Forehead Contouring

Forehead contouring surgery, also known as forehead feminization or forehead reduction, is a procedure that helps reshape the forehead to create a more feminine appearance or correct prominent or asymmetrical forehead contours. Below are some details about forehead contouring:

Surgical techniques:

a. Forehead reduction: in this technique, a portion of the frontal bone is removed to reduce its height or prominence. The surgeon makes incisions along the hairline, and the excess bone is carefully shaved or removed. The remaining bone is then reshaped and repositioned to create a smoother and more feminine contour.

b. Forehead augmentation: in some cases, forehead augmentation may be necessary to increase the projection or volume of the forehead. This can be accomplished through the use of implants or bone grafts to increase volume and create the desired contour. Implants are usually made of silicone or other biocompatible materials.

c. Forehead contouring: Forehead contouring involves sculpting the underlying bone structure to create a more feminine shape. This can be done by shaving or repositioning certain areas of the forehead, such as the brow ridge or sinus area, to create a softer and rounder appearance. There are 3 areas of male bony prominences that need to be considered as follows:

- Brow ridge or brow hump:

This is the horizontal ridge of bone that extends across the lowest part of the forehead. It is the superior orbital rim, which tends to protrude at the level of the eyebrows, sometimes showing a "low-lying orbital image".

- Frontal bone:

This refers mainly to the lower forehead, which is located directly above the brow protuberance. It is the anterior wall of the frontal sinus. The male shape of the frontal bone can vary from a depressed area over the brow hump to a clearly visible area as part of the brow ridge.

In biological females, the shape of the brow is vertically rounded and the contour is usually smooth and without steps.

- Lateral orbital rim:

This is the side of the orbit where the extension of the cheekbone joins the upper orbital rim. This part can also be very prominent in men, and the surgeon always takes care to contour this part.

Surgical considerations:

a. Incision placement: Incisions for contouring the frontal bone are usually placed along the hairline to minimize visible scarring. The exact placement and length of the incisions will depend on the individual anatomy and the technique used.

b. Anesthesia: Forehead bone contouring is performed under general anesthesia to ensure the patient is comfortable throughout the procedure.

c. Recovery and healing: swelling, bruising and discomfort may occur after surgery and can be relieved with pain medication and cold compresses. It is important to follow the surgeon's instructions regarding postoperative care, including rest, avoiding strenuous activity, and keeping the incision area clean.

d. Results: It may take several months for the final results of brow bone contouring to be fully visible as swelling subsides and tissues heal. It is important to have realistic expectations and be aware that individual results may vary depending on the original anatomy of the forehead and the surgical techniques used.

Choosing a surgeon:

Forehead contouring is a complex procedure that requires the expertise of a qualified and experienced plastic surgeon or craniofacial surgeon. It is important to choose a surgeon who specializes in facial feminization procedures and has a comprehensive understanding of facial esthetics.

As with any surgical procedure, there are potential risks and complications associated with brow bone contouring. These include infection, scarring, asymmetry, changes in sensation, and the need for revision surgery. It is important to discuss these risks with your surgeon and make an informed decision based on your specific circumstances and goals.

Individuals considering surgery to contour the brow bone should consult a qualified surgeon who can evaluate their facial features, discuss available techniques, and create an individualized treatment plan to achieve the desired brow contour and overall facial harmony.

The preoperative and postoperative care of patients undergoing surgery to contour the frontal bone is important to ensure a successful procedure and a smooth recovery. Below is some information on pre- and post-operative care for individuals considering surgery to contour the frontal bone:

Preoperative Care:

Consultation and Evaluation: Candidates will be consulted by a qualified plastic surgeon or a craniofacial surgeon who specializes in facial feminization. During this consultation, the surgeon will assess the candidate's facial features, discuss her goals and expectations, and determine the most appropriate surgical approach.

Medical Exam: A comprehensive medical examination will be performed to assess the candidate's overall health and suitability for surgery. This may include blood tests, imaging studies, and consultations with other specialists as needed.

Medication Adjustment: candidates may need to adjust or temporarily discontinue certain medications that may interfere with surgery or the recovery process. It is important to inform the surgeon of any current medications, allergies or medical conditions.

Lifestyle changes: Candidates may be advised to make certain lifestyle changes prior to surgery, such as quitting smoking, abstaining from alcohol and certain medications, and eating healthy and exercising to optimize overall health and facilitate the recovery process.

Post-operative care:

Hospitalization: surgery to contour the frontal bone usually requires a short hospital stay for monitoring and initial recovery. The length of hospital stay may vary depending on the individual and the surgeon's preference.

Dressings and Incision: After surgery, the incision site(s) will be covered with dressings or bandages. The surgical team will give you instructions on how to care for the incision, such as when and how to change the dressings, clean the area, and apply the prescribed ointments.

Pain management: pain medications will be prescribed to relieve postoperative discomfort. It is important that you take the prescribed medications and inform the treatment team of any pain or concerns.

Swelling and bruising: Swelling and bruising around the forehead are common after surgery. Applying cold compresses and elevating the head may help reduce swelling. The surgeon may also recommend special techniques or medications to reduce swelling.

Restricting activities: During the initial recovery period, patients should avoid strenuous activities, bending and lifting heavy objects. The surgeon will advise when it is safe to resume regular activities, including sports.

Follow-up visits: Regular follow-up visits with the surgical team are necessary to monitor healing progress, remove any sutures or staples, assess surgical outcomes, and address any concerns or complications. The frequency of follow-up visits may vary depending on individual circumstances.

Healing and Recovery: Complete healing and final results of brow bone contouring may take several months. It is important to follow the surgeon's instructions regarding postoperative care, including proper wound care, hygiene, and specific diet and lifestyle recommendations.

It is important to communicate openly with the surgical team and follow instructions for pre- and post-operative care. This helps to achieve optimal outcomes, minimize risks and promote a smooth recovery process. Each candidate's pre- and post-operative care can be tailored to individual needs and the specific techniques used during the procedure.