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Forehead Recontouring Surgery

Facial Feminization Surgeons help patients seek more feminine facial profiles.

Forehead Contouring FloridaThe male skull naturally develops into a prominent forehead just after puberty. This is what gives the male face a strong, sharply-defined look. This area is referred to as the “brow ridge” or “brow bossing”.

Recent studies have shown that the eyebrows and the forehead are the key areas to determine the perception of gender, but they are very important “ornament” to emphasize a person’s eyes. Men and women present with significant differences in hairline shape, the shape of the forehead, the shape and the size of the eyes and the eyebrows. Forehead contouring, combined with scalp advancement and brow lift is one of the key procedures offered by Dr Mardirossian.

Forehead ContouringThe feminine foreheads and brows have a soft contour that allows the light to flow into the eyes and make them more noticeable with their beauty. Light reflection on naturally prominent cheeks is what helps the eyes look bigger and more captivating. In contrast, masculine foreheads are heavier in the area above the eyes, therefore casting shadow on the eyes and making them appear smaller. With this powerful technique, by removing the excess bone from the forehead above the eyes, we enlighten the eyes and have them regain their natural charm and attractiveness.

During the procedure the forehead bone is accessed through a fine incision placed just behind the hairline in a way to have the hairs grow through the scar during the healing process. Once the forehead bone is exposed its contouring can proceed in the area above and around the eyes. Some patients have a very thick forehead bone and removal of the excess bone can be enough to achieve a nice and smooth reshaping of the bone; however in the majority of patients the frontal sinus lies under a thin layer of bone and may be penetrated if the protruding bone is simply removed. In those cases Dr Mardirossian will remove and reshape the front wall of the frontal sinus and then will replace it to recreate a nice and smooth contour to the forehead. After the procedure you should expect to wake up with a soft dressing around your head which will be removed in 7 days along with all the stitches. Postoperative care will be explained in great detail when we meet you at the Office!

Female foreheads, on the other hand, have little to no bossing present. Psychological and human visual perception studies have shown that the first element of the face that subconsciously induces that he or she is male or female is by looking at the forehead. Therefore, individuals who want to feminize their face often undergo a forehead bossing and recontouring. While it is usually combined with the brow lift procedure, other patients do them separately.

How is the Forehead “Feminized”?

Forehead contouring involves “shaving” down the frontal bone, surgically altering its shape. In some cases, the bones are merely filed down.

There are four options patients have for reshaping the forehead, and the best procedure is often left to the discretion of the surgeon.

  • Option 1: Shaving – Excess bone is shaved and smoothed down for a more feminine appearance. This procedure, however, is only successful in about 10 percent of patients; therefore, it may not work for everyone.
  • Option 2: Shaving and Filling – This is a common procedure, but should only be used when the angle between the nose and forehead is naturally feminine. The concave area just above the bossing is filled (post shave) with bone cement. Surgeons must be cautious during this procedure because adding too much filler could create a heavy-looking forehead.
  • Option 3: Forehead Reconstruction – This is the more desired surgical procedure because it involves removing the anterior frontal sinus wall and remodeling it for a smoother shape. While it is the most complex type of forehead contouring, it delivers the best results.

Forehead contouring involves general anesthesia. Incisions are made along the hairline and the skin is pulled back to reveal the forehead bones. Then, the surgeon will perform the best surgical method to achieve the best results.

What Does Recovery Involve Following a Forehead Contouring Procedure?

Patients are likely to spend a night in the hospital for observation immediately following a procedure. While swelling is normal, it could last a few days post-surgery. Discomfort is also common but can be alleviated with prescribed painkillers in the first twelve to twenty-four hours.

On average it takes patients one to two weeks for to return to work and resume regular activities. Sutures are often removed in one week. Numbness is normal, especially in the forehead region, and this could be off and on for up to three months.

Are there Any Known Complications Following Forehead Contouring?

Complications, while rare, can occur. It is in your best interest to follow all instructions provided to you by your surgeon. Some common complications include:

  • Infection
  • Excessive swelling and bruising on the forehead and around the eyes
  • Nerve injury – resulting in permanent numbness
  • Forehead numbness that lasts up to one year

Contact Us

To discuss options for Forehead Bossing, please schedule a consultation by calling 561-624-0900.

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