Q: Dr. Eppley, I am interested in brow bone reduction surgery. I have very deep set eyes, protruding forehead with brow bossing. I look like I’m mad and my eyes are hooded by bone. My forehead slopes downward from orbital rim a little and brow is very low set. Also I have calcium deposits on the front and sides of my head. I wouldn’t mind something dramatic but just doing some shaving on forehead and brow in front, possible slight brow lift would do wonders. I want to open up my face. I want to project what I feel on the inside and when I go out side I don’t want to see my brow especially when I squint which I’m usually forced to do.
A: Than you for sending your pictures. You do have prominent brow bones and you are correct in what their effect is on your eyes/face. I would agree that a brow bone reduction and forehead shaving and a brow lift would be very beneficial. Like in any man, however, the key issue is the surgical access to do so. This is always problematic in men where the use of a coronal scalp incision creates its own aesthetic trade-off. Usually in men because of their hairline location and hair density, the better option may be a mid-forehead incision in a horizontal wrinkle line. This eliminates the ability to do an overall forehead bony reduction. But an endoscopic browlift can still be done through very limited scalp incisions at the same time.
Dr. Barry Eppley