Am I A Good Candidate For A Forehead Lowering Procedure?
Q: Dr. Eppley, I want my forehead lowering, my chin is too small and my forehead is big and it is asymmetrical.
A: Thank you for your inquiry and sending your pictures. The forehead lowering appears straightforward and the only issue there is how much hairline lowering you think you need and whether it can be achieved. The way to answer that question is for you to draw on yourself the ideal hairline position and take a picture of it so I can determine what is possible. For the chin the debate is not whether you would benefit by increased horizontal projection but how best to address the chin/jawline asymmetry for which there are two options. A sliding genioplasty is the historic approach as it can bring the chin forward as well as slide it over to the midline. While that is good from the centering of the midline chin point, that does not really address the jawline behind it and leaves bony stepoffs along the jawline as well. Ideally a custom chin implant addresses all aesthetic needs more completely but costs more to do so and involves an implant. In short both methods are valid approaches but each has their unique set of disadvantages.
Dr. Barry Eppley