Brow Bone Reduction vs Forehead Augmentation

Q: Dr. Eppley, I am interested in brow bone reduction due to the overly prominent ridge which gives me a Neanderthal look. I have researched the different methods this is done, but I am hoping there is another option  that does not leave a large scar since I will most likely experience hair loss. 

I am not really bothered so much by the actual prominence, but by the transition to the upper forehead. Is there a way to blend this with some sort of filler or something else?

A: What you are referring to is to fill in the forehead area above the brow bone….a forehead augmentation approach rather than a brow bone reduction approach. This is one valid approach to the strong brow bone appearance in men. This is best done by making a custom implant for the forehead area that has a precise fit and contour to create a smooth and blended approach into the upper forehead. This is made from the patient’s 3D CT scan. Depending on its size it can be placed through very small scalp incisions using an endoscopic technique.

To determine if a brow bone reduction or an upper forehead augmentation should be done is determined preoperatively by computer imaging.

Dr. Barry Eppley

Indianapolis, Indiana