Ca Brow Bone Reduction Be Done Through An Eyebrow Incision?

Q: Dr. Eppley, I have a deformed forehead. My brow bones are sticking out and the bulge is very prominent.I am hereby sharing the photographs 

I would like to know if it is possible to shave the brow bone partially through incision below the brows as I don’t want to go for scalp incision due to receding hair line and possible scar formation post surgery

My expectation from this surgery is reduction in the deformity and not to get a perfect look. Also, the bulge above left brow is more prominent  than right which looks even worse. I would like to know if that can be shaved off to bring down to the size of right bone.

A: Thank you for your inquiry and sending your pictures. You have major brow bone protrusion. An effective reduction can not be done by just shaving the bone (it is too thin), it will require bone flap removal and setback. The more pertinent question,  however, is the surgical access to it if any scalp incision is eliminated as an option. An incision would to be made at the eyebrow level. Whether that is made just at the hairline at the bottom or top edge of the brow bone can be debated but I would prefer the bottom edge of the eyebrow hairs.

Dr. Barry Eppley

Indianapolis, Indiana