Can A Bony Forehead Reduction Be Done At The Same Time As A Frontal Hairline Advancement?

Q: Dr. Eppley, Hello, i am reaching out to know if id be a good candidate for forehead reduction along with a hairline advancement? I had severe frontal bossing along with some forehead horns before and I went through two surgeries to get them removed. The first one, the surgeon didn’t remove them quite well, and they were very prominent. The second one, he did a better job, however these bony projections still showcase in the light. He promised to use a burring technique, but he just used a hammer and a nail sort of technique and used some type of fine roller to smooth my forehead out. It’s been over 5 years, and i still get chronic pain flare ups in these areas from time to time, but it’s not too bad. I really just want to have these bony projections and front bossing gone! I plan on graduating school soon, and really want to just live more normally. Thank you

A:I have never heard of using an osteotome technique for any type of forehead reduction…as that would not be effective. I see some scars on the forehead located near the horns which raises the question if the prior reductions were done by direct incisions over them. (another unusual approach to them.

A frontal hairline advancement provides the ideal exposure to do a proper burring reduction of the upper forehead.

Dr. Barry Eppley

World-Renowned Plastic Surgeon