Can A Forehead Implant Correct My Egg-Shaped Neanderthal Looking Forehead?

Q: Dr. Eppley, I am reaching out as I would like to investigate the possibility of getting a forehead implant and a jaw and chin implant.

My main concern is the shape of my forehead, which gives me a bit of an egg-shaped look and ages me somewhat. There are 4 main problems I have identified: 

1) the angle at which my forehead slopes is too great, giving me a neanderthal look 

2) From the side, the curvature of the front half of my skull exacerbates the egg-shaped look (I think an implant would need to start some way up my skull to compensate, and give my skull a more flat, square look from the side) 

3) My forehead has little support at my temples, again contributing to the egg-shaped look, giving a hollow and aged appearance, and this is in contrast to my cheeks and jaw which extend further out 

4) the indentations in the middle of my forehead and above my eyebrows really trouble me, especially in photos. I believe some improvement could be achieved with botox to atrophy the brow muscles, and some filler to smooth out the indentations, but because of the 3 above issues identified, I think an implant is the most sensible option! 🙂 

Thank you so much for your time. I look forward to hearing from you.

A: Thank you for your inquiry and sending your pictures. You are spot on in identifying in that the correction of your forehead slope/shape extends well beyond the forehead itself. It involves the need to reach up and cover the top of the skull as well as wrap around the sides (temples) to get a smooth uniform effect. (see attached imaging) This is reflective of the anatomy of the overall skull which is a collection of 5 convex surfaces. Most skull augmentations have to cover at least 3 of them to get a uniform and natural looking effect. In you such a forehead augmentation must cover 3.5 surfaces (forehead, temples and part of the top of the skull)

Dr. Barry Eppley

Indianapolis, Indiana