Can I Get Bony Forehead Reduction After A Frontal Hairline Advancement?

Q: Dr. Eppley, I had a hairline lowering procedure and brow lift and hair transplant to attempt to cover my forehead, and it actually emphasizes my protruding and broad forehead, making it appear more obvious. No one told me my issue was actually my skull bone. Can you narrow my forehead and slope it back? I find that it still looks masculine and I thought the problem was skin and hair, I did not realize skull shape is what makes someone appear feminine.

A:While frontal hairline lowering is a soft tissue procedure it does have a forehead reshaping effect. By definition and making the four head vertically shorter it will make it look wider. This is why preoperative imaging of the effects of hairline lowering are important to undergo understand this effect. The question now is not whether your bony forehead can be reduced, as you have convenient access to do it from the frontal hairline scar, but whether the bony changes would be significant enough to make the surgical effort worthwhile. Thus I would need a front and side view picture of your fore head to make that assessment with some imaging too sure what I think could be realistic and achievable changes.

Dr. Barry Eppley

World-Renowned Plastic Surgeon