Can I Move My Forehead and Midface Forward by Osteotomies?

Q: Dr. Eppley, Hello! I would like to inquire about a structural facial bone surgery.

My goal is true forward structural projection (not width). I am looking for:

1. Forehead/Glabella segment osteotomy and forward advancement

2. Midface bone advancement

A:Thank you for your inquiry and sending your pictures to which I can say the following:

1)  As an adult you are not going to do forehead and midface advancement osteotomies. Those are procedures reserved for babies and children with significant congenital deformities where the extent of the surgery and the thinner nature of the bones permit it. But even if it was advised to be done in an adult the aesthetic result with bone edging and irregularities would not be a good aesthetic outcome.

2) in adults such augmentations, which are commonly done in Asian patients, are achieved by custom forehead and custom midface mask implants which are far more effective aesthetically with less risk and are subsequently easily reversed or revised if desired.

Dr. Barry Eppley

Plastic Surgeon