Can My Small Forehead With Short Vertical Length Be Improved?

Q: Dr. Eppley, I think my forehead is very small and it bothers me a lot and I want to fix it and also the back of my head is flat and I wanted the doctor to look at it.

A: Thank you for your inquiry and sending your pictures. I can clearly see your fore head concerns. The forehead is short in vertical skin length and lacks bony projection. Probably the shortness of the forehead skin contributes more to the appearance of the small forehead Dan does the lack of bony projection but the two are linked particularly in terms of the approach to correct.

As you may know there are soft tissue procedures to shorten the vertical length of the forehead but there are none to vertically lengthen it. To gain any vertical length you must increase the bony projection/shape of the forehead which can only be done buy a custom for head/skull implant. Obviously the more you do so the more the skin stretches and creates a larger appearance of the forehead. But there is a delicate balance between too much implant projection and creating an unusual appearance. However the tightness of the forehead and scalp skin is going to limit how much for head augmentation can be achieved so this is probably not a significant concern. To evaluate what I think is realistically possible attached I have done some imaging looking at one amount of forehead augmentation to see what the effect is on the size of the forehead and the location of the frontal hairline.

Dr. Barry Eppley

World-Renowned Plastic Surgeon