Can My Wide Forehead Be Reduced?
Q: Dr. Eppley, I have attached a photo, and I drew blue lines. I am concerned that my skull bulges out laterally, whereas the angle in most females goes toward the center as the blue lines indicate. It is less apparent in photos and more noticeable in person. But hopefully this helps. Please let us know if there are other angles you would like to see.
A:Thank you for sending your pictures and marked illustrations. You have the classic wide forehead and large anterior temporal muscles. It is important to recognize that the enlargement of the temporal muscles makes as much contribution to this appearance is that of the bony for head with. This is treated by narrowing the fore head by reduction of the bony temporal lines and subtotal reduction of the anterior temporal muscles. To do so this requires hey scalp incision placed either at the frontal hairline or behind it in a more coronal fashion. One can debate whether you should also vertically shorten the long fore head which, on one hand seems appropriate given its length, but on the other hand shortening the forehead works against making it look more narrow.
Dr. Barry Eppley
World-Renowned Plastic Surgery

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