Can Tissue Expansion Lengthen My Forehead?
Q: Dr. Eppley, I have a very short forehead and really want it to be longer. (more skin) But I have been told that a browlift will also make my brows lift up as well as lengthen my forehead which I don’t want. I have read about the use of tissue expanders to make more skin. Do you think the use of tissue expansion is too invasive for someone with a short forehead?
A: The issue with forehead tissue expansion is not whether it is more invasive as it does not involve much more tissue dissection than any form of a browlift. The question is whether it is worth the effort. It is a two stage process with the first procedure being the placement of a tissue expander and a second stage about 6 to 8 weeks later for removal and the retropositioning of the frontal hairline. So it becomes two operations…neither are very complex or extensive nor is recovery difficult or extended. Then there is the intervening interval between the two when the inflation of the tissue expander occurs. Once a week saline injections are done to gradually stretch out the upper forehead. Patients often do this on their own. Through this tissue expansion phase, it will become obvious that there is a bulge in the forehead, so this is a socially awkward period. As you can see from this description, one has to be fairly motivated to be willing to go with this effort. But tissue expansion works really well anywhere on the skull or forehead because it is pushing off of a solid platform underneath. (bone)
Dr. Barry Eppley
A detailed description and pictures of your concerns allows for the most informed response.