Does Brow Bone Reduction Cause Loose Forehead Skin?

Q: Dr. Eppley, “I just want to confirm that the “forehead-brow bone reduction/reshaping” includes the hairline advancement component? From what I understand it is always performed with a type III brow reduction because without it the skin would be loose since there is less bone volume.” 

A: That is not an accurate statement. Forehead/brow bone reduction does not cause loose skin. Thus many forehead-brow bone reductions are done using a variety of incisions in which no hairline advancement is done. That being said forehead browbone reductions can be done in conjunction with a hairline advancement in which case by necessity a frontal hairline incision is used.

You are undoubtably confusing or making references to transgender forehead-brow bone reductions in which many such patients need a frontal hairline advancement for its feminizing effect and thus they are quite commonly done together…but it is not for fear of loose skin.

Dr. Barry Eppley

World-Renowned Plastic Surgeon