Forehead Asymmetry Correction
Q: Dr. Eppley, I am interested in forehead asymmetry correction. My forehead on the right side is about 3 or 4mm flatter than the left side. My temporal hairlinesare different on each side making me look slightly plagiocephalic and I can spot this quickly in a mirror. “I think” this is due to sleeping on a pillow at night on that side for years and it has flattened one side of my face very slightly. I need a little bone cement to make my forehead more symmetrical. If I was to get bone cement injections I would need 2.5inches square with a thickness of 3.5mm over a portion of the right side of my forehead This is all rough estimations, but this is all I would approximately need. I hope you can help?
A: The proper treatment for your forehead asymmetry correction is probably not bone cement injections, they have a high risk of irregularities. In addition they can not be used to lay on soft tissues of which some of your correction would need to be because the apparent transition of the forehead defect into the temporal region. Bone cements have been largely replaced by custom skull implants made from a 3D CT scan which are far more reliable in terms of contour and smoothness.
Dr. Barry Eppley