Q: Dr. Eppley, I am interested in forehead augmentation. I have very large brow ridges, and a sloping forehead with a prominent central bump in front of the coronal suture. I suffered a blow to the sagittal region as a younger boy and I have always believed that I suffer from premature suture closure. The sagittal skull region is pointed and my skull height is reduced. I read your procedure articles about plastic implants in the forehead region to round the forehead and perhaps make it appear higher and more vertical, as well as similar implants to widen and heighten the overall head shape. I am 69 years old and have combed my hair over my forehead since I was a young man because I am embarrassed about my appearance. At my current age, and with thinner, receding hairline, this is becoming impossible. Can you help me?
A: One is really never too old to address a physical problem that has bothered them all of their lifetime. From your pictures you have a very backward sloped forehead. This make your brow bones look bigger than they really are and also create the illusion that your forehead is too high. Forehead augmentation, using either a custom made implant or using bone cement, can provide a very effective solution to changing the slope of the forehead. In forehead augmentation the goal is to make the forehead inclination closer to 75 to 85 degrees if possible.
Dr. Barry Eppley