Q: Dr. Eppley, I am interested in some form of forehead augmentation. I have a slight depression in the middle of my forehead which in certain lighting becomes obvious. I know it is not big but it still bothers me. I have attached a video of it so you can see what I mean. What is the best method of forehead augmentation for it?
A:Thank you for sending the video which shows a circular dip/depression in the middle forehead. I have seen this before and it does represent a bit of forehead bone depression. While there are a variety of ways to do forehead augmentation, the most important consideration is to avoid any scar in doing so. This leaves us with an injection method of fat which is scarless, simple and can be reasonable effective if not overdone. The most important issue in your case is to make sure the downside of any procedure never makes the problem worse or trades off one aesthetic problem for another. The biggest downside of fat injections is the unpredictability of how well they will survive (although they usually do well in the forehead actually) and this a very ‘safe’ risk since it does not worsen the problem.
Dr. Barry Eppley