Q: Dr. Eppley, I am interested in forehead augmentation. I am a male and I would like to know whether it is possible to increase the slope of the forehead given that the thickness of the frontal bone allows for it. I have high temples, so the roundness of my forehead is displeasing to me. While my forehead does slope backwards slightly it is quite round, whereas I would like a ‘sharper’ look. Thank you for your time.
A: Your forehead augmentation desire is possible and would be best done by a custom forehead implant made from a 3D CT scan of you. This is the best way to get the angularity and sharpness in the implant that would be needed to create the outward forehead effect. The limiting factor in any forehead augmentation procedure is not the thickness of the frontal bone but the stretch allowed by the overlying forehead skin and soft tissues. I have yet to see this potential soft tissue limitation, however, be an issue in any forehead augmentation procedure that I have ever done. Most forehead augmentation needs rarely exceed 10mms in thickness and are often less than that amount.
Dr. Barry Eppley