Q: Dr. Eppley, I am potentially interested in some form of a forehead augmentation procedure. So this is what I’m working with the last picture shows an example of what I’m looking for in regards to a forehead change . I’ve scheduled a hairline lowering procedure but my forehead will still “slope” backward obviously. I don’t know if this is because of my eyebrow bone or what but I have no clue where to start or what would be the best course of action. Hairline lowering and eyebrow bone shaving? Hair transplants? I really don’t want to do the whole cement implant thing and was hoping there were other options. I’d really like your honest opinion because I’m impressed with what I’ve seen on your website in regards to forehead augmentation. Thank you and best wishes. Let me know if you need better pictures please.
A: With you modest backward inclination to your forehead the result you demonstrating/seeking definitely involves upper forehead augmentation. There is no other way to augment the forehead without adding something to it.
The alternative is to reduce the brow bones (and leave the forehead alone) which in your case is actually a viable idea. With even 4 to 5mm brow bone reduction you will go a long way to achieving that look. Augmentation is still preferable but brow bone reduction is not a bad alternative if you are strongly opposed to any forehead augmentation material.
Either way, forehead augmentation or brow bone reduction, it is best to do it with the hairline lowering procedure. Otherwise you are going to have to go through the hairline scar twice which may not lead to the best scar outcome.
Dr. Barry Eppley