Q: Dr. Eppley, I am seeking your advice on my forehead protrusions. I believe I have two relatively small osteomas above each of my eyebrows and have become increasingly concerned about their appearance. I have looked into treatment for this to try and identify a rough sort of price that I would be paying but can not find one anywhere so I was hoping you’d be able to give me a generic quote.
A: I suspect that the ‘small osteomas’ to which you refer, which you have also called forehead protrusions, are not osteomas at all but actual protrusions of bone from the underlying the frontal sinus…which are treated quite differently than osteoma removal. The fact that that are paired or bilateral would strongly suggest that brow bone protrusion is the more accurate diagnosis. Please send me some pictures of your forehead for my assessment and recommendations for what is likely going to be brow bone reduction surgery.
Unlike typical forehead osteomas, brow bone reduction is not done by burring but usually by a bone flap technique. This is where the outer table of bone over the frontal sinuses is removed, reshaped and put back.
Dr. Barry Eppley