Forehead Horn Reduction

Q:Dr. Eppley, I am a 28 year old male and i have a question about forehead bone reduction procedure. I’ve had these two lumps on my forehead for as long as i can remember. I always thought I got them from hitting my head when I was a kid. Recently these lumps started to bother me more and more so I decided to see a plastic surgeon that specializes in reconstructive plastic surgery in my home country and ask what he thinks about it. 

He gave me a diagnosis of ’eminenta frontalis’, which I interpret as just a bone shape that is somehow normal but just a bit more prominent. He did not think this is something that should be bothering me nor could it be fixed due to the underlying sinus cavity and relatively thin bone thickness (no xrays were taken) 

The thing is, this is bothering me and I would like to know what are my options.

A: If I am interpreting correctly as to what your foreheads concerns are based on the pictures you have sent, I see a pair of forehead prominences that are often called forehead horns. They are a natural development of the forehead that does occur in some males. They are not located over the frontal sinus but above it. These forehead bone humps can be very safely burred down. This would be done through a frontal hairline incisional approach. Forehead horn reduction is a procedure in my experience that exclusively occurs in men much like large or overdeveloped frontal sinuses/brow bones.

Dr. Barry Eppley

Indianapolis, Indiana