Q: Dr. Eppley, I am interested in forehead reduction. I was wondering if it’s possible to even out my forehead and make it smooth and symmetrical? I am bothered by the sides areas of my forehead which I have marked in the attached pictures.
A: What you have are prominent anterior temporal lines on each side of your forehead. This is not really due to a prominent forehead per se but due to a deficient temporal muscle on the side. This makes your forehead look very square and boxy. Rather than burring down the temporal lines (forehead reduction) I would recommend extended temporal implants to build up the area beside the forehead. This would be simpler and would create a more masculine forehead as opposed to burring down the bone and making your forehead rounder. (although that could be done based on your personal choice)
The aesthetic problem with temporal line reduction is that it will require a scalp incision to be done which is challenging to place in male without some visibility. Conversely the small temporal incisions for placing extended temporal implants are in the temporal hairline and are much less of an aesthetic concern.
Dr. Barry Eppley