How Can My Irregular Forehead Be Reshaped?

Q: Dr. Eppley, I seem to have very distinct frontal eminences and very pronounced verticle ridges around where my temporal lines are. I was wondering what these are and if it could be fixed – both the eminences and ridges. Thanks! 

A; What you have is a combination of prominent frontal eminences (horns) and large temporal muscle insertions along the side of the forehead. If I look at it carefully in the well illustrated frontal view picture it almost seems like the prominences seen (horns and vertical ridges) exist because the level of the forehead (frontal bone) is sunken in a bit….revealing the muscle insertions along the side of the forehead and exposing the congenital frontal eminences. (horns) This would indicate to me that the best approach to solve all of them at once in the most assured way is a thin custom forehead implant that covers the whole forehead. The implant is just thick enough (2 to 3mms) to fill in the ‘depressed’ bone and cover one the horns and vertical ridges. This is better than the alternative of burring down the frontal horns and trying to add strips of material too smooth over the vertical ridges. (lies desired option #2)

Dr. Barry Eppley

World-Renowned Plastic Surgeon