How Much Forehead Augmentation Can Be Achieved In Profile?

Q: Dr. Eppley, I am very interested in the procedure that I see you are an expert in, forehead augmentation with custom implants.

 My question is the following, I have a very backward sloping forehead, and I want to increase considerably in volume that area, I have read that in the case that it is required and the patient wants something much more significant should be implemented an additional procedure (tissue augmentation, extension), I think that would be my case. I want to increase my forehead about 5 cm of volume approximately, with temporary extensions and completely cover the eyebrows. 

Will it be possible to augment to that extent? Up to how many centimeters will it be possible? 

I attach photos of what my forehead looks like and how I would like to have it. 

Best regards, I look forward to your answer!

A: Thank you for your inquiry and sending your pictures. You have made two correct assumptions in regards to your forehead augmentation goals:

1) The desired amount of forehead augmentation is going to require a first stage scalp expansion and

2) When you add that much change in the inclination of the forehead the implant must, to look natural and blend in with the rest of the head shape, wrap around the sides (temporal regions) of the head. In essence this forehead implant design would really involve the entire front half of the skull.

You have made one incorrect assumption, that amount of forehead augmentation is profile is closer to 10 to 15mm of projection not the 50mm or 5 cms which you have stated.

Dr. Barry Eppley

World-Renowned Plastic Surgeon