Male Brow Bone Reduction
Q: Dr. Eppley, I am interested in male brow bone reduction. But because of my hairline I can not have a coronal incision to do the procedure. I know that the alternative for some men is a mid-forehead incision. But that would only be for brow burring correct? Which wouldn’t have a very big overall impact as my bone is thin. It seems the only real option is to have coronal incision which just seems very excessive. Surely there is a better way to do it.
A: Your assumption about the limitations of the mid-forehead incision for male brow bone reduction are incorrect. Total brow bone reshaping by osteotomy and bone replacement can be done through this small mid-forehead incision….not just bone burring. (there are very male patients who would get any benefit from simple bone burring of the brow bones) I have done it many times and for smoke men it is the only way to do it because of their hairline location or density. One could also use the old open sky incision at the top of the eyebrows and across the nose but this risks permanent injury to the sensory nerves of the forehead.
Dr. Barry Eppley