Q: Dr. Eppley, I am getting forehead augmentation and I have some questions. How much can the forehead be built out? I am thinking 10mms is the perfect amount. Is that too much? As a female I want to make sure I get a good convex shape with a largely vertical inclination to my new forehead shape.
A: With 10mms of increased horizontal projection, you might find it to be too big particularly for a female. (it can be amazing the difference a few millimeters makes, so 7mm is probably more appropriate) Achieving the desired female forehead shape is usually achieved as with most forehead augmentations what I see on the operating table during surgery is what is achieved. This is because there are fewer soft tissue variables involved in contrast, for example, a rhinoplasty. As long as one gets the desired underlying shape and volume, the external result will look exactly like it. In other words, in forehead augmentation it is pretty much a 1:1 ratio of internal to external change. Good attention must be paid to the brow area, however, because it is the lowest part in the forehead flap dissection can be difficult to get the cranioplasty material low enough. Good dissection and release of the brow tissue is necessary.
Dr. Barry Eppley