Q: Dr. Eppley, I have a question or two. I’m 18 years old and have an really messed up forehead. Its bulgy, has horns and the brow bones sticks out and I also have a high hairline but small forehead. Is 18 to young to be fixing this? What age should I wait till. This is my biggest insecurity. And also how is the pain process? Thank you for taking your time to read this and I hope you respond soon! I have attached pictures so you can see how ugly it is!
A: It looking at your pictures, I see an uneven forehead, small upper prominences (what you can horns) and some brow prominence. You also have a mildly high frontal hairline or long forehead. That all could be treated in a single procedure, going through a hairline or pretrichial incisioon, burring down the forehead from brow bones up to the horns and then bringing the hairline forward to close. (removing so upper forehead skin to make your forehead vertically shorter. Surprisingly, that is not a painful procedure afterwards (patients report more like a headache) as it is really just a reverse form of a cosmetic browlift procedure with some bone reduction. At your age, your forehead bone is fully grown so it is perfectly appropriate to be doing these permanent modifications. The question to consider is not your age for the procedure (physical maturity) but whether this is enough of a concern for you to justify a surgical change. (emotional maturity)
Dr. Barry Eppley