Q: I have been self conscious about these bumps on my forehead ever since high school and that has been 8 years ago. It all started when I shaved my head and a friend asked me how I got the horns (bumps) on my forehead. Then my girlfriend (ex-girlfriend now) said the same thing and then my cousin. So every morning I wake up since then I have been wearing a hat, every day all day. I constantly look at my head and notice these bumps. It’s really noticable when the light hits my forehead from certain angles. I have never heard of anyone having this problem before. What causes this and how do I get rid of it? I am so self-conscious about it.
A: Most likely what you have are known as osteomas. These are the development of a benign bony mass, much like a stalagmite. Why they develop is not well known although a history of trauma to the area can cause bleeding. When blood gets under the cover of the bone, known as periosteum, they will usually calcify creating a hard mass. Your forehead issue may well be osteomas and I have seen them on both sides of the foreheasd before, looking like horns.
Skull or foreheads osteomas are fairly easy to remove. They ‘chip’ off of the underlying skull bone with a chisel or sharp instrument. They can also be burred down. While they are easy to remove, you have to have an access point, i.e., an incision somewhere. Direct access by an incision over them is the easiest and if a forehead wrinkle is close by that is an opportune place to put a small incision. They can also be removed with an endoscopic approach with the small incision back in the hair-covered scalp.