Will Temporal Reduction Surgery Be Effective For Me?

Q: Dr. Eppley, I would like to know if the temporal constriction/reeduction is feasible. My forehead and the left and right sides of my skull above my ears are wide, which makes my head bulky in a beatle or tie. Maybe the temporalis muscle resection isn’t going to be as effective as I’d like. The hair transplant was done but made it look bigger. Is it possible to reduce the width of my upper skull by bone grinding or excision?My CT is attached to the file. Thank you very much.

A: Thank you for your inquiry and sending your pictures. The traditional temporal reduction procedure is done further back than you have illustrated, that is why it is called the posterior temporal reduction. You are illustrating an anterior temporal/bony temporal line/side of the forehead reduction…which can be done but requires a coronal scalp incision to do so. The key to the anterior procedure is the large amount of muscle thickness that has to be reduced and not the bine which is quite concave underneath it.

Dr. Barry Eppley

Indianapolis, Indiana