Brow bone can be reduced

If your brown bone protrudes more than you would like, it can sometimes be burred or shaved down. Patients who come in with this often say that have a "neanderthal" or "cromagnon" look. I also do brow bone reduction for male-to-female transgender patients. If it's the entire forehead and not just the brow bone, this will be trickier and may not be possible.

Whether it can be reduced depends on the thickness of the bone. The frontal bone (above the brows) covers the sinus which are holes in the bone containing air cavities. You dont want to thin the bone too much because it can impede on the sinuses.  I do require my patients get a CT scan before surgery so that I can assess the thickness in relation to the sinuses.

Many people wih fullness of the bone above the eyebrows have this lowered with removal of some of the bone. I have also countoured the forehead with liposculpture (fat injections).

I frequently lower the hairline. Men and women are approached differently. In men there is a risk of male pattern baldness; hair replacement surgery may be the best approach. For women we developed the technique to move the existing hairline lower on the forehead. This can also be done with men; however if  hair loss occurs, hair replacement surgery would be necessary.

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