Facial Plastic Surgery: Q&A
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Is Brow Bone Reduction Difficult?
I have a prominent brow, which bothers me as it creates a lump on my forehead and gives me a neanderthal look (picture on the left is me). Is it difficult to lower my brow?
Can I expect a result as dramatic as shown by the (software-simulated) picture on the right? I ask because I hear there are limits to how much bone can be shaved.
Finally, can be done via intraoral incision (or the scalp)? I'd also appreciate any other info you have about this kind of procedure as it's rarely featured on plastic surgeons' websites.
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4 Doctor Answers |
Asked by
donald
in New York City, NY
+2
Brow bone reduction is very easy!
Any well-trained, board-certified (American Board of Plastic Surgery) plastic surgeon can do brow bone reduction using basic techniques. I do this in my AAAASF-accredited office surgical facility as an outpatient operation that takes about an hour.
In contrast to other answers, I would use neither an endoscopic nor a hairline-incision approach--the former does not give enough visible access to accurately assess the amount of bone that can be safely removed without (inadvertently)...
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+1
Brow Bone Reduction
Brow bone reduction is a straight forward procedure. I would use an approach commonly used for sinus surgery, craniofacial procedures, or complex facial factures. The incision would be place in the coronal portion of the scalp bilaterally, behind the area of hairline recision. A large forehead flap elevated and the frontal bone shave down with a burr. Care being taken not to enter the frontal sinuses.
+1
Brow "shaving"
You should see improvement with a brow reduction, but only after an evaluation of the bony prominences and the underlying sinuses would your surgeon be able to give you an idea of how much improvement you could achieve. This is best done through either a coronal incision or endoscopically.
+1
Brow bone shaving is possible within limits
A forehead shaving could be acheived using an endoscopic approach and a hair line incision. The limit to perform this procedure is the thickness of the bony portion of the sinuses(air cells) located in the front portion of the forehead(the frontal sinus).
The computer imaging you attached could be unrealistic but this could only be confirmed with an imaging study to measure bone thickness. Best of luck!
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