I like my eyes and eyebrows as they are now. I simply want to reduce the height of my forehead, for I feel it looks a little disproportionate. I've read about brow lifts and such, but I don't want to have a more "alert" or "surprised" look after surgery. Age:20
Can I Get a Forehead Reduction Without Looking "Surprised?"
Doctor Answers (12)
Based on the information given, and your photos you should discuss this with a Board Certified Plastic Surgeon, certified by the American Board of Plastic Surgery ( ASPS). It does not appear from your photos that you are a good candidate for this procedure. Do your research.
The goal of a forehead reduction is to have a natural look. Based on your photograph, you do not seem to warrant having the procedure. To verify, consult with 2 - 3 board cerified plastic surgeons who are expert in the procedure.
Forehead Reductions done well will not leave you looking surprised.
The short answer is yes, you can get a forehead reduction without looking surprised. In fact the whole goal and definition of success is to look natural. The long answer is that I don't think you need the procedure as you have youthful face and although your forehead is a little high it is probably not worth is quite yet to have surgery. You look too good so the benefits don't outweigh the risks (scar that is visible)
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Avoiding Surprised Look with Forehead Reduction
Forehead reductions are done for women usually in their middle years or later and would never be recommended for an otherwise normal looking young woman with just a small elevation of the hairline. The trade off of the scar would not be worth it, in my opinion.
A forehead reduction is different from a forehead lift. The former is done to lower the hairline, and the latter is done to restore normal position of the brows, lost from age,and atrophy of fat and bone around the eyebrows.
Sometimes a forehead reduction is combined with a forehead lift when the distance from eyebrows to hairline is 7 cm or more. There is a trade off of a scar, however, at the hairline.
There is no reason for a patient to look surprised after a forehead lift, unless the brows were elevated too much.
The desired result is a normal, refreshed look. This can be accomplished with surgery alone, fat grafting at the orbital rims, or a combination of both.
Can you have a forehead reduction without brow elevation
We routinely reduce foreheads with a hairline lowering operation that never gives long term brow elevation. If brow elevation is also desired, a variation to the procedure is instituted. Most of these procedures in my practice are done on the younger age group (16-40) who do not have sagging brows. Hair transplantation can be done to give a similar effect but it takes about a year for the result to be appreciated and the cost is much more. If you are strongly motivated to reduce the height of the forehead and have adequate scalp laxity, you might be a good candidate for this operation.
It is important to understand what you are asking for.
By saying you want to reduce the length of your forehead what that conjures in the mind of the cosmetic surgeon is a pretrichal (incision made along your hairline) forehead surgery. Skin is removed below the hairline. The surprised look occurs when the eye brows are lift too much. It is certainly possible to have this work done without creating a surprised look. However, getting the surprised look is only one of the possible negative consequences of such a surgery. Assuming that you go to a surgeon who understands facial aesthetics and is able to lift your eyebrows to the perfect height, it is appropriate to ask what other consequences of the surgery are you going to suffer? The revolution in forehead lifting that occurred 20 years ago was the movement away from open forehead lifts to so-called closed or endoscopic forehead lifts. A pretrichal forehead lift is not an endoscopic forehead lift. Instead it is an open forehead lift where the forehead lift incision is made along the hairline. Given your age and how attractive you are without any surgery at all, I predict that you will come to regret allowing a surgeon to perform a pretrichal forehead lift even if they position the eyebrows perfectly to your liking. No matter how gifted the surgeon, even a perfectly beveled incision that allows hairs to grow through it will at best cause hair compression along the hairline. It will be unnatural. This will make you feel self-conscious about showing your hairline. At worst, the scar itself will be visible with unnatural hair loss long the incision forcing you to maintain bangs. The incision itself will leave the central scalp permanently numb.
I hope for your sake you will listen to the advice of others posting here and give up on the idea of having this type of surgery.
Brow lift or forehead lift is not a good surgical plan at this time!
Scalp reduction for forehead lowering
Scalp reduction or forehead lowering surgery is technically possible. The incision is placed at the hairline and nonhair baring skin is removed while the scalp is advanced. At age 20 without having descent of the brow or scalp laxity, this is limited procedure with significant potential negative effects.
I would consider hair transplantation to the forehead which is a lesser surgery, no obvious scarring and with less morbidity. By lowering the hairline artistically with hair grafts the forehead will effectively be shortened.
I hope this was helpful. All the best.
For every action there is an equal and opposite reaction, so lowering your forehead is likely to raise your eyebrows somewhat. There are some techniques that can minimize eyebrow elevation while allowing the hairlne to come forward. The usual approach is to excise the forehead skin WITHOUT undermining any of the skin above the eyebrows. The scalp is then widely released so it can stretch forward. The forehead is reduced, the hairline is lowered, and the brows move very little.
Make sure your surgeon has had some experience doing this......
I absolutely agree with Dr. Prendiville. Although it can be done, don't do it. You are beautiful the way you are. The only way to really shorten the forehead is to do an excision of forehead skin at the hairline. This leaves a pretty big scar, although it is typically well hidden in the hairline. Don't do it....