Brow Bone Reduction Procedure and Costs

Question

I'm a 24 y/o male, and I've generally been happy with my appearance and never once thought about having any cosmetic surgery done. However, for the past couple of years, I've been growing increasingly upset with my brow bone. It's the one feature that's really bothering me since it looks completely out of place on my face. It looks pretty similar to the left part of the uploaded picture. How exactly is this procedure done? Will the outcome be subtle or will it make a large difference in my appearance? Lastly, what's an estimated cost for the surgery?

Bryan Rolfes, MD · Answer

There are several ways to perform this procedure that your surgeon should be familiar with, because different patients will require different methods.  For instance, a trichophytic incision is likely not the best option for you as they often do not heal well with darkly pigmented skin.  An incision further back and hidden in your hair my be better for you.  Burring down the bone will work for some patients who only want a small change, but most of the patient's I have operated on require that the bone be set back and reattached to get the best result.  Costs range from roughly $3,000-6,000.  Have a face to face discussion with a surgeon who performs these procedures regularly and they will be able to tell you what would be best for you. Bryan Rolfes, MD

Matthew Richardson, MD · Answer

The brow bone can be reduced. This is usually performed by an incision placed within the hair or along the hairline that allows access to the bone of the forehead and supraorbital rim. The bone is then drilled down with a burr to reduce its prominence. There is a limit to how much reduction is possible. In some cases, there is a prominence of muscle and soft tissue that contributes to the fullness as well.Be sure to see a surgeon who specializes in facial aesthetic procedures to discuss all of the options in detail.All the best,

Jae Pak, MD · Answer

If you are considering surgery, it is best to have a consultation with a doctor in person to understand if you would be a candidate.

Joel B. Beck, MD, FACS · Answer

Thank you for your question!  The procedure method varies depending on one's anatomy and facial dimensions.  Typically, I ask patients to get x-rays to assess the bone anatomy of the forehead.  This allows me to decide the severity of the bony prominence and how to reduce it to make the forehead smoother. Some people may need only shaving of the bone to see improvements and others need a much more aggressive approach.  This is called a frontal setback procedure.  The cost ranges depending on the approach used to accomplish one's goals. There are physicians who specialize in forehead bone reduction and who perform this procedure often.  I would recommend you find someone either locally or travel to see one of the physicians. Often, it would be a board certified plastic and reconstructive surgeon who has performed this most commonly on transgender individuals, yet it can be on anyone who wants the bone to the forehead made smoother.   I hope this helps!

Toby Mayer, MD · Answer

This is something that is routinely done. The incision is the irregular trichophytic incision which has the hair grow thru the scar at the hairline and the scar is not noticeable. Thru this we shave the bone. The recovery is very short, 2-3 days with little discomfort.

Mohsen Tavoussi, MD, DO · Answer

Forehead Reshaping Surgery is performed on patient who have either a prominent brow line or desire a more feminine forehead which involves the entire forehead. Prior to surgery, CT scan is needed to evaluate the extend of the frontal sinus as well as the thickness of the forehead bone which varies with patient. We make the incision at lease 6 cm posterior to the hairline to preserve the forehead sensitivity. The prominent part of brow is shaved down as much as possible. This depends on the thickness of the outer layer of the frontal sinus. Surgical time is approximately 1.5 hour and the pain is minimal. Immediate recovery is about one week. Best

Jeffrey Jumaily, MD · Answer

The brow bone reduction surgery refers to a procedure to reduce or flatten the bulge of bone at the level of the eyebrows. The bulge is usually more prominent in men and is a feature of masculinity. Patients without this bulge are thought to be more attractive and feminine. The frontal sinus (one of the nasal sinuses) is usually under the bulge but this is variable among people. The bone is exposed through an incision in the hairline. Using special techniques and instruments, this bone is lifted from the sinus. The bone is drilled and modified and placed back in a flatter position. It secured in place with small (and very thin) titanium plates. The plates are not visible and this procedure does not cause any sinus disease.

Darryl J. Blinski, MD · Answer

The operation is done by peeling the forehead tissue down from an irregular pre hairline incision. This allows to expose the bony are in question. Than a burr drill is used to burr down the forehead or supra orbital bony prominence. Than washing the area and closure. Acute healing a few days than a week of moderate healing. Costs from $10,000.

	From MIAMI dr. B

Aaron Stone, MD · Answer

The procedure is performed by making an incision across the top of the scalp. The forehead skin is peeled forward and then the forehead bone is burred down much the way you would plane down a piece of wood. The forehead skin is then moved back into place and the scalp incision closed. The amount of change seen afterward is proportional to the amount of bone removed by the burring. It is not a simple or reversible procedure.

William Rassman, MD (retired) · Answer

There are doctors who specialize in reducing the prominent bones of the forehead. The are usually plastic surgeons or ENT surgeons.

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