Can you tell me more about brow bone shaving and rhinoplasty combined in one surgery?

In additional to many male to female transsexual patients, I have had a number of female patients who also wanted their brow bones reduced as well as their noses made more feminine. Since a prominent brow bone as well as a large nose are both masculine characteristics, both procedures go a long way to feminize a face. And performing them both at the same time is the most expedient way to accomplish this end. Not only can the brow bone be reduced, but we can contour the forehead to make it slightly more curved, which makes it look even more feminine. I have some examples on my RealSelf site.

Brow bone reduction and rhinoplasty combined.We developed the irregular Tricho phytic incision for brow bone reduction 35 years ago. Having done several thousand of these I can tell you that the incision heals without a noticeable scar because hair will grow through it. Rhinoplasty is 

Thank you for your question. These procedures are easily combined.  Neither procedure is very painful on average, especially the brow reduction.  My patients usually require minimal to no pain medication after this procedure when performed alone.  If you are only looking to remove a couple millimeters of brow bone and you have favorable anatomy (low hairline, not overly convex forehead) this can usually be accomplished endoscopically through very small incisions behind the hairline.  See a rhinoplasty specialist who also has experience with facial bone contouring for a consultation to determine what changes would optimize your individual anatomy.  All the best!

Rhinoplasty and brow boen reduction can be combined in one operation. While both usually require an open approach the techiques used for them can be quite varied. Most female brow bone reductions usually involve burring the outer table of the frontal sinus only. (unlike men) It is not usually a painful procedure as the forehead will be numb for awhile afterwards. Each rhinoplasty can be done very differently depending on the needs of the nose. It also is not painful even if the bones are broken and one gets bruising under their eyes. I would expected some eyelid swelling when both are done together.

  A full set of pictures are required to make any determination about being a candidate for rhinoplasty and brow bone reduction. The rhinoplasty procedure is not painful, as long as there is no packing placed inside the nose. Look for a rhinoplasty  specialist that does not place any packing in in the nose, since this practice has been  abandoned  many years ago. The outer cortex of the forehead bone  can only be shaved down a couple millimeters before entering the frontal sinus, which will create a defect if that occurs.

Having done both procedures for many years I strongly recommend that the rhinoplasty and frontal bone contouring be combined during the same surgery so you have just one operation, anesthetic, and recovery. Another overall benefit is that it will cost you less.  

Of course, you would need an in-office visit to go over exact details.  Generally speaking, the rhinoplasty is done with incisions inside the nose or with a small incision under the nose.  A cast will be on the nose for one week after.  Most patients describe it as mildly to moderate discomfort for the first couple days.  The brow is done through small incisions in the hairline.  Your head will be bandaged for 2 days after.  You will have some puffiness and bruising around the eyes for a couple days after.  Most patients do not complain of significant pain with this.  Doing both at the same time is very reasonable.  Best wishes.