Can I Get Cosmetic Plastic Surgery to Flatten my Forehead?

In order to "get to" the frontal bone area beneath our brows, the best access is via a forehead or browlift incision. This can be either bicoronal (from ear to ear through the hair) or at the anterior hairline if one wants to lower a too-high hairline (reducing the height of the forehead). In your case, the hairline incision provides the best approach to treating both your prominent frontal bossing and your high hairline.

Though the bone over your frontal sinuses can be thinned only a certain amount (without additional techniques to ablate the sinuses, which can indeed be done if necessary, but at additional time, cost, and slight risk), this is something that can make really wonderful changes in the right patient. Any board-certified plastic surgeon or facial plastic surgeon with experience in craniofacial techniques, facial fractures or reconstruction, and cranial bone graft harvesting and use, is quite comfortable with contouring the bone for you. I operate in an accredited in-office surgical facility and own the bone tools to do this procedure, so a hospital or academic surgeon is not required, just someone who does this operation frequently. 

As mentioned elsewhere, the hairline closure (tricophytic) is critical to minimizing the scar, which can be visible as it heals, but is concealed by growing hairs and fades beautifully if skillfully performed.

BTW, bone grafting or methylmethacrylate onlays can be performed as well in select individuals to improve the bony contours of the forehead. Go for it, and best wishes!

In most cases, the best way to flatten the forehead and lower the hairline at the same time is going to be through a trichophytic incision placed along the frontal hairline. This will allow access to the bone of the forehead (which can be reduced only by a limited amount), and allow the hairline to come down somewhat through a hairline or scalp advancement. This would work well for a female. In a male patient, the incision would need to be altered in many cases.There are a variety of doctors who will perform this technique, but generally a facial plastic surgeon who is also trained and experienced in hair restoration is going to have the most experience with these types of procedures. Be sure to see an expert.

Thank you for your question.  Sometimes when a patient has a high hairline, it makes the forehead look bigger and more rounded than it should be.  This situation can be much improved with a hairline lowering surgery and/or hair transplants to lower the hairline.  By lowering the hairline, it may cover the 'rounded' part of the forehead before it starts to slope back.  If your frontal bone (the forehead bone) still appears to extend outward, it can carefully and conservatively be shaved down.  Be sure to see a forehead or hairline expert if considering these options.  I hope this helps and best wishes to you.