I Have a Dent on the Center of my Forehead, How Can This Be Filled/corrected?

Question

Please advise..

Toby Mayer, MD · Answer

I have treated many patients with forehead dents and bumps. But the ffirst part of my plan is always to find the cause. This allows me to make sure the treatment will be successful. Usually a CT scan is done first to know if is the bone or soft tissue since the treatment is different. See an experienced surgeon for the best result.

Benjamin Caughlin, MD, FACS · Answer

You have three options: Fat grafting, fillers or implant.I would start with fillers as they are temporary and will allow you to test having this area filled. If you like the way it looks move onto fat grafting. It will give a natural and smooth result with minimal downtime. You could also use some fat around the eyes or cheek bones if you wish. It is a great tool!Hope this helps.Best of luck,DrC

Mark G. Albert, MD, FACS · Answer

Thank you for your question. Performing facial day graftign into the area with you wide-awake under local anesthesia would be a good solution. Please see attached video.

Tim Neavin, MD · Answer

Yes, actually the forehead is a great place for fat transfer.  With such a small area, it could likely be performed under local anesthesia.

Kenneth Hughes, MD · Answer

There are many options you have for the dent on you're forehead. You can easily use fillers to smooth out the hollow depression, fat transfer to fill in the gap or lastly an implant. You should definitely consult with a board certified plastic surgeon.

B. Kalantarian, MD · Answer

Thank you for your question. I recommend a consultation for an evaluation of the defect; however, most likely fat transfer would be a viable option to corret the "dent". A physical examination would provide more information on  the defect that can help us discuss your options. Make sure the surgeon you chose is board certified.

Larry S. Nichter, MD, MS, FACS · Answer

To answer your question it would be important to understand the nature of your "dent", forehead depression. For example was it from trauma with soft tissue atrophy, were you born that way (congenital), is it due to a bony depression in your skull. A CT scan and certainly an exam would be helpful. 

	In my experience though fat transfer might work,  a more predictable solution would be with a long term filler such as Radiesse. If a bony deformity then "bone paste" or even acrylic, or  permanent filler can be placed. Alternatively, Alloderm or other even a dermal-fat graft (which can be taken from an existing scar might be used to fill this in. My advise is to have a consult and work up by a board certified plastic surgeon and discuss in detail your options

Thomas A. Lamperti, MD · Answer

I presume the dent isn't related to a trauma or surgery. An exam will help determine the soft tissue vs bone component.

	Recontouring of the forehead can be done with soft tissue fillers or bone cement. This is best explored after having the area examined in person, though.

A.J. Amadi, MD · Answer

From your photo, it is a bit difficult to say, but it seems to me that the depression is more related to the bony contour of your forhead.

	An in-person consultation will help to determine whether it is bony contour, or soft tissue deformity, as the treatments can be very different.

	Good luck

Patrick Joseph Greaney Jr, MD · Answer

After confirming simply a soft tissue defect, I have found both fat grafting and newer off the shelf fat matrix products such as MTF’s Renuva extremely effective.  Again see a Board Certified Plastic Surgeon.