Why is my Forehead Like This Please Help?

Question

is there something wrong with my forehead why is it as if swollen and fat please help......i have not hit my self or had any accidents please answer back thank you......or is it normal and im looking at my self too hard or im going crazy.

Steven L. Ringler, MD, FACS · Answer

Your forehead contour is a normal variation in the frontal bone and sinuses. If it is a concern to you, the simplest solution may be to use a filler, such as Radiesse, to contour the adjacent areas. This filler typically lasts for about 12-18 months and would improve the overall contour without a major operation. This would also give you an opportunity to evaluate how the effects of changing your forehead contour appeal to you without a permanent commitment to the change.

Benjamin Caughlin, MD, FACS · Answer

This is a prominent frontal bossae. It is common in men. We can reduce this with a drill but it requires a large incision at the hairline with some recovery time. It is a common procedure I perform in the transgender population for facial feminization. Hope this helps.Best of luck,Drc

Kyle Kimura, MD · Answer

Great question and thank you for the excellent photos!
It appears the area of concern is likely your brow bone which can be more prominent in men. There can sometimes be prominent soft tissue such as a lipoma/osteoma or muscle in the area, but more commonly it is bone. I would see a surgeon who specializes in surgery of the face and consider a CT scan to determine if it is soft tissue or bone contributing the most. Based on imaging, there are typically two ways to go about improving the contour: 1) shaving/contouring the brow bone with surgery or 2) augmenting the forehead higher up to smooth the area with something like filler. 
Hope this helps!Kyle Kimura, MD

Daniel Butz, MD · Answer

Frontal bossing is common in men and varies depending on your genetics. The treatment involves shaving the bone down but it requires a large coronal incision and recovery. If you are going to have this done seek out an experienced board certified plastic surgeon and make sure to see numerous before and afters of similar procedures.

Hannah Vargas, MD · Answer

Your forehead shape is due to a prominent frontal bone. While it does result in a distinctive forehead it is one that is more masculine and would be much tougher to handle as a female. I agree this really is not that easy a problem to fix. Another issue is that the strength of the forehead makes the angle of the nose more severe. Softening that nasal angle may help camouflage the forehead. This would be something you could discuss with your surgeon in more detail. Good Luck!

Jeffrey H. Spiegel, MD · Answer

You have either a large frontal sinus or thickened bone of the area you are looking at.  Most likely it is a combination.  It is important to note that this is often normal in men, but can indeed make you look sinister or severe.  I treat this problem 2-4 times every week.  Simply shaping the bone by thinning it or drilling is not advised in your situation for many reasons. 

	There are very few surgeons with experience in treating this problem.  I advise you to avoid a filler of any kind (including fat), "burring" or "drilling" to shape the foreehad. Additionally, I do not believe that an endoscopic procedure would be the right thing for you.  There is not enough exposure through that type of surgery to correct your problem.

Amy T. Bandy, DO, FACS · Answer

The other surgeons are correct in that this is bone, and is a normal variant. Now that you know this is normal, you can put your mind at ease. Because it is normal, there is no reason to "correct" it, unless you simply do not like the way it looks!

Lawrence Kass, MD · Answer

I agree with the other doctors who responded as to the cause of the forehead appearance. But before going so invasive as to mold or reshape the forehead bone, I would consider camouflaging the protuberant areas with a dermal filler like calcium hydroxylapatite (Radiesse).

Raj S. Ambay, MD · Answer

This is a normal variation of your bone. Unless it really bothers you there is no reason to do anything about tit.

Steven Wallach, MD · Answer

This looks like bony prominence which looks at least fromt he photos within normal limits. To treat this and lower the area may require shaving down the bone. An exam is in order and usually a bone study to determine how thick the bone is and how large the frontal sinuses are.

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