How to get rid of dents in my forehead? (Photo)

Question

I have this dents in my forehead . I think that I have them because when I was little I hit my forehead in concrete when I fell. They are really noticetable . Was wondering on how to take them off.

Stephen J. Pincus, MD · Answer

The photo is somewhat limited, but suggests a horizontal depression across most of your forehead above the supra-orbital ridges. These ridges are exaggerated areas of bone formation above the eyebrows and are a characteristic seen in male skulls. Normally there is a depression above these bony prominences, but your depression seems more pronounced. Regardless of the etiology, the best method of correcting this is with a synthetic material called methylmethacrylate that is applied as a paste on to the forehead bone and contoured to produce the desired aesthetic result. It hardens after a few minutes and is quite effective in solving that problem. I have used this many times in men transitioning to females as well as men who thought their forehead made them look like "Neanderthals" (to quote them). And even in women who wanted a more rounded forehead. I actually have a photo or two on the RealSelf site.

Benjamin Caughlin, MD, FACS - Account Suspended · Answer

In my hands the best treatment of forehead contour issues is filler or fat transfer.The benefit of filler is that it is temporary, easy to place with little downtime. The benefit of fat is it is your own tissue. It has the potential to last forever and we can also augment and contour other areas of the face as the supply is essentially unlimited.Hope this helps.Best of luck,DrC

Sam Rizk, MD · Answer

Thank you for your question. While the image does provide limited options for examination it appears two possible scenarios may be have attributed to the ‘dented’ appearance: Either you are experiencing a bone and/or fat atrophy (a side effect of the aging process), or a true facial depression of the outer bone from trauma. As a board-certified facial plastic surgeon I suggest to my patients experiencing facial depression that they undergo a CO2 laser coupled with facial fat grafting to fill in the depressed area, while smoothing the skin. By using your own fat for the procedure the results often last permanently, while allowing the opportunity for your designated plastic surgeon to contour your face for a more symmetrical balance without invasive surgery. For more extreme cases, bone grafting options can be explored to potentially add a facial implants to balance the face although I advise prospective patients to discuss their options in depth with their medical professional. Best of luck!

Bryson G. Richards, MD · Answer

Thank you for your question and picture.You have a subtle cobblestoning scar on your forehead. This can be improved with a resurfacing CO2 laser. The laser will improve the appearance and help to smooth the skin but will unlikely be able to totally smooth things out.The recovery is approximately 4-6 weeks of erythema.I hope this helps.- Dr. Bryson Richards

Andrew Kornstein, MD, FACS · Answer

Based on your photograph, I believe you  have bone/fat atrophy; a normal part of aging, individuals age in certain areas more obviously than others.I suggest fat grafting. Why?Bone is hard to graft/replace smoothly as graft take is uncertain.Fat grafting is reliable and eminently sculptable.The vascular growth factors slow continued aging in that areaDo you have similar atrophy in the temples and down in front of year ears?Hope this helps..............

How to get rid of dents in my forehead? (Photo)

Answers (5)

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