I'm a transgender person, MTF. I'm not ready to have FFS surgery, but notice that the brow ridge I have is mostly fatty tissue/skin. Is there anything that can be done to remove this fat deposit to reduce the prominence of my brow ridge? I was thinking spot fat reduction injections but haven't seen this advertised as a possibility anywhere. Is it too near the eyes? Thanks.
October 10, 2018
Answer: How to reduce a prominent brow ridge The brow ridge is mostly composed of bone but has overlying soft tissue of varying thickness. I have seen some patients with very thick muscles in their brow ridge which can be reduced with botox repeated over time. Trying to remove subcutaneous fat in that area, either with liposuction or injection, would not give you anywhere near the result you are looking for and comes with risks of damage to nerves and blood vessels in the area. You could have skin laxity there which would be better improved with a brow lift. In general, the best result in feminizing the upper third of the face comes with setting back the brow bone, raising the eyebrows, and lowering the hairline. Without photos it is difficult to give you much direction, but a video or in-person consultation would give you more clarity in which treatment options are best for you. Best of luck to you, Sarah Saxon, MD
Helpful
October 10, 2018
Answer: How to reduce a prominent brow ridge The brow ridge is mostly composed of bone but has overlying soft tissue of varying thickness. I have seen some patients with very thick muscles in their brow ridge which can be reduced with botox repeated over time. Trying to remove subcutaneous fat in that area, either with liposuction or injection, would not give you anywhere near the result you are looking for and comes with risks of damage to nerves and blood vessels in the area. You could have skin laxity there which would be better improved with a brow lift. In general, the best result in feminizing the upper third of the face comes with setting back the brow bone, raising the eyebrows, and lowering the hairline. Without photos it is difficult to give you much direction, but a video or in-person consultation would give you more clarity in which treatment options are best for you. Best of luck to you, Sarah Saxon, MD
Helpful