Can my forehead bone bump can be removed? (Photo)

Question

I have a bump on my forehead and after checking it with a doctor, it is a bone. Its located above my right eyebrow. I would like to know if this can be removed, and if it can be removed without shaving my hair or having a visible scar. Pictures attached. Thank you!

Ronald J. Edelson, MD · Answer

It appears to be a benign osteoma of the frontal bone.  I have developed a very easy way to remove these under local anesthesia.  A small incision about half an inch is made behind the hairline. Then a small rhinoplasty file (we call it a rasp ) is then used to file down the bump.  Takes about 15 minutes.  This avoids large insicions and general anesthesia.  I have written about this procedure and encouraged other surgeons to try it because it is so simple and it keeps costs down.

Anil R. Shah, MD · Answer

Most forehead bumps in my office are removed as an "in-office" procedure with endoscopic guidance and are done by hiding a small incision in the hairline.  Through this small incision, the lesion is removed with the scar concealed within the scalp.

Sirius K. Yoo, MD · Answer

Thank you for your questions and photos.  You are probably familiar with the traditional ways that people remove these benign tumors.  I prefer to remove these via an endoscopic approach.  This involves no hair shaving and generally no hair loss.  Two 1/2 incisions are made well behind the hair line and this leaves no visible scars over the forehead or at the hair line.  Additionally, because the scars are short and oriented front to back, there is usually no injury to the sensory nerves resulting in numbness.  There are several examples and videos of the procedure on my website if this sounds appealing to you.  All the best!

Jae Pak, MD · Answer

An overgrowth of bone can be removed but you need to interview several doctors and understand the risks.  You must also accept no matter what you read, you will have a scar associated with the surgery.

Toby Mayer, MD · Answer

It sounds like you have already had x-rays showing that this is excess bone. I have removed many of these and it requires a 1 inch insulation done at the hairline and closed so the hair grows through the line and not behind it. This is better than making the incision with in the hair.

Stephen Weber MD, FACS · Answer

Yes, this can be removed. Bumps in this area are often either fatty tissue (lipoma), bone (osteoma) or tangles of blood vessels. Regardless, they can be removed. An osteoma can be removed with a small incision at the hairline. A lipoma or vascular lesion would be removed with a small incision over the bump itself. These incisions tend to heal very nicely if created and repaired carefully. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Richard W. Fleming, MD (retired) · Answer

Bone causing a bump on the forehead, frequently secondary to previous trauma, can be removed through an incision hidden at the hairline or within the scalp.One X-ray, if not already done, will be necessary to make sure that the bone is thick enough to file down. This is a precaution - I've never seen a bone took thin for this treatment.

William Rassman, MD (retired) · Answer

Yes, this can be done by an expert like Dr. Kabaker who answered the questions very well just prior to my picking up the question.  He is the type of expert that you should see.

Sheldon S. Kabaker, MD FACS (retired) · Answer

This is likely an osteoma which can be removed through an incision above the hairline. The incision has to be long enough to allow the surgeon to pull the scalp down and shave off the bone growth. The scar will not show unless you were to shave your head. A simpler approach through an incision in a horizontal wrinkle line could eventually yield an undetectable scar.

Can my forehead bone bump can be removed? (Photo)

Answers (9)

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