The beauty about RealSelf is that the forum allows you to different opinions in a civilized an polite way: mostly they will agree but there may be some differing suggestions. To that end, my suggestions may disagree a tad with some of the others:1. It appears you never really had a high forehead anyway: your "before" photograph is not ideal. You would be better served with more nuanced answers if you were to submit proper forehead photos before-and-after to allow surgeons the maximum information. Without a proper knowledge of your anatomy prior to surgery, suggestions may be inaccurate. 2. You should really wait a minimum of 12 months (if not more). In plastic surgery, getting immediate gratification with further procedures generally leads to more problems. Speaking from having seen thousands of patients with "quick-fire" procedures for problems.3. Tissue expansion, whilst a perfectly sensible suggestion, may not be the best option for you. You will be surprised how much your brows will settle over 12 to 18 months. Again, if your surgeon has accurate measurements of brow-to-hairline, he/she can review options with you. 4. Frontal and temporal laser hair removal is, to my mind a tad risky. How are you going to age? Will you develop hair-loss with aging? If so, losing some of your frontal hair at this age may come back to bite you. Be careful. I teach my residents and fellows the mantra of "think about your patient at one week, one month, one year, ten years, thirty years ......"5. This may not be terribly helpful at this stage, but in this era of instant gratification, it needs to be said: from the (albeit not ideal photograph) preoperative photograph you submitted, you should not have had a brow lift. Or any other operation for that matter. When we see patients like you, after a careful analysis, we obtain proper macro photographs and review your concerns with another set six months later, or longer. Only then would possible procedures be discussed, and, even then, more than likely, not suggested if the outcome cannot be predictably assured.Sometimes you and I and others can learn from experiences: yours is a particularly powerful "learning experience." In future, think carefully before submitting yourself to surgical procedures. See second and third opinions. And when a surgeon turns you down for surgery, he/she may be doing you the biggest favour. Post proper photographs in another six months or seek an opinion at that time from a respected local surgeon.Wish you well.Prof. Bhupendra C. K. Patel MD, FRCS
