Trans woman - brow technique options? (Photos)

Question

I want to have a brow bone/orbitals reduction and brow lift. My hair has always been very important to me and I understand that often removing a strip of skin before the bicoronal incision is closed is common in order to reset appropriate tension. Is it possible to have this procedure done without removing any hair-bearing tissue? If so, what is the name of this technique and how can I refer to it when in consults with surgeons? Is it important to work with a surgeon who is experienced in performing this particular technique, or is it something I can simply request from an experienced FFS surgeon regardless of whether or not it is their usual route? My primary goals are to 1) retain all hair-bearing scalp tissue, and 2) to avoid the slight hairline raise that is sometimes associated with the bicoronal incision. Thank you.

Toby Mayer, MD · Answer

I have done more than 5000 IT (Irregular Trichophytic) brow lifts since inventing this procedure 50 years ago! Having said that, you only need 2 small incisions behind your hairline, approximately one inch in length to achieve your goals with removal of a very minimal amount of hair. Your brows can be raised in the super orbital bone removed( no type three needed ). See a very experienced surgeon who can show you excellent results. Read their reviews!

Jeffrey H. Spiegel, MD · Answer

I may likely have done more of these procedures than anyone working today. There is no reason you need to have an incision on your forehead - the entire procedure an be done from much further back. You have a great frontal hair situation - don't mess with it!

Kamol Pansritum, MD · Answer

Retaining all hair-bearing scalp tissue and avoiding a hairline raise&mdash;a bicoronal incision can still be used safely with the right technique. In our approach, we do not remove any hair-bearing tissue. Instead, we use a combination of:-Hairline-sparing bicoronal incision – placed strategically within the hair-bearing scalp to preserve hair.-Forehead bone compression including orbital rim reduction and frontal bone compression/shaving to contour the brow region.-Brow lift – allows elevation and resetting of the brows without tension on the scalp or hairline.This technique lets us achieve both brow bone reduction and a brow lift while maintaining your hairline and natural hair density.

Trans woman - brow technique options? (Photos)

Answers (3)