Will a fat graft fix the dent in my forehead? Should I consider an implant? (photos)

Question

I have this dent in my forehead that I've had for the past several years (not sure if it got worse after an injury to the head or not) but I'd like to get it removed. I don't want to keep using temporary fillers. Would fat transfer fix this dent? I'm also considering a forehead implant but I don't know if it would be too extreme.

Tim Neavin, MD · Answer

Fat will certainly improve this area.  You may need more than one grafting session for optimal correction, but it can be performed under local anesthesia.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question, yes based on the pictures you appear to be good candidate and this problem can be solves with the fat transfer.

Kind regards,
Dr. Emmanuel Mallol Cotes.-

Daniel Barrett, MD · Answer

Dear April1234567,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from fat transfer. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

You need to have a few consultations with local plastic surgeons. The ideology of the contour defect needs to be assessed. If you had an accident or an injury then you may have had a frontal bone fracture with caving in of the bone into the frontal sinuses. If the defect is based on skeletal structure then correcting the defect based on that level is most appropriate. I’ve done this several times filling in the indentation with methylmethacrylate which is similar to epoxy glue but chemically quite different. Methylmethacrylate is what orthopedic surgeons use to cement in artificial joints and it can work as cement or a filling compound. Nonsurgical approaches include the use of fillers. Fat grafting it’s probably not a very good option because you’re problem is probably not a lack of subcutaneous fat. Grafting fat in thin areas is inherently unpredictable and could easily end up looking different than what you anticipated.
Understanding if this is related to the contour of your facial skeleton or if this is soft tissue related is number one.
After that you can discuss appropriate treatment options.
You’ll probably get very different approaches from different surgeons.
It’s definitely worth while having multiple consultations.
 If anybody has treated for head indentations in the past and has before and after pictures then that would be ideal.
See what each provider has to say and who seems to understand the problem, have the experience and be able to deliver quality outcomes.
You could consider selecting plastic surgeons who done cranial facial fellowships as well.Of all treatment options fat transfer is probably pretty low on the list of what will give you a quality long-term outcome. Grafting fat is good for giving diffuse overall volume but is not good for giving very precise volume in small areas. well temporary fillers on the other hand are exceptionally good at giving accurate, predictable and forgiving results. For a definitive treatment look for more of a reconstructive surgery option.
Best,
Mats Hagstrom MD

Will a fat graft fix the dent in my forehead? Should I consider an implant? (photos)

Answers (4)

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