I Have Two Raised Bumps Above my Forehead, What is It and What Can Be Done? (photo)

Hello, and thank you for your question regarding two raised bumps above your forehead, what are they, and what can be done? Thank you for your history and your single picture. Based on your single picture, it appears that there is a mass underneath the skin. It is likely to be bone, specifically the periorbital bone. That means the bone around your orbit, specifically above your eyebrow. Bone in this area can grow as people age and mature. They are called osteomas. Sometimes, this bone growth is genetic, while at other times, it isn’t. The fact that you are 20 years old and have noticed it on both sides suggests that it is probably a genetic condition. Therefore, if the bone eyebrow masses bother you, consult with a board-certified plastic surgeon. Regarding treatment for the orbital brow bone, these bony areas can be shaved down to improve the appearance. Typically, an incision is made across the scalp, similar to a forehead lift. This can be placed in front of your hairline or in your hairline. Tissue dissection is then carried down to the eyebrow, and the eyebrow is shaved down with a burr. The forehead flap is closed. The eyebrow bone shaving procedure takes approximately 4 to 5 hours. The procedure can be done under IV sedation or general anesthesia. General anesthesia is typically preferable because it involves less pain. Postoperatively, a moderate amount of swelling is typically present, which usually resolves within 8 to 12 weeks. You should be able to return to work approximately 2 to 3 weeks after the procedure, although you will likely experience some bruising and swelling. I hope this helps answer your question regarding the two raised bumps above your forehead, including what they are and what can be done about them. Good luck. Most plastic surgeons offer complimentary virtual or in-person consultations.  Therefore, explore what other plastic surgeons have to say.  If you cannot find an experienced plastic surgeon in your area, consider traveling to another state.  Sincerely, Dr. Katzen. ( Plastic Surgeon, President of  the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

Hello and thank you for your question. A physical examination would be needed; however, it could be bony brow prominence that is a factor of genetics and a very normal anatomical variation. If you wish to address it, I would consult with facial plastic surgeon who could discuss your nonsurgical and surgical options and the risks and benefits of the options. Best of luck to you.

Thanks for your question!
It is hard to tell definitively without seeing the opposite side of your forehead if this is something like a prominent brow bone which can sometimes be addressed by brow reduction or if these are discrete lesions like lipomas (benign fatty growth) or osteotoma (benign bony growth) which can sometimes arise after trauma. All of these can certainly be addressed if these are bothersome and a consultation likely with a CT scan of the area would be worth your time!
Hope this helps!Kyle Kimura, MD

The nature of the forehead prominences can be inferred from their hardness or softness, but a doctor's opinion is essential for a conclusive diagnosis.
-Hard bumps: These might mean:
-Osteomas are benign growths of the bone. Frontal bossing
-Cysts: Sacs packed with fluid.
-Soft bumps: These may be benign fatty tumors called lipomas.
An extreme forward protrusion of the forehead is known as frontal bossing. It may result from a number of causes, such as:

-Hereditary: It is possible.
-Medical problems: Frontal bossing may result from certain medical diseases such as hydrocephalus or Paget's disease of the bone.
-Trauma: The forehead may protrude if it is injured.
Although frontal bossing is frequently seen as a cosmetic issue, it can occasionally be linked to underlying medical issues. It's best to seek an examination from a medical expert if you observe frontal bossing. If required, they can identify the root reason and suggest the best course of action.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian
TRIPLE Board Certified Plastic Surgeon

It's understandable to feel concerned about changes in your skin, especially when they affect your confidence in photos. The raised bumps you've noticed above your eyebrows could be due to a variety of factors, such as a condition called folliculitis, cysts, or even an exaggerated brow prominence. Since you're experiencing self-consciousness, it's best to consult a dermatologist who can provide a thorough examination and diagnosis. They may recommend treatments ranging from topical creams to minor procedures, depending on the underlying cause. In the meantime, try to avoid touching the area to prevent irritation, and consider using non-comedogenic skincare products to minimize any potential flare-ups.

To determine the nature of these raised bumps, a thorough assessment is essential. If the bumps feel hard, it's possible they are related to bone prominence. To confirm this, I would recommend X-rays, both from the front and side perspectives.

Please be assured that all patients undergo a medical evaluation before any surgical considerations. If your medical assessment yields no concerns beyond the bony prominence, the next step is to discuss your options for addressing it.

Should you decide to pursue correction, a surgical approach involving a hidden coronal incision within your scalp may be suitable, particularly if you don't have a high forehead. The procedure could involve reducing the prominence, potentially over the frontal sinus. Depending on the specifics, this might entail removing and preserving the bone, potentially utilizing a component replacement or performing a cranioplasty for a smoother contour.

For a comprehensive understanding and personalized guidance, I recommend consulting with a qualified surgeon after your evaluation and imaging. If you're seeking expertise and transformative results, I'm here to assist.

If you have any more questions, feel free to reach out to me at chopraplasticsurgery.com

The question is what is actually there.  If what I am seeing is hard it is most likely consistent with bone.  I would perform x rays to verify, a front and side view.  All patients are evaluated medically prior to surgery.  If your work up is negative with the exception of the bony prominence than the issue is what are you willing to go through to correct it. The approach would be as a coronal incision hidden within your scalp assuming you do not have a high forehead and than taking down the prominence. This may be over the frontal sinus and involve taking out the bone, preserving the sinus and either replacing a component of the bone or peroform a cranioplasty to smooth out the contour. This needs to be discussed in detail with your surgeon after your evaluation and films.

This needs to be evaluated by a General Internist and/or a work up by an Endocrinologist. 

It appears from your picture that you need to be worked up for "frontal bossing."  However, this is only from the picture so do not get alarmed....

Frontal Bossing can be associated with disorders that secrete to much growth hormone. 

 

From a cosmetic point of view, there are options to disguise a prominent forehead but, you don't want to ignore a medical issue if one exist.