Forehead Bone Contouring

Forehead is one of those facial features that, depending on the shape and size, can appear masculine or feminine. Masculine foreheads normally have a bony ridge right above the eyes and beneath the brows, known as “brow bossing”, while feminine foreheads are smoother.

Forehead contouring surgery, also know as brow bone reduction, is carried out in order to reduce prominent foreheads in women and men. It reshapes the brow bossing, forehead slope, forehead bones, and the bones around the eyes to create a more natural feminine appearance.

There are three options for reshaping the forehead:

  • Option 1: Shaving – Excess bone is shaved and smoothed down for a more feminine appearance. This procedure, however, is only successful in about 10 percent of patients; therefore, it may not work for everyone.
  • Option 2: Shaving and Filling – This is a common procedure, but should only be used when the angle between the nose and forehead is naturally feminine. The concave area just above the bossing is filled (post shave) with bone cement. Surgeons must be cautious during this procedure because adding too much filler could create a heavy-looking forehead.
  • Option 3: Forehead Reconstruction – This is the more desired surgical procedure because it involves removing the anterior frontal sinus wall and remodeling it for a smoother shape. While it is the most complex type of forehead contouring, it delivers the best results.

What Does Recovery Involve Following a Forehead Contouring Procedure?

After the procedure, you should expect to wake up with a soft dressing around your head which will be removed in 7 days along with all the stitches. Patients are likely to spend a night in the hospital for observation immediately following a procedure. While swelling is normal, it could last a few days post-surgery. Discomfort is also common but can be alleviated with prescribed painkillers in the first twelve to twenty-four hours. On average it takes patients one to two weeks to return to work and resume regular activities. Sutures are often removed in one week. Numbness is normal, especially in the forehead region, and this could be off and on for up to three months.


Classic Feminine Features

Appearing feminine has less to do with a certain facial feature than it is about the appearance of the face overall. It’s still possible to appear feminine with a large nose or square jaw so long as the overall features read ‘feminine’

  • High, arched tapered brows
  • Absence of frontal bone bossing
  • Large eyes, not deep set
  • Low straight hairline
  • Wide or narrow cheek and jaw bones
  • A more delicate nose
  • Short flat forehead
  • Short upper lip with well-defined philtrum complex
  • Full everted vermilion
  • Non-projecting thyroid cartilages (no “Adam’s Apple”)
  • Obtuse nasolabial angle (larger angle formed between nose and upper lip, nose tends upward pointing)