Can Forehead Lengthening Be Done After A Forehead Reduction?

Q: Dr. Eppley, Hi! I was wondering do you do forehead lengthening procedure? I had a forehead reduction in the past. But i think my forehead is too low now.

A:Forehead lengthening can be performed three different ways, direct excision, an epicranial shift and tissue expansion technique, The direct excision works if the lower forehead and brow is lax, can be mobilized and one can tolerate a bit of a browlift result. The epicranial shift is like a reverse endoscopic browlift procedure using wide subperiosteal undermining and shifting the whole scalp backwards. Tissue expansion works by creating more upper forehead skin/scalp so either the direct excision or epicranial shift methods works better. Which technique is best depends on how forehead length you need.

Dr. Barry Eppley

World-Renowned Plastic Surgeon