Forehead Brow Bone and Temporal Contouring
Patient 1
Desire for reduction of a very prominent brow bone protrusion.
Brow bone reduction using an osteoplastic bone flap setback technique through a scalp incision.
Desire for reduction of a very prominent brow bone protrusion.
Brow bone reduction using an osteoplastic bone flap setback technique through a scalp incision.
Patient 2
Desire for correction of brow bone protrusion and a backward sloping forehead.
Correction of brow bone protrusion by forehead augmentation with PMMA bone cement. By preoperatve computer imaging he preferred the look with forehead augmentation rather than brow bone setback.
Desire for correction of brow bone protrusion and a backward sloping forehead.
Correction of brow bone protrusion by forehead augmentation with PMMA bone cement. By preoperatve computer imaging he preferred the look with forehead augmentation rather than brow bone setback.
Patient 3
Desire for more pleasing forehead shape in profile.
Forehead augmentation using PMMA bone cement through a coronal scalp incision.
Desire for more pleasing forehead shape in profile.
Forehead augmentation using PMMA bone cement through a coronal scalp incision.
Patient 4
Desire for reduction of upper forehead prominence.
Upper forehead bone reduction using a bone burring technique through a frontal hairline incision.
Desire for reduction of upper forehead prominence.
Upper forehead bone reduction using a bone burring technique through a frontal hairline incision.
Patient 5
Desire for shortening of long forehead, bony forehead reduction and brow reshaping.
Immediate result from frontal hairline advancement, bony forehead reduction and a browlift.
Desire for shortening of long forehead, bony forehead reduction and brow reshaping.
Immediate result from frontal hairline advancement, bony forehead reduction and a browlift.
Patient 6
Desire for removal of large forehead osteoma.
Removal of large forehead osteoma through a frontal hairline incision.
Desire for removal of large forehead osteoma.
Removal of large forehead osteoma through a frontal hairline incision.
Patient 7
Desire for higher and more prominent forehead.
Forehead and skull augmentation using PMMA bone cement.
Desire for higher and more prominent forehead.
Forehead and skull augmentation using PMMA bone cement.
Patient 8
Desire for more prominent brow bones and forehead.
Placement of custom forehead-brow bone implant.
Desire for more prominent brow bones and forehead.
Placement of custom forehead-brow bone implant.
Patient 9
Desire for more prominent brow bones.
Placement of custom brow bone implant through a horizontal forehead wrinkle line.
Desire for more prominent brow bones.
Placement of custom brow bone implant through a horizontal forehead wrinkle line.
Patient 10
Desire for reduction of prominent brow bones in a male to female transgender patient.
Brow bone reduction and forehead reshaping using a frontal hairline incision.
Desire for reduction of prominent brow bones in a male to female transgender patient.
Brow bone reduction and forehead reshaping using a frontal hairline incision.
Patient 11
Desire for forehead feminization in male to female transgender patient.
Brow bone reduction and forehead reshaping using a bone flap setback technique through a frontal hairline incision.
Desire for forehead feminization in male to female transgender patient.
Brow bone reduction and forehead reshaping using a bone flap setback technique through a frontal hairline incision.
Patient 12
Desire to have better shaped forehead with pseudo brow bone prominence.
Bow bone 'reduction' using PMMA forehead augmentation.
Desire to have better shaped forehead with pseudo brow bone prominence.
Bow bone 'reduction' using PMMA forehead augmentation.
Patient 13
Desire for reduction of very prominent brow bone protrusion.
Brow bone reduction using a large single piece bone flap setback technique.
Desire for reduction of very prominent brow bone protrusion.
Brow bone reduction using a large single piece bone flap setback technique.
Patient 14
Desire for a smoother and more even forehead appearance.
Forehead augmentation using hydroxyapatite cement through a coronal scalp incision.
Desire for a smoother and more even forehead appearance.
Forehead augmentation using hydroxyapatite cement through a coronal scalp incision.
Patient 15
Desire for forehead reduction of both vertical length and excessive bossing.
Forehead reduction using a combined frontal hairline advancement and bony forehead contouring.
Desire for forehead reduction of both vertical length and excessive bossing.
Forehead reduction using a combined frontal hairline advancement and bony forehead contouring.
Patient 16
Desire for forehead reduction of lengthened width as well improvement of temporal hollowing.
Forehead reshaping using a frontal hairline advancement, bony forehead bossing reduction and placement of anterior temporal implants.
Desire for forehead reduction of lengthened width as well improvement of temporal hollowing.
Forehead reshaping using a frontal hairline advancement, bony forehead bossing reduction and placement of anterior temporal implants.
Patient 17
Desire for correction of backward forehead slope.
Forehead augmentation using PMMA bone cement through a coronal scalp incision.
Desire for correction of backward forehead slope.
Forehead augmentation using PMMA bone cement through a coronal scalp incision.
Patient 18
Removal of slowly growing forehead oteoid osteoma.
Full thickness excision of frontal bone osteoid osteoma and reconstruction with a split thickness cranial bone graft.
Removal of slowly growing forehead oteoid osteoma.
Full thickness excision of frontal bone osteoid osteoma and reconstruction with a split thickness cranial bone graft.
Patient 19
Desire for smaller and more shapely forehead.
Forehead reshaping with frontal hairline advancement, bony forehead reduction and temporal implants.
Desire for smaller and more shapely forehead.
Forehead reshaping with frontal hairline advancement, bony forehead reduction and temporal implants.
Patient 20
Desire for forehead feminization.
Bilateral brow bone reduction by bone flap setback, bony forehead width reduction and central forehead PMMA bone cement augmentation.
Desire for forehead feminization.
Bilateral brow bone reduction by bone flap setback, bony forehead width reduction and central forehead PMMA bone cement augmentation.
Patient 21
Need for substantial forehead augmentation/reconstruction for congenital craniosynotosis deformity.
Forehead augmentation/contouring with hydroxyapatite cement through existing coronal scalp incision.
Need for substantial forehead augmentation/reconstruction for congenital craniosynotosis deformity.
Forehead augmentation/contouring with hydroxyapatite cement through existing coronal scalp incision.
Patient 22
Desire for forehead contouring to eliminate prominent upper forehead horns and forehead irregularities by augmentation
Forehead augmentation by hydroxyapatite cement.
Desire for forehead contouring to eliminate prominent upper forehead horns and forehead irregularities by augmentation
Forehead augmentation by hydroxyapatite cement.
Patient 23
Desire for a less bulging forehead bone and shorter forehead length.
Combined frontal hairline advancement with frontal bossing reduction seen at one day after surgery. (preop picture was taken well in advance of surgery)
Desire for a less bulging forehead bone and shorter forehead length.
Combined frontal hairline advancement with frontal bossing reduction seen at one day after surgery. (preop picture was taken well in advance of surgery)
Patient 24
Desire for rounder more convex forehead shape with temporal brow elevation.
Placement of custom forehead implant with temporal brow bone reduction combined with temporal browlift.
Desire for rounder more convex forehead shape with temporal brow elevation.
Placement of custom forehead implant with temporal brow bone reduction combined with temporal browlift.
Patient 25
Prior history of PMMA bone cement forehead augmentation from congenital forehead deformity with supraorbital nerve pain.
Removal of PMMA bone cement of forehead and replacement and forehead recontouring with hydroxyapatite bone cement.
Prior history of PMMA bone cement forehead augmentation from congenital forehead deformity with supraorbital nerve pain.
Removal of PMMA bone cement of forehead and replacement and forehead recontouring with hydroxyapatite bone cement.
Patient 26
Desire for recreation of smooth upper forehead after a traumatic injury to the frontal bone.
Hydroxyapatite cement to fill in outer table frontal bone defect.
Desire for recreation of smooth upper forehead after a traumatic injury to the frontal bone.
Hydroxyapatite cement to fill in outer table frontal bone defect.
Patient 27
Desire for recreation of a smooth and rounder forehead from depressed frontal bone fractures.
Hydroxyapatite cement reconstruction to bring back the forehead contour which was done through his existing forehead scar.
Desire for recreation of a smooth and rounder forehead from depressed frontal bone fractures.
Hydroxyapatite cement reconstruction to bring back the forehead contour which was done through his existing forehead scar.
Patient 28
Desire for reduction of upper forehead horn prominences.
Scalp incision for forehead horn prominence reduction by burring.
Desire for reduction of upper forehead horn prominences.
Scalp incision for forehead horn prominence reduction by burring.
Patient 29
Congenital recessed forehead deformity.
Forehead augmentation using hydroxyapatite cement.
Congenital recessed forehead deformity.
Forehead augmentation using hydroxyapatite cement.
Patient 30
Congenital forehead asymmetry.
Bone cement reconstruction of a congenital forehead asymmetry.
Congenital forehead asymmetry.
Bone cement reconstruction of a congenital forehead asymmetry.
Patient 31
Desire for reduction of deep glabellar furrow.
Glabellar furrow excision with placement of ePTFE bone implant.
Desire for reduction of deep glabellar furrow.
Glabellar furrow excision with placement of ePTFE bone implant.
Patient 32
Congenital narrow and flatter forehead .
Forehead augmentation with 100 grams of hydroxyapatite cement.
Congenital narrow and flatter forehead .
Forehead augmentation with 100 grams of hydroxyapatite cement.
Patient 33
Desire for improvement of backward sloping forehead.
Placement of custom forehead implant.
Desire for improvement of backward sloping forehead.
Placement of custom forehead implant.
Patient 34
Desire to reduce very prominent temporal arteries. (anterior branch of superficial temporal artery)
Use of multilevel temporal artery ligation to eliminate their prominence.
Desire to reduce very prominent temporal arteries. (anterior branch of superficial temporal artery)
Use of multilevel temporal artery ligation to eliminate their prominence.
Patient 35
Desire to reduce dumbbell-shared forehead horns of upper forehead.
Reduction of forehead horns of upper forehead through a small incision behind the frontal hairline.
Desire to reduce dumbbell-shared forehead horns of upper forehead.
Reduction of forehead horns of upper forehead through a small incision behind the frontal hairline.
Patient 36
Desire for extreme lowering of the frontal hairline.
Frontal hairline advancement by complete scalp undermining and transosseous suture fixation.
Desire for extreme lowering of the frontal hairline.
Frontal hairline advancement by complete scalp undermining and transosseous suture fixation.
Patient 37
Desire for removal of bilateral forehead horns.
Small scalp incision approach for upper forehead horn reduction by burring.
Desire for removal of bilateral forehead horns.
Small scalp incision approach for upper forehead horn reduction by burring.
Patient 38
Desire for prominent brow bone reduction.
Bone flap setback brow bone reduction technique for male brow bone reduction.
Desire for prominent brow bone reduction.
Bone flap setback brow bone reduction technique for male brow bone reduction.
Patient 39
Desire for reduction of upper forehead horns.
Forehead horn reduction through small scalp incision placed 1 cm behind the frontal hairline.
Desire for reduction of upper forehead horns.
Forehead horn reduction through small scalp incision placed 1 cm behind the frontal hairline.
Patient 40
Desire to shorten forehead by 1 cm with frontal hairline advancement
Frontal hairline advancement by epicranial shift with periosteal advancement flap technique.
Desire to shorten forehead by 1 cm with frontal hairline advancement
Frontal hairline advancement by epicranial shift with periosteal advancement flap technique.
Patient 41
Desire for forehead feminization.
Brow bone reduction with upper forehead augmentation for total forehead reshaping.
Desire for forehead feminization.
Brow bone reduction with upper forehead augmentation for total forehead reshaping.
Patient 42
Desire for reduction of three upper forehead bony prominences. (forehead horns)
Forehead horn reductions through direct linear access from small frontal scalp incisions.
Desire for reduction of three upper forehead bony prominences. (forehead horns)
Forehead horn reductions through direct linear access from small frontal scalp incisions.
Patient 43
Desire for reduction of asymmetric upper forehead horns.
Hairline approach for primarily rasping reduction of three forehead horns of different sizes.
Desire for reduction of asymmetric upper forehead horns.
Hairline approach for primarily rasping reduction of three forehead horns of different sizes.
Patient 44
Desire for shorter forehead.
Frontal hairline advancement between 12 to 15mms from side to side..
Desire for shorter forehead.
Frontal hairline advancement between 12 to 15mms from side to side..
Patient 44
Desire to reduce the width of the sides of his head.
Posterior temporal muscle removals through a postauricular incision. This provided a reduction in the width of the sides of his head, reduced migraine headaches and better fitting eyeglasses.
Desire to reduce the width of the sides of his head.
Posterior temporal muscle removals through a postauricular incision. This provided a reduction in the width of the sides of his head, reduced migraine headaches and better fitting eyeglasses.
46
Desire for augmentation of anterior temporal hollows.
Placement of style 1 standard temporal implants through a postauricular incisional approach.
Desire for augmentation of anterior temporal hollows.
Placement of style 1 standard temporal implants through a postauricular incisional approach.
Patient 47
Full-thickness frontal bone defect from a traumatic motor vehicle accident.
Forehead reconstruction using metal mesh and hydroxyapatite cement.
Full-thickness frontal bone defect from a traumatic motor vehicle accident.
Forehead reconstruction using metal mesh and hydroxyapatite cement.
Patient 48
Desire for central hairline advancement for a bell-shaped forehead hairline.
Central hairline advancement of 15mms using a trichophytic incision.
Desire for central hairline advancement for a bell-shaped forehead hairline.
Central hairline advancement of 15mms using a trichophytic incision.
Patient 49
Post puberty development of brow bone asymmetry.
Trancoronal right brow bone asymmetry correction by bone flap setback technique.
Post puberty development of brow bone asymmetry.
Trancoronal right brow bone asymmetry correction by bone flap setback technique.
50
Desire for improvement in the depth of the temporal hollowing.
Placement of 4mm thick extended temporal implants through a small incision high in the temporal hairline.
Desire for improvement in the depth of the temporal hollowing.
Placement of 4mm thick extended temporal implants through a small incision high in the temporal hairline.
Patient 51
Desire for reduction of right forehead prominence due to plagiocephaly.
Hairline approach to right forehead reduction by burring.
Desire for reduction of right forehead prominence due to plagiocephaly.
Hairline approach to right forehead reduction by burring.
Patient 52
Desire for reduction/elimination of prominent temporal arteries that become particularly enlarged with exercise, heat and alcohol intake.
Bilateral multi-level temporal artery ligations. (6 month result)
Desire for reduction/elimination of prominent temporal arteries that become particularly enlarged with exercise, heat and alcohol intake.
Bilateral multi-level temporal artery ligations. (6 month result)
Patient 53
Desire for left forehead prominence reduction.
Direct temporal hairline incisional access for a combined burring and rasp smoothing of a left forehead prominence.
Desire for left forehead prominence reduction.
Direct temporal hairline incisional access for a combined burring and rasp smoothing of a left forehead prominence.
Patient 54
Desire for less wide head shape. (decreased convexity of temporal regions)
Bilateral posterior temporal muscle removal through incisions placed behind the ear in the postauricular sulcus.
Desire for less wide head shape. (decreased convexity of temporal regions)
Bilateral posterior temporal muscle removal through incisions placed behind the ear in the postauricular sulcus.
Patient 55
Desire for reduction of mild frontal bossing and brow bone projection.
Central forehead and brow bone reduction done by high speed burring through a small frontal hairline incision.
Desire for reduction of mild frontal bossing and brow bone projection.
Central forehead and brow bone reduction done by high speed burring through a small frontal hairline incision.
Patient 56
Desire to augment a modest left temporal line forehead deficiency at the time of a bony forehead reduction.
Placement of a 2mm ePTFE sheet along the left temporal line at the time of a bony forehead reduction.
Desire to augment a modest left temporal line forehead deficiency at the time of a bony forehead reduction.
Placement of a 2mm ePTFE sheet along the left temporal line at the time of a bony forehead reduction.
Patient 57
Desire for reduction of forehead bossing and high/vertically long forehead.
Combined frontal hairline advancement with bony forehead reduction procedure.
Desire for reduction of forehead bossing and high/vertically long forehead.
Combined frontal hairline advancement with bony forehead reduction procedure.
Patient 58
Desire for less prominent brow bone appearance.
Mid forehead incisional approach for male brow bone reduction by bone flap setback and transpalpebral tail of the brow bone reduction.
Desire for less prominent brow bone appearance.
Mid forehead incisional approach for male brow bone reduction by bone flap setback and transpalpebral tail of the brow bone reduction.
Patient 59
Desier to reduce the convexity/fullness on the side of his head.
Removal of posterior and some anterior-superior temporal muscle from incisions in the crease of the back of the ears.
Desier to reduce the convexity/fullness on the side of his head.
Removal of posterior and some anterior-superior temporal muscle from incisions in the crease of the back of the ears.
Patient 60
Desire to reduce the convexity of the sides of his head.
Head width narrowing by removal of the posterior portion of the temporal muscle.
Desire to reduce the convexity of the sides of his head.
Head width narrowing by removal of the posterior portion of the temporal muscle.
Patient 61
Desire for reduction of prominent temporal arteries.
Bilateral multi-level temporal artery ligations. Left side result at 8 months showed complete elimination of any arterial prominence. The right side developed some partial recurrence which underwent a secondary ligation procedure.
Desire for reduction of prominent temporal arteries.
Bilateral multi-level temporal artery ligations. Left side result at 8 months showed complete elimination of any arterial prominence. The right side developed some partial recurrence which underwent a secondary ligation procedure.
Patient 62
Desire for forehead feminization.
Brow bone reduction with a bone flap setback technique done through a frontal hairline incision. (resultant frontal hair scar shown)
Desire for forehead feminization.
Brow bone reduction with a bone flap setback technique done through a frontal hairline incision. (resultant frontal hair scar shown)
Patient 63
Desire for removal of large right temporal osteoma
Right temporal osteoma removal using a direct hairline incisional approach.
Desire for removal of large right temporal osteoma
Right temporal osteoma removal using a direct hairline incisional approach.
Patient 64
Desire to augment the right side of his head for improve head shape symmetry.
Custom right large temporal implant design to correct the last section of his overall skull shape abnormality. (previous skull implants in green color) Placed through a post auricular skin incision behind the ear.
Desire to augment the right side of his head for improve head shape symmetry.
Custom right large temporal implant design to correct the last section of his overall skull shape abnormality. (previous skull implants in green color) Placed through a post auricular skin incision behind the ear.
Patient 65
Desire to correct new onset deep temporal hollowing.
Placement of custom temporal implants through a small high incision in the temporal hair bearing area.
Desire to correct new onset deep temporal hollowing.
Placement of custom temporal implants through a small high incision in the temporal hair bearing area.
Patient 66
Desire to have the side of his head reshaped to make it less wide and convex shaped.
Temporal reductions done by removal of the posterior portion of the temporal muscle through an incision on the back of the ear (red on diagram), leaving the remaining anterior temporal muscle. (blue on diagram
Desire to have the side of his head reshaped to make it less wide and convex shaped.
Temporal reductions done by removal of the posterior portion of the temporal muscle through an incision on the back of the ear (red on diagram), leaving the remaining anterior temporal muscle. (blue on diagram
Patient 67
Desire for reduction of wide side of the head from the forehead to the back of the head.
Near total head width reduction with anterior temporal muscle release, posterior temporal muscle removal and posterior temporal-parietal eminence bone reduction, all done through postauricular incisions behind the ears.
Desire for reduction of wide side of the head from the forehead to the back of the head.
Near total head width reduction with anterior temporal muscle release, posterior temporal muscle removal and posterior temporal-parietal eminence bone reduction, all done through postauricular incisions behind the ears.
Patient 68
Desire for forehead feminization with only moderately prominent brow bones.
Brow bone reduction using a shave (burring) technique for a modest desired reduction through a frontal hairline incision.
Desire for forehead feminization with only moderately prominent brow bones.
Brow bone reduction using a shave (burring) technique for a modest desired reduction through a frontal hairline incision.
Patient 69
Desire for an improved forehead shape.
Placement of custom forehead implant through a small scalp incision.
Desire for an improved forehead shape.
Placement of custom forehead implant through a small scalp incision.
Patient 70
Desire to reduce the convex shape to the sides of his head.
Head narrowing by removal of posterior temporal muscle through incisions placed behind the ears.
Desire to reduce the convex shape to the sides of his head.
Head narrowing by removal of posterior temporal muscle through incisions placed behind the ears.
Patient 71
Desire to reduce left forehead bony protrusion.
Left forehead bony protrusion reduced by combination of burring and rasping. Due to his hair pattern the only location for the incisional access was the temporal hairline which healed with an acceptable scar.
Desire to reduce left forehead bony protrusion.
Left forehead bony protrusion reduced by combination of burring and rasping. Due to his hair pattern the only location for the incisional access was the temporal hairline which healed with an acceptable scar.
Patient 72
Desire for reduced convexity to the side of his head.
Posterior temporal reduction through postauricular incisions. (behind the ears)
Desire for reduced convexity to the side of his head.
Posterior temporal reduction through postauricular incisions. (behind the ears)
Patient 73
Desire for temporal widening to match the new jaw width from a custom jawline implant.
Placement of custom temporal implants through a small incision behind the temporal hairline.
Desire for temporal widening to match the new jaw width from a custom jawline implant.
Placement of custom temporal implants through a small incision behind the temporal hairline.
Patient 74
Desire for correction of a backward slope that started at his upper forehead and slanted back onto the top of the skull.
Placement of custom forehead-skull implant with immediate and three month result with a well healed scalp scar.
Desire for correction of a backward slope that started at his upper forehead and slanted back onto the top of the skull.
Placement of custom forehead-skull implant with immediate and three month result with a well healed scalp scar.
Patient 75
Desire for reduction of prominent temporal arteries with the right side more affected than the left.
Multi-level temporal artery ligations (4 on the right and 2 on the left) for elimination of doppler signals in the prominent arterial pattern.
Desire for reduction of prominent temporal arteries with the right side more affected than the left.
Multi-level temporal artery ligations (4 on the right and 2 on the left) for elimination of doppler signals in the prominent arterial pattern.
Patient 76
Desire for a smoother and less long forehead.
Forehead reshaping with a combination of bilateral forehead horn and brow bone reductions by shaving with a central frontal hairline advancement.
Desire for a smoother and less long forehead.
Forehead reshaping with a combination of bilateral forehead horn and brow bone reductions by shaving with a central frontal hairline advancement.
Patient 77
Desire for a less protrusive and vertically long forehead.
Forehead reduction with a combined bony bossing burring and frontal hairline advancement.
Desire for a less protrusive and vertically long forehead.
Forehead reduction with a combined bony bossing burring and frontal hairline advancement.
Patient 78
Desire for less brow bone prominence.
Brow bone reduction by shaving combined with nasal bone/radix augmentation below the brow bones with cartilage grafts.
Desire for less brow bone prominence.
Brow bone reduction by shaving combined with nasal bone/radix augmentation below the brow bones with cartilage grafts.
Patient 79
Desire for removal of hard immobile slow growing forehead mass.
Single incision/port endoscopic removal of forehead osteoma.
Desire for removal of hard immobile slow growing forehead mass.
Single incision/port endoscopic removal of forehead osteoma.
Patient 80
Thin female with very prominent anterior temporal arteries which she desired to reduce.
Using a multi-level ligation technique the right-sided temporal artery prominence was completely reduced with no visible scarring.
Thin female with very prominent anterior temporal arteries which she desired to reduce.
Using a multi-level ligation technique the right-sided temporal artery prominence was completely reduced with no visible scarring.
Patient 81
Desire for reduction in the appearance of frontal bossing and a high hairline.
Forehead reduction by the combination of frontal bossing reduction by high speed burring and frontal hairline advancement. (results seen both intraop and one day postop)
Desire for reduction in the appearance of frontal bossing and a high hairline.
Forehead reduction by the combination of frontal bossing reduction by high speed burring and frontal hairline advancement. (results seen both intraop and one day postop)
Patient 82
Desire for reshaping of forehead with a backward slope forehead profile and excessive brow bone projection.
Forehead reshaping with a combination of brow bone reduction (by burringO) and forehead augmentation with a custom forehead implant.
Desire for reshaping of forehead with a backward slope forehead profile and excessive brow bone projection.
Forehead reshaping with a combination of brow bone reduction (by burringO) and forehead augmentation with a custom forehead implant.
Patient 83
Desire for reduction of an upper forehead protrusion that extended behind the frontal hairline onto the top of the skull.
Reduction of the unilateral forehead-skull protrusion with a combination of high speed burring and diamond rasps.
Desire for reduction of an upper forehead protrusion that extended behind the frontal hairline onto the top of the skull.
Reduction of the unilateral forehead-skull protrusion with a combination of high speed burring and diamond rasps.
Patient 84
Desire for a more backward slope to the forehead through bossing reduction as well as reduction of a high sagittal ridge.
Combined frontal bossing and sagittal ridge skull reduction using high speed burring through a retrohairline incision.
Desire for a more backward slope to the forehead through bossing reduction as well as reduction of a high sagittal ridge.
Combined frontal bossing and sagittal ridge skull reduction using high speed burring through a retrohairline incision.
Patient 85
Desire to reduce the depth of the supra brow bone break of the forehead.
The fat harvested from buccal lipectomies was recycled and used to inject into the supra brow bone break of his forehead.
Desire to reduce the depth of the supra brow bone break of the forehead.
The fat harvested from buccal lipectomies was recycled and used to inject into the supra brow bone break of his forehead.
Patient 86
Desire to reduce bilateral forehead prominences but with a poor frontal hairline.
Bilateral forehead prominence reductions using a temporal hairline approach with no visible scarring. (left prominence reduced by burring, right prominence reduced by rasping)
Desire to reduce bilateral forehead prominences but with a poor frontal hairline.
Bilateral forehead prominence reductions using a temporal hairline approach with no visible scarring. (left prominence reduced by burring, right prominence reduced by rasping)
Patient 87
Male with overly prominent brow bones and reclined forehead.
Brow bone reduction by bone flap setback technique done through a small mid-forehead incision due to his lack of a frontal hairline. Seen one day after surgery.
Male with overly prominent brow bones and reclined forehead.
Brow bone reduction by bone flap setback technique done through a small mid-forehead incision due to his lack of a frontal hairline. Seen one day after surgery.
Patient 88
Desire to reduce prominent temporal arteries in a shaved head male.
Under local anesthesia multi level temporal arteries ligations were done with four on the right side and three on the left side.
Desire to reduce prominent temporal arteries in a shaved head male.
Under local anesthesia multi level temporal arteries ligations were done with four on the right side and three on the left side.
Patient 89
Desire foe maximal brow bone reduction, had a 1st stage burring done to thin the outer table of the frontal sinus.
2nd stage brow bone reduction done with a bone flap setback method requiring a mesh screen method of rebuilding the bone flap for setback.
Desire foe maximal brow bone reduction, had a 1st stage burring done to thin the outer table of the frontal sinus.
2nd stage brow bone reduction done with a bone flap setback method requiring a mesh screen method of rebuilding the bone flap for setback.
Patient 90
Male desiring reducing of brow bone protrusion and correct of asymmetry. (right brow bone more protrusive than the left)
Brow bone reduction with bone flap setback technique done through a retro hairline incision. The five year result shows a sustained reduction that has a well healed and largely imperceptible scalp scar.
Male desiring reducing of brow bone protrusion and correct of asymmetry. (right brow bone more protrusive than the left)
Brow bone reduction with bone flap setback technique done through a retro hairline incision. The five year result shows a sustained reduction that has a well healed and largely imperceptible scalp scar.
Patient 91
Desire for forehead reshaping with a vertically shorter lengthen and a smoother contour.
14mm frontal hairline advancement with frontal bossing and medial brow bone reductions by burring.
Desire for forehead reshaping with a vertically shorter lengthen and a smoother contour.
14mm frontal hairline advancement with frontal bossing and medial brow bone reductions by burring.
Patient 92
Desire for reshaping the side of his head from a wide convexity to a more straight shape.
Temporal muscle removals through postauricular sulcus incisions.
Desire for reshaping the side of his head from a wide convexity to a more straight shape.
Temporal muscle removals through postauricular sulcus incisions.
Patient 93
Temporal hollowing due to weight loss.
Placement of extended temporal implants through the tail end of frontal hairline advancement scars.
Temporal hollowing due to weight loss.
Placement of extended temporal implants through the tail end of frontal hairline advancement scars.
Patient 94
Desire for overall bony and soft tissue forehead reductions.
Total forehead reduction with frontal hairline advancement and bony horn and brow bone reductions
Desire for overall bony and soft tissue forehead reductions.
Total forehead reduction with frontal hairline advancement and bony horn and brow bone reductions
Patient 95
Left eyebrow and upper eyelid ptosis from previous trauma. The brow adhesion is also uncomfortable.
Left eyebrow release with placement of interpositional fat graft through upper eyelid incision. Through the same incision an upper lid ptosis repair was also done.
Left eyebrow and upper eyelid ptosis from previous trauma. The brow adhesion is also uncomfortable.
Left eyebrow release with placement of interpositional fat graft through upper eyelid incision. Through the same incision an upper lid ptosis repair was also done.
Patient 96
Desire for male forehead and brow bone reduction. Preoperative x-rays showed a persistent metopic suture with absence of the right frontal sinus and a small left frontal sinus.
Through a semi-coronal scalp incision the frontal keel from the persistent metopic suture was reduced foe the forehead reduction and the brow bones reduced by removing their projection by a reciprocating saw. Through the upper eyelids the underside of the tail of the brow bones was also reduced.
Desire for male forehead and brow bone reduction. Preoperative x-rays showed a persistent metopic suture with absence of the right frontal sinus and a small left frontal sinus.
Through a semi-coronal scalp incision the frontal keel from the persistent metopic suture was reduced foe the forehead reduction and the brow bones reduced by removing their projection by a reciprocating saw. Through the upper eyelids the underside of the tail of the brow bones was also reduced.
Patient 97
Desire for less wide head shape.
Bilateral posterior temporal muscle reductions done from a hidden incision behind the ears.
Desire for less wide head shape.
Bilateral posterior temporal muscle reductions done from a hidden incision behind the ears.
Patient 98
Desire for upper facial masculinization.
Placement of custom forehead-brow bone implant through a limited scalp incision.
Desire for upper facial masculinization.
Placement of custom forehead-brow bone implant through a limited scalp incision.
A detailed description and pictures of your concerns allows for the most informed response.
North Meridian Medical Building
Address:
12188-A North Meridian St.
Suite 310
Carmel, IN 46032
Contact Us:
Phone: (317) 706-4444
WhatsApp: (317) 941-8237