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Facial Plast Surg 2024; 40(05): 605-609
DOI: 10.1055/s-0043-1777319
Original Research

Considerations in Forehead Reduction for Men

José Miguel Núñez-Castañeda
1   Head and Neck Surgery Service, Hospital Nacional Dos de Mayo, Lima, Perú
,
Silvana Lucia Chang-Grozo 
1   Head and Neck Surgery Service, Hospital Nacional Dos de Mayo, Lima, Perú
2   School of Medicine, Universidad Peruana de Ciencias Aplicadas, Lima, Perú
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Abstract

Although frontal prominence is an infrequent benign defect that causes no sequelae, it gives the patient distress due to its unaesthetic visual aspect. Proper surgical recontouring of the forehead can radically change one's appearance. In consequence, different techniques have been proposed for its management and correction. The aim of this study is to describe a surgical algorithm to treat male patients with forehead reduction to soften the “forceful” look. An observational cross-sectional study was conducted at the head and neck surgery ward of a general hospital between 2019 and 2022. We performed 35 forehead reduction operations on male patients. The median age was 29 years (range, 26–32 years). The forehead reduction procedures performed was categorized as follows: 27 anterior table osteotomy and 8 anterior table osteotomy contouring. Median forehead reduction was 2.7 mm (range, 2–3.2 mm). The average medical follow-up for patients was 6 months, with an interval ranging from 4 to 8 months. Surgery of the forehead in properly selected male patients is sufficiently safe that it can be done for entirely aesthetic reasons. The choice of surgical technique depends on the presence or absence of the pneumatized frontal sinus. If the frontal sinus is not pneumatized, an anterior table contouring is performed and if the frontal sinus is pneumatized, an anterior table osteotomy is preferred.

Keywords

forehead reduction - frontal prominence - surgical technique

Ethical Approval

Not required. Informed consent was accomplished in all the cases before the surgical act. All the results and images that appear in this article belong to patients who have given their express consent for their images to be published in scientific publications in compliance with current personal data protection regulations.




Publication History

Article published online:
22 November 2023

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