Both sexes can have brow bone surgery. Although some people might identify this treatment with the transgender population, we have had patients who are both male and female who want it. Give us a call if you think your brow is too prominent and we’ll see what we can do to help. Your doctor has the option of brow bone reduction entirely or softening its appearance. The hashtag on social media for “beautiful people natural results” is much more than just that — it is the standard she aspires to with every patient we serve.

What is Brow Bone Reduction? 

Between the eyebrows is a bony protrusion known as the brow bone. According to some patients, theirs is too big for their face or the gender they identify with. For patients who have a prominent brow bone, the bone might be decreased to give them a more feminine appearance. This procedure is typically paired with a brow lift, an advancement of the hairline, and a decrease of the orbital rims. Your doctor can also do a coronal incision, which is hidden behind the hairline within the scalp if a patient does not require a hairline advancement. The incision will be fully hidden with this choice.

brow bone reduction before after

Brow Bone Reduction Types

To reduce the brow bone or want to have brow bone shaving, there are Type 1 and Type 3 procedures. To determine which kind of reduction you are a fit for, you will require a CT scan to show the specifics of the skeletal structure beneath the skin. Alternatively, we can offer you a recommendation to visit your favorite imaging facility if the lab in our building is not inexpensive. 

The anterior frontal sinus wall shapes the eyebrow bone. The anterior wall of some patients’ frontal sinuses is thin and highly aerated, while the anterior wall of other patients’ sinuses may be robust and the sinus chamber is tiny. A simple external inspection cannot reveal the thickness of the sinus wall. Preoperative planning requires a CT. Before surgery, Your doctor will go over every CT scan detail and prepare the locations of the bone cuts. You can save time in the operating room by doing this planning before your procedure. Thorough planning resulted in shorter operating room times, less anesthesia, and better outcomes. 

Type 1 Brow Bone Reduction

Type 1 Brow bone reduction, often known as a brow bone shave, is the name given to the first kind of reduction. This process involves burning down the bone. Patients who can have at least 5mm of bone taken by burring and who have a frontal sinus plate that is particularly thick should consider this operation. Since 90%–95% of individuals only have a very thin anterior wall, this is not a regular occurrence. However, it might still be a choice for the 5% of individuals who do not have a fully developed frontal sinus.

types of brow bone reduction

The shape resembles a large rock more than a “cave” in this instance. In this instance, a sizable quantity of bone burrowing is possible. Patients who have minimal bossing, to begin with, and merely want a slight improvement may also be candidates for a type 1 brow bossing reduction. 

Type 3 Brow Bone Reduction

In this treatment, the sinus anterior wall is taken out and repositioned more posteriorly. The frontal setback is another name for this. Assume that the entrance to the cave is being pushed farther back. A small plate and screws hold the newly placed bone in place. These can be titanium or absorbing plates. This plate’s 0.3 mm (less than 1 mm) thickness prevents it from penetrating the skin. They are entirely inert and made of titanium. They are secure for whatever scan the patient might require in the future, including MRI and X-ray. They do not interfere with airport scanners and are too small to trigger a metal detector. 

Lateral Orbital Rim Reduction

lateral orbital rim reduction

The lateral orbital rims must typically also be decreased whether the patient has a Type 1 or Type 3 brow bone reduction. These bones are extremely thick, but a burr may usually greatly diminish them. The eyes are made more open by reducing the orbital rims. It enables illumination and illumination of the eyes from above. 

Your doctor employs a unique procedure in which she burrs the lateral piece of the orbital rim while simultaneously burring a tiny amount vertically (upward) to open the eye. Studies have indicated that whereas women have larger orbits, men have an outwardly more pronounced orbital rim. To make the eyes appear larger and brighter, Your doctor works in all directions to minimize the rim and extend the orbit (eye socket). The eyes then appear more youthful, feminine, and brighter.

A CT scan identifies the procedure that each patient needs. For the majority of patients, a significant improvement in the forehead shaving contour requires a bone reset (Type 3). During your consultation, your doctor will look over your CT scan, discuss your desired outcomes, and decide whether the procedure is appropriate for you.

How Long Does Recovery Take After Brow Bone Reduction?

Although, brow bone reduction cost is typically from $4,000 up to $10,000. Usually, forehead feminization is done as an outpatient treatment. Although post-operative discomfort varies greatly, most patients say that it is effectively controlled with medication and lasts for 3–4 days. Above the incision, complete numbness of the scalp is to be anticipated; nevertheless, over months, the feeling gradually returns. A hairline incision will require stitches that need to be removed after roughly a week. For several months, the incision’s scar will be noticeable before gradually fading away. 

The scar will eventually be covered up by new hairs that grow through it. We give our patients an antibiotic, painkillers, anti-inflammatories, and nausea medications before sending them home. The day following surgery and one week later, we have them return to the clinic to have their stitches taken out.

Research on Brow Bone Reduction

Here are three aspects concerning brow bone reduction surgery that you might not be aware of.

  1. Surgery to raise the brows and reduce the brow bone are related. An open incision and a forehead flap turndown for exposure is required for the osteoplastic procedure to make the brow bone less noticeable.
  2. Surgery for migraines and brow bone reduction can be performed together. When the supraorbital nerve is released by removing the surrounding muscle and releasing the bone foramen, it can lessen the frequency and severity of frontal migraines brought on by supraorbital nerve compression.
  3. Reducing the brow bone does not cause frontal sinusitis. While the frontal sinus cavity is exposed with the osteoplastic approach, the underlying mucosal lining is frequently not fully unharmed. Such exposure does not enhance the risk of getting sinus infections in the future.

Frequently Asked Questions

The phrase "frontal bossing" in medicine refers to a broad, projecting forehead that is frequently accompanied by a thick brow ridge.
All procedures involve a hairline incision or an endoscopic method involving three tiny incisions that blend into the hair.
When guys hit puberty, testosterone frequently lengthens, enlarges, and accentuates the ridges on their brows.
The extra "bossed" brow bone can be shaved off or buried if there is a tiny sinus and a frontal sinus wall that is extremely thick.

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