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
