Forehead Feminization

When endeavoring down the path to a more feminine face, we have to consider the common differences between the male and female appearance and then evaluate each patient for these distinct characteristics. The hairline is undoubtedly an area where the difference between the sexes is quite noticeable.  Genetically born males typically have higher hairlines than do genetically born females.  In addition, it is common for the male hairline to recede, especially in the areas just above the temples.
There are several options  that can be done to feminize the Forehead, depending on each patient, can be a conventional Hairline Advancement, or with a more complete procedure, we call it Forehead Bone Remodeling, in adition, can be also combined with a Hair Trasplant:   


Hairline Advacement

A hairline advancement, also known as a hairline lowering or forehead reduction surgery, is a cosmetic surgical procedure that involves lowering the hairline on the forehead. This procedure is typically performed for individuals who have a high or receded hairline and wish to have a more balanced and aesthetically pleasing facial appearanceThe incision is made just inside the hairline, the shape is customized for the patient. The new hairline can be tailored to the patient’s preferences and is often wavy to mimic a natural hairline.

During the surgery, the excess forehead and/or scalp is excised and the scalp is advanced to the new hairline. The incisions are made in such a manner (trichophytic) so that hair regrows through and in front of the eventual hairline scar making it undetectable.

Forehead Remodeling

Forehead Bone Remodeling involves a lot more than the center of the forehead. To the left and right of this area, you have the orbital rims which tend to be more pronounced in men. To address this issue, the orbital rims are contoured using a bone burring technique. In addition, Dr. Cardenas occasionally uses a bone ostectomy technique to cut and remove a small section of bone below the eyebrows. This is done when he observes that the ostectomy technique would enhance the lifting of the eyebrows. However, in most cases bone burring is sufficient.

Finally, Forehead Bone Remodeling addresses the vertical height of the forehead because taller foreheads are usually seen to be more masculine. To reduce the vertical height, Dr. Cardenas raises the eyebrows and lowers the hairline. 

Questions & Answers: 

How does Dr. Cardenas know whether or not to remove and remodel the section of bone covering the frontal sinus?

Once the incision is made along the hairline and access to the forehead is achieved, a technique called transillumination is used. This involves a bright surgical instrument which allows Dr. Cardenas to view the shape and size of the frontal sinus and the bone covering it. For most patients, he observes the Type 3 forehead which requires the removal and remodeling of a section of bone. However, if he sees that the patient has an uncommonly small or non-existent frontal sinus covered by thick bone and that the same result can be achieved with the bone shaving technique, he will proceed with that approach.

Can you summarize what is included with Forehead Bone Remodeling?

In short, the reshaping of the bone in the lower area of the forehead is done. The center of this area is examined with transillumination and the correct technique chosen as described above. The eyebrows are raised. The hairline is lowered unless excessive hair loss prevents this or the patient doesn’t want a conventional hairline advancement. Example – Some patients might want only the edges of their hairline advanced in order to help remove signs of male pattern baldness.

What about the upper part of the forehead?

The vertical height of the forehead is usually reduced with the lowering of the hairline and the raising of the eyebrows. However, we occasionally have patients that want their temples softened or upper forehead shaped a bit. Dr. Cardenas has developed a fat infiltration technique for these purposes. However, this is a separate procedure and is not considered part of Forehead Bone Remodeling. 

Before & After photos