Definition & Overview

Forehead augmentation is the surgical procedure for enhancing the shape and volume of the forehead. It is an elective surgery that addresses several issues faced by those who are completely dissatisfied with the shape of their foreheads.

In some cases, the procedure has the ability to make the entire face look smaller and prettier since wrinkles and other surface imperfections are also removed when volume is added to the forehead.

There are three types of forehead augmentation techniques -- transplantation of fat, insertion of silicon implant, and the use of osteobond.

Who Should Undergo and Expected Results

Forehead augmentation can be taken advantage of:

  • Those who have overly prominent brows or bone protrusion near the eyebrows
  • People with tilted foreheads
  • Those with flat foreheads and would like to add more volume in the centre region of their foreheads. The added volume can make the lower part of the face narrower, an added benefit for those who wants to achieve a thinner look.
  • People whose foreheads appear to have a hollow part


It is good to note that only people deemed physically healthy, with no diagnosed disease or medical condition, are considered suitable for this procedure.

Forehead augmentation, which has high satisfaction rating, typically lasts for only an hour. However, patients may need to schedule several follow-up visits to their physicians to remove stitches as well as evaluate the results. They may resume normal, daily activities after a few days and full recovery is expected after one to two weeks.

How is the Procedure Performed?

The technique used for forehead transplantation depends largely on the amount of volume needed to achieve the desired effect and its expected permanence. Those who need to add only a small amount of volume to sculpt their forehead can opt to undergo the fat transplantation method. For this procedure, the patient is placed under general anaesthesia and fat tissues are harvested from other parts of the body, such as the buttocks, thigh, or abdomen. The extracted tissue is then placed into a centrifuge to remove impurities. The collected tissue is then placed in small syringes and injected into several areas of the forehead, including the hairline, the central region, and near the top of the nose. Only a small volume of fat is injected at a time to make sure a balanced and harmonious look is achieved.

Those with foreheads lacking extreme volume, especially those with hollowed part, may benefit from using silicon implants. For this technique, the implants are modelled a few days before the actual surgery is done. The surgeon makes an incision behind the hairline and the implant is inserted and strategically placed. When the surgeon is satisfied with the volume and location of the implant, the incision is closed with sutures and covered with bandages.

Another technique involves the use of osteobond, a type of bone cement used for reshaping parts of the skull. This procedure is considered permanent since the substance is resilient and can retain its position even after several years. It is inserted through an incision in the hairline while it is still pliable. The surgeon carefully moulds the substance into the desired shape and waits for it to harden. The surgery ends with the closure of incision using sutures.

Possible Risks and Complications

  • Forehead augmentation surgery carries some risks and in some cases, linked to complications, which include:
  • Adverse reaction to the anaesthesia used
  • Infection
  • Fat absorption (for patients who have undergone fat transplantation)
  • Excessive fat transplanted, leading to the appearance of a puffy, unnatural appearance
  • Silicon implant rupture

Reference:

  • Forehead Augmentation with a Methyl Methacrylate Onlay Implant Using an Injection-Molding Technique Dong Kwon Park, Ingook Song, Jin Hyo Lee, Young June You Arch Plast Surg. 2013 September; 40(5): 597–602. Published online 2013 September 13. doi: 10.5999/aps.2013.40.5.597
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