Forehead Augmentation / Forehead Implant

Forehead Augmentation Surgery

          Women typically have curved, rounded, well-contoured foreheads and arching brows with little or no brow bones protruding. By comparison, men's foreheads are generally broader and higher with a receding hairline. Men often have raised thicker brow bones located lower on the foreheads. People use the forehead more than you’d ever think to gender one and other subconsciously. It is one of the fundamental gender markers we use.

          Forehead augmentation or forehead implant is a surgical procedure to enhance the shape and volume of the forehead via a fat graft or implant. There are numerous materials available to use for forehead augmentation.

Figure 1: Positioning of Material for Forehead Implant

Forehead augmentation materials:

          There are many materials to enhance a forehead with a feminine look. The following procedures are available:

1. Fat Injection: The surgeon harvests fat tissue from various body parts, such as the stomach, thighs, and underarms. This fat is then injected into the forehead area to achieve the required look. This procedure can be performed under local anesthesia. The disadvantage of this method is that the injected fat will very likely be reabsorbed within 1-2 years.

2. Bone Cement: Materials such as Polymethylmethacrylate (PMMA) do not irritate or harm the body. This is the preferred material for this surgery as it's stable, lasts forever, and is easily shaped. This procedure takes approximately 2-3 hours.

3. e-PTFE (Gore-Tex): This synthetic material triggers only minimal immune reaction from the body and can be placed inside the body as a vascular graft. e-PTFE is a porous material that allows our tissue to connect and grow into it after surgery, making the e-PTFE implant stable in its position. Other advantages are that e-PTFE is flexible, reliable, malleable, and easy to handle.

4. Silicone sheet: This material is not accessible because it is not flexible, and its shape is difficult to adjust. For surgeries involving bone cement (2) or e-PTFE (4), the surgeon will make an incision above the ear to ear behind the hairline and insert the material inside before closing the wound by stitching. These procedures create a sizable scar and may cause numbness lasting up to 3 to 6 months after the surgery. The duration of the operation is approximately 2 to 3 hours.

5. PMMA Customized Implant: Made from polymethyl methacrylate, this implant is designed specifically for each patient to correct its shape and size. This advanced technology offers excellent anatomical fit and contour, allowing surgeons to create exceptional cosmetic results. This procedure takes a shorter time compared to other methods. As the shape and size are uniquely designed for each patient, the risk of asymmetry is decreased significantly.

A Good Candidate for Forehead Augmentation

• You have a narrow forehead.
• You are healthy and have realistic expectations.
• You know the risks of the procedures that you are considering.

Preparation for Forehead Augmentation

1. Consult with the highly skilled and experienced plastic surgeon about the surgical goals, any existing medical conditions, risks, potential complications, and treatments.
2. The surgeons will evaluate your general health status based on blood tests, such as CBC, electrolyte, HIV, Hepatitis B, Hepatitis C, and chest X-ray.
3. Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements, as they can increase bleeding and bruising for at least two weeks.
4. Stop smoking for at least two weeks.
5. Stop eating and drinking at least 6 hours before surgery.

Forehead Implant Procedure

1. Forehead implant surgery is usually performed by general anesthesia.
2. The incision line is made 1-2 cm behind the hairline. Through this incision, the surgeon creates space for the forehead implant and fits it over the forehead bone.
3. A forehead Implant typically takes 1 hour to perform. Following surgery, the incision will be sutured, and a compression bandage will cover the forehead.

Post-operative Recovery: 

1. Avoid strenuous activity for three to four weeks.
2. Apply ice compresses to your forehead for 20 minutes at a time throughout the first few days of recovery to reduce swelling and discomfort.
3. Keep the head elevated for 1-2 weeks after surgery to reduce post-op swelling.
4.  Have a selection of button-up shirts ready to wear during recovery to prevent irritating the scalp.
5. We will provide you with a compression garment, which you should wear as much as possible for at least two weeks to reduce swelling.

Risk and Complication:

When a highly-skilled and experienced cosmetic surgeon performs the forehead augmentation, forehead augmentation is associated with very few complications however, possible risks include:

• Infection from fat graft or implant or incision area.
• Hematoma (internal bleeding)
• A shift in implant position (which can be fixed by screws)
• Poor scarring.
• Poor healing.
• Bleeding.
• Numbness within the forehead and scalp near the incision site. In most cases, it will recover within a few weeks.
• Side effects from anesthesia

Recovery for Forehead Augmentation

You can return to work within 2 weeks. Avoid heavy exercise for at least one month. The appearance will be close to the final result within one month after surgery, and the final result will be seen around three months after surgery when residual swelling has gone.

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What are the benefits of having a Forehead Implant procedure at Kamol Cosmetic Hospital?