Kamol Hospital - Thailand Cosmetic & Plastic Surgery

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Facial Surgery @ Kamol Hospital - Thailand Cosmetic & Plastic Surgery

Forehead Contouring / Forehead Augmentation Surgery

in Bangkok, Thailand


Despite the differences in the appearance between men’s and women’s foreheads, it is possible to change men’s forehead features to create a more feminine look by forehead contouring or forehead augmentation surgery. Typically, women have curved, rounded and well-contoured foreheads, arching brows with little or no brow bones protruding. By comparison, men’s foreheads are generally wider and higher with a receding hairline. In addition, men often have raised thicker brow bones located lower on the foreheads. For your consideration, our highly skilled and specialized surgeons offer the following procedures:

- Forehead Contouring

- Brow Bossing Contouring

- Brow Reduction

Forehead Contouring  

Figure 1: Forehead Contouring


Forehead Contouring

There are 3 categories for forehead contouring: 

          Procedure 1: Forehead contouring procedure that involves implant at the mid forehead area to improve the curve of forehead profile. There are options for implant materials: Injectable material, fat graft or permanent implants.  

          Procedure 2: Forehead contouring procedure that involves bone shaving above the eye area or brow bossing, and the frontal sinus area by using contouring bur. The bone can be reduced by approximately 3-5 mm. The incision is on the scalp behind the hairline.  

          Procedure 3: Forehead contouring procedure that involves anterior walls of the frontal sinus, can be performed to set back and reshape the forehead. This procedure is preserved for those who have prominent forehead bone and deep-set eyes. This procedure surgeon obtain pre-operative computed tomography (CT) scans to confirm the forehead types.


Forehead Augmentation:

          We provide many kinds of material to make a perfect forehead appearance such as:

1. Fat injection
2. Bone cement
3. e-PTFE (Gore-Tex)
4. Silicone sheet
5. PMMA customized implant


Figure 3: Positioning of Material for Forehead Implant


Forehead augmentation materials:

          In order to modify a high and flat forehead into a contoured, gentle, and feminine looking forehead, the following procedures are available:

          1. Fat Injection, The surgeon harvests fat tissue from many parts of the patient’s body such as the stomach, thighs, and under arms, to extract fat cells for injection into the forehead area to achieve rounded and full look. This procedure can be performed under local anesthesia. The disadvantage of this method is that the injected fat will disintegrate within 1-2 years.

          2. Bone Cement, One of materials known as Polymethylmethacrylate or PMMA with high qualities does not irritate or cause harm to the body tissues. Surgeon prefers this material as the shape is easily adjusted. This procedure takes approximately 2-3 hours to complete.

          3. e-PTFE (Gore-Tex), One of synthetic materials in the same group as Polytetrafluoroethylene (e-PTFE) 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 which allows our tissue to connect and grow into it after surgery, making the e-PTFE implant stable in its position. Another advantage is that e-PTFE is flexible, strong, malleable and easy to handle.

          4. Silicone sheet, This material is not popular 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 hair line 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 surgery is approximately 2 to 3 hours.

          5. PMMA Customized Implant, implant. It comes from polymethyl methacrylate. These implants are designed specifically for each patient to correct the effects from trauma and/or defects in maxillofacial or craniofacial bone. The advanced technology offers excellent anatomical fit and contour allowing surgeons to create exceptional cosmetic results. This procedure takes shorter time compared to other procedures. As the shape and size fits each patient, this decreases the risk of asymmetry.


Risk and Complication

          When performed by a qualified, experienced cosmetic surgeon, forehead augmentation is associated with very few complications. Possible risks include infection from fat graft or implant or incision area, hematoma (internal bleeding), shift in implant position (which can be fixed by screws), poor scarring, and side effects from anesthesia


Preparation for forehead augmentation, you should

  • Get a lab test, CBC, electrolyte, HIV, Hep B, Hep C, Chest x-ray.
  • Take certain medications or adjust your current medications
  • Stop smoking
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding


How is performed?

          Forehead implants surgery is usually performed using general anesthesia. 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 a forehead bone.

          Forehead augmentation surgery alone typically takes 1 hour to perform. Following surgery, the incision is closed with sutures and the forehead may be bandaged.



Post-operative care

          To control pain by medication or cold compression is easy. You will need to sleep face-up, with your head elevated, at least one to two weeks after surgery to help control post-op swelling and protect your healing incisions. Strenuous activity can be resumed within three to four weeks after forehead augmentation. The appearance will be close to the final results within one month after surgery, and considered final after three months when residual swelling has subsided.


Possible Side Effect of Forehead Augmentation

          During recovery, patients may experience some minor side effects from forehead augmentation surgery. Numbness within the forehead and scalp near the incision site may occur. In most cases, numbness will be recovered within a few weeks, though some may find it takes several months.

Some patients may experience some shedding of the hair along the front of the scalp within the first few weeks of recovery. This hair typically grows back within a few months. In the rare event that hair does not grow back, hair grafting may be performed to restore the hairline.


Tips to Help with Recovery

Follow these tips to help with recovery after forehead augmentation surgery:

  • Apply ice compresses to your forehead for 20 minutes at a time throughout the first few days of recovery to reduce swelling and discomfort.
  • Keep the head elevated for a few days after surgery to reduce swelling.
  • Have a selection of button up shirts ready to wear during recovery to prevent irritating the scalp.
  • Follow all post-operative instructions and attend all post-operative appointments.

Forehead Augmentation / Forehead Contouring Before & After

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