Reshaping the Prominent Brow Bone With Plastic Surgery

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The need to change the shape of the forehead or brow bone is very uncommon. Reshaping the forehead or the brow bone (the bone below the eyebrows) is possible but there are different procedures that can be done based on the shape of the forehead and the brow bone.

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The shape of the skull between a male and a female is often quite different. The male forehead often has fullness over the brow bone known as brow bossing or a supraorbital prominence with a flatter forehead above this area. The female forehead, conversely, has a more convex or curved forehead shape and little or no significant supraorbital bossing. Such forehead shapes confer a masculine or a feminine look.

The degree of brow bossing and the forehead shape helps determine what type of surgical recontouring needs to be done. With the exception of one other important consideration...the frontal sinus. The frontal sinus, an air-filled bone cavity, sits right under the brow bone and how developed it is will affect surgical choices. For this reason, any surgical efforts at forehead/brow modification should have a simple skull x-ray (side view) prior to surgery.

In those patients with mild to moderate brow bossing and thick skull bone over the frontal sinus (or are missing a frontal sinus), bone reduction by burring can be done with a nice result. When brow bossing is present but the bone thickness over the frontal sinus is thin, simple bone reduction contouring is impossible without entering the frontal sinus. Many try just a little bone reduction, without entering the sinus, but this does not make enough difference to justify the effort. Removal of only 1 or 2 mms of bone is not enough to make a difference. In these situation, one option is to open the frontal sinus, burr down the edges of the bone and put the 'outer lid' back in a more inward contour, thus preserving the frontal sinus. The other option is to obliterate and fill the sinus with a bone substitute material, making a more flatter brow contour with the bone paste or cement. (and not put the outer table of bone back) I have done both and both of them will work. If I can get a good brow contour and still leave the frontal sinus present and functioning, that is my preferred choice.

Any forehead and brow contouring requires an open approach through a scalp or hairline incision. The forehead skin must be 'peeled back' to get good access for the surgery. An endoscopic approach or more limited approach is not adequate to do a good job. In most females, the hairline and hair density patterns make an open approach possible. When this procedure is considered in males, the hair issue makes an open scalp approach potentially more problematic.

The most common patient, in my experience, for brow bone reduction is in female feminization surgery (FFS) where reducing the prominence of the brow bone helps in the overall facial conversion of the male to a female appearance. In a few select males with very prominent brow bones, this procedure can make a big difference in softening the more 'neanderthal' facial appearance.

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Plastic Surgery Techniques For Reshaping the Round Face

Plastic Surgeons - Plastic Surgery Techniques For Reshaping the Round Face. The content is nice quality and helpful content, That is new is that you simply never knew before that I do know is that I actually have discovered. Before the unique. It is now near to enter destination Plastic Surgery Techniques For Reshaping the Round Face.

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Not infrequently I get requests from patients for the desire to transform a round face into a more shapely appearance. One cause of a round face is that the patient is overweight. A full neck, round cheeks, and a lot of subcutaneous fat throughout the face creates a generalized fullness that creates a fat and round face. These patients know full well that they are overweight and some liposuction of the neck and buccal lipectomies may make some difference. But weight loss will probably make the most difference in these cases. And these procedures should not be performed until some weight loss has been achieved.

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But the overweight patient is not what usually makes up the 'round face' patient. Most commonly these are younger patients that are not significantly overweight and are usually closer to being more height and weight porportionate. They may have some mild fullness in the cheeks and neck but often their bony prominences (cheeks, chin, or jaw angles) may be somewhat deficient. The approach to these patients must deal with both hard and soft tissues issues to be effective at improving the face's angularity and definition.

In addition to the fullness of the cheeks and neck, the next most important consideration in facial shape improvement should look at the chin. Often it may only be midly short in the horizontal dimension but the width of the chin is also important, particularly in the male patient. Chin implants today can provide more projection as well as width in many different sizes. Placed through a small incision under the chin bone, a chin implant can lend more definition and squareness to the lower face from subtle to dramatic results.

Upper facial fullness, more specifically midfacial fullness, can be achieved through cheek implants. Placed into position by incisions inside the mouth under the upper lip, cheek implants can provide good highlights through three-dimensional enhancement of the bone as it wraps around the area below the eye. An amazing aray of cheek and midface implants is available to provide a lot of enhancements around this important facial landmark. When paired cheek implants are combined with a chin implant, an upside down triangle of change is created that directly opposes a more round or oval facial shape.

Jaw angle implants are always a possibility but these are rarely needed in most really round faces. They can produce some lateral facial fullness but this is not usually helpful in 'de-rounding' the face in most patients.

The procedures of buccal lipectomies, neck and jowl liposuction, chin and cheel implants make up the usual plastic surgery tools for facial rehaping. Which one or a combination of procedures is most helpful for improving facial definition is best determined by careful computer imaging study during the consultation with your plastic surgeon.

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Reshaping Your Forehead With Plastic Surgery

Plastic Surgeon - Reshaping Your Forehead With Plastic Surgery

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Reshaping the forehead is an uncommon patient request. While the plastic surgery techniques to do so are well known and not new, the need to do forehead contouring is not. Most commonly, forehead reshaping is done on patients who had a congenital skull deformity (e.g., craniosynostosis) or a frontal skull deformity secondary to trauma or after a neurosurgery craniotomy procedure. The cosmetic reasons would be to soften prominent brow ridges or to smooth out some forehead irregularities.

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The treatment of forehead irregularities can theoretically be done by either burring down bone or adding a synthetic material to it. In reality, burring down bone on the skull is a limited procedure and can never make as big a difference as one would think. The brow ridges can be burred down but the limiting factor is the underlying frontal sinus. If the overlying frontal sinus bone is thin, then very little bone can actually be taken. Above the brow ridges, burring down forehead bone is very effective for small raised areas that are easily identifiable but is less effective at reducing large surface areas of bone.

Filling in or adding to the forehead bone is a much easier and effective procedure. The real question in forehead augmentation is what material to use. Traditional PMMA (polymethylmethacrylate) has been around for a long time and has the advantages of a very low cost, high resistance to impact forces, and ease of intraoperative contouring. Its main disadvantage is that some patients over time can develop some low-grade reactions to it and it may get loose, become infected or the overlying forehead skin may thin, although these issues are fairly low risk. Newer 'more natural' materials such as hydroxyapatite cements (HA) have been available over the past 10 years. HA offers the advantage of being a more natural, less synthetic material as its structure more closely resembles that of bone. Its disadvantages are that it is considerably more expensive, has a low resistance to impact (easily shatters), and is a bit tricker for the plastic surgeon to use. The advantages and disadvantages for HA vs. PMMA must be considered and weighed on an individual case basis.

Regardless of the material used, synthetic forehead augmentation usually requires an open scalp incision which, because of its length, is a significant consideration in a cosmetic procedure. (particularly for men) Endoscopic or limited scalp incisions may be able to be used in small areas of augmentation in carefully selected cases.

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Plastic Surgery Techniques For Reshaping the Round Face

Plastic Surgeons - Plastic Surgery Techniques For Reshaping the Round Face

Welcome to the present blog of Plastic Surgeons.
The content is good quality and helpful content, WhIch is new is that you sImply never knew before that I do know is that I actually have discovered. Prior to the distInctIve. it's now on the brInk of enter a destination Plastic Surgery Techniques For Reshaping the Round Face. And the content associated with Plastic Surgeons.WARNING Please read this before.It's nice to bring this Plastic Surgeons to the public. If you wish me to share with your friends to read this great article.Some other articles may be duplicate to the web, I'm sorry :(

Do you know about - Plastic Surgery Techniques For Reshaping the Round Face

Plastic Surgeons! Again, for I know. Ready to share new things that are useful. You and your friends.

Not infrequently I get requests from patients for the desire to transform a round face into a more shapely appearance. One cause of a round face is that the patient is overweight. A full neck, round cheeks, and a lot of subcutaneous fat throughout the face creates a generalized fullness that creates a fat and round face. These patients know full well that they are overweight and some liposuction of the neck and buccal lipectomies may make some difference. But weight loss will probably make the most difference in these cases. And these procedures should not be performed until some weight loss has been achieved.

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We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Plastic Surgeons.

But the overweight patient is not what usually makes up the 'round face' patient. Most commonly these are younger patients that are not significantly overweight and are usually closer to being more height and weight porportionate. They may have some mild fullness in the cheeks and neck but often their bony prominences (cheeks, chin, or jaw angles) may be somewhat deficient. The approach to these patients must deal with both hard and soft tissues issues to be effective at improving the face's angularity and definition.

In addition to the fullness of the cheeks and neck, the next most important consideration in facial shape improvement should look at the chin. Often it may only be midly short in the horizontal dimension but the width of the chin is also important, particularly in the male patient. Chin implants today can provide more projection as well as width in many different sizes. Placed through a small incision under the chin bone, a chin implant can lend more definition and squareness to the lower face from subtle to dramatic results.

Upper facial fullness, more specifically midfacial fullness, can be achieved through cheek implants. Placed into position by incisions inside the mouth under the upper lip, cheek implants can provide good highlights through three-dimensional enhancement of the bone as it wraps around the area below the eye. An amazing aray of cheek and midface implants is available to provide a lot of enhancements around this important facial landmark. When paired cheek implants are combined with a chin implant, an upside down triangle of change is created that directly opposes a more round or oval facial shape.

Jaw angle implants are always a possibility but these are rarely needed in most really round faces. They can produce some lateral facial fullness but this is not usually helpful in 'de-rounding' the face in most patients.

The procedures of buccal lipectomies, neck and jowl liposuction, chin and cheel implants make up the usual plastic surgery tools for facial rehaping. Which one or a combination of procedures is most helpful for improving facial definition is best determined by careful computer imaging study during the consultation with your plastic surgeon.

I hope you get new knowledge about Plastic Surgeons. Where you possibly can put to use in your everyday life. And most significantly, your reaction is Plastic Surgeons. Read more.. Plastic Surgery Techniques For Reshaping the Round Face.

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Rating :4.5 out of 5 (1 reviews.) You can comment below suggests. Thank you for following us all along. We look forward to creating a good time. Blogger SEOon

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