Considerations in Forehead Reduction for Men.

Area of Science:

• Plastic and reconstructive surgery
• Aesthetic surgery
• Head and neck surgery

Background:

• Frontal prominence is a benign condition causing aesthetic distress.
• Surgical forehead recontouring can significantly alter appearance.
• Various techniques exist for forehead correction.

Purpose of the Study:

• To present a surgical algorithm for forehead reduction in male patients.
• To soften a "forceful" facial appearance through surgical intervention.

Main Methods:

• Observational cross-sectional study (2019-2022) involving 35 male patients.
• Procedures included anterior table osteotomy (27 cases) and anterior table osteotomy contouring (8 cases).
• Forehead reduction averaged 2.7 mm; follow-up was 6 months.

Main Results:

• Forehead reduction surgery is safe for aesthetic purposes in selected male patients.
• Technique selection depends on frontal sinus pneumatization.
• Anterior table osteotomy is preferred for pneumatized sinuses; contouring for non-pneumatized.

Conclusions:

• Forehead reduction surgery offers a safe and effective aesthetic solution for male patients.
• The surgical algorithm effectively addresses frontal prominence.
• Tailoring the technique to frontal sinus anatomy ensures optimal outcomes.