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Peri-Eyebrow Incision: A Practical and Aesthetic Solution for Forehead Lipoma Surgery.

Dong Wan Kim1, Ho Jun Lee1, Seung Hyun Kim1

  • 1Department of Plastic and Reconstructive Surgery, Chonnam National University Hospital, Chonnam National University Medical School, 42 Jebong-ro, Dong-gu, Gwangju 61469, Republic of Korea.

Journal of Clinical Medicine
|December 11, 2025
PubMed
Summary

The peri-eyebrow incision offers a safe and cosmetically effective alternative for forehead lipoma removal, providing concealed scars comparable to hairline approaches, especially when other methods are unsuitable.

Keywords:
eyebrowforeheadlipomaplastic surgery proceduressurgical procedures

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Area of Science:

  • Plastic Surgery
  • Dermatologic Surgery
  • Surgical Oncology

Background:

  • Forehead lipomas present cosmetic concerns, with conventional surgical approaches leaving noticeable scars or being unsuitable for certain patient groups.
  • Direct transcutaneous incisions offer easy access but result in visible scarring.
  • Hairline incisions conceal scars but are not ideal for patients with baldness, high hairlines, or lower forehead lipomas.

Purpose of the Study:

  • To evaluate the efficacy and cosmetic outcomes of a peri-eyebrow incision approach for forehead lipoma excision.
  • To compare the peri-eyebrow method with conventional direct and hairline incision techniques.
  • To identify predictors for selecting the peri-eyebrow incision, particularly the vertical ratio of lipoma location.

Main Methods:

  • Retrospective review of 176 patients undergoing forehead mass excision, with 97 biopsy-proven lipomas analyzed.
  • Classification of lipomas based on location (peri-eyebrow, hairline, direct) and measurement of vertical ratio.
  • Logistic regression and Receiver Operating Characteristic (ROC) analysis to determine predictors of peri-eyebrow incision use.
  • Scar quality assessment using the Patient and Observer Scar Assessment Scales.

Main Results:

  • The peri-eyebrow incision was exclusively used for midline or median lipomas with the highest vertical ratio (0.70 ± 0.10).
  • Vertical ratio independently predicted peri-eyebrow incision selection (adjusted OR 3.32 per 0.1-unit increase, p < 0.001), with an optimal cut-off of 0.615 (AUC 0.872).
  • Peri-eyebrow and hairline incisions yielded significantly superior scar quality scores compared to direct incisions (p < 0.001).

Conclusions:

  • The peri-eyebrow incision is a safe and cosmetically advantageous alternative for forehead lipoma removal.
  • This approach effectively conceals scars and provides outcomes comparable to hairline incisions.
  • It is particularly useful when hairline incisions are contraindicated due to patient factors or lipoma location.