Forehead Plastic Surgery

 660. <Forehead Plastic Surgery>

Forehead plastic surgery is a procedure aimed at improving the shape, volume, and proportions of the forehead to enhance the harmony of the overall face and correct the upper facial region. When wrinkles appear on the forehead, Botox can be injected to block the neurotransmitter acetylcholine, preventing it from transmitting signals from the frontal nerves to the muscles. As a result, muscle contraction is inhibited, and wrinkles caused by muscle contraction do not form—effectively treating the wrinkles.

However, if wrinkle grooves have already formed due to frequent use of forehead muscles, Botox alone cannot resolve them. In these cases, filler injections are used to artificially fill the grooves caused by the repeated folding of the skin, smoothing out the dermis and resolving the wrinkle depressions. Thus, fillers address current wrinkles, while Botox helps prevent future wrinkles.

When the wrinkles are too deep to be corrected even with fillers, fat grafting can be used to support the area from beneath. Since fat grafting can also adjust the thickness of the skin, it can improve the overall shape of the forehead—making it suitable for sunken foreheads, depressed areas from past fractures, or asymmetric foreheads caused by scaphocephaly.

If the forehead is too wide or long, the forehead line can be reduced through hair transplantation. However, because the transplanted hair is typically less dense than natural hair, a sparse appearance may be bothersome. In such cases, forehead reduction surgery can be performed by making a zigzag incision along the hairline, dissecting the scalp from the skull bone, and advancing the scalp forward to reduce the visible forehead length. This procedure results in denser-looking hair, as baby hairs are trimmed, and the scar can be hidden behind the hairline if the incision is made diagonally. However, if concerns about scarring or scalp sensory changes are greater, hairline shaping through transplantation may be a better option.

If the forehead is narrow, fat grafting can be used to make it appear wider. In cases of brow ptosis, an incision can be made within the hair to perform a forehead lift, thus widening the narrow forehead and lifting the brows simultaneously. If the brows are drooping and the forehead is also long, an incision can be made along the hairline to perform a forehead lift while excising a portion of the forehead skin, thereby shortening the forehead and improving facial proportions.

If the entire brow has drooped, a forehead lift can address the issue, but if only the outer brow or tail of the brow is drooping, a temporal lift through an incision along the temporal hairline can effectively lift the outer corner of the eyes.

If the side of the head is too wide due to hypertrophic temporal muscles, Botox can temporarily reduce the size of the muscles. For more permanent results, temporal fascia decompression surgery can reduce the pressure in the muscle and gradually decrease its size. When the temporal bone is thick, temporal bone shaving can be considered. However, if CT imaging shows a thin temporal muscle and thin temporal bone, the issue may be due to a large brain size, in which case surgery or procedures may not be feasible, and a CT scan is essential for judgment.

If the forehead is overly protruding, the forehead bone can be exposed via a hairline incision and shaved down. If the brow bones are overly prominent, they can be shaved or pushed inward to correct their shape. When the forehead is too flat, it can be corrected with fat grafting, and when the brows appear flat, they can be augmented with costal cartilage filler.

In this way, the three-dimensional structure of the forehead, both front-to-back and side-to-side or top-to-bottom, can be treated with a customized plan depending on the individual case. However, the forehead bone is a result of ancestral thinking, and the forehead itself is the window of one’s thoughts, being the vessel that connects ancestral insight with personal thought (refer to 552mm). Thus, one should carefully consider whether to undergo forehead plastic surgery.

[Forehead plastic surgery is a procedure that alters the shape of the vessel that connects the thoughts of my ancestors with my own thinking.]
–660mm Growing Pine Tree–