Reshaping Your Forehead With Plastic Surgery
Reshaping the brow is an uncommon affected person request. Whereas the plastic surgery strategies to take action are well known and not new, the necessity to do brow contouring is not. Mostly, brow reshaping is finished on patients who had a congenital cranium deformity (e.g., craniosynostosis) or a frontal skull deformity secondary to trauma or after a neurosurgery craniotomy procedure. The beauty causes could be to melt prominent forehead ridges or to smooth out some brow irregularities.
The treatment of forehead irregularities can theoretically be executed by either burring down bone or adding a synthetic materials to it. In actuality, burring down bone on the skull is a limited procedure and can never make as massive a difference as one would think. The brow ridges can be burred down however the limiting issue is the underlying frontal sinus. If the overlying frontal sinus bone is thin, then very little bone can truly be taken. Above the brow ridges, burring down brow bone may be very efficient for small raised areas that are easily identifiable but is less efficient at decreasing giant floor areas of bone.
Filling in or adding to the brow bone is a much easier and efficient procedure. The actual query in forehead augmentation is what materials to use. Conventional PMMA (polymethylmethacrylate) has been round for a very long time and has the advantages of a very low value, high resistance to impression forces, and ease of intraoperative contouring. Its main drawback is that some sufferers over time can develop some low-grade reactions to it and it might get free, change into infected or the overlying forehead pores and skin may skinny, although these points are fairly low risk. Newer 'extra pure' materials akin to hydroxyapatite cements (HA) have been obtainable over the past 10 years. HA offers the advantage of being a more natural, less artificial material as its construction more carefully resembles that of bone. Its disadvantages are that it's considerably more expensive, has a low resistance to influence (simply shatters), and is a bit tricker for the plastic surgeon to use. The benefits and drawbacks for HA vs. PMMA have to be considered and weighed on a person case basis.
Regardless of the materials used, synthetic brow augmentation usually requires an open scalp incision which, because of its size, is a big consideration in a cosmetic procedure. (significantly for men) Endoscopic or restricted scalp incisions may be able to be used in small areas of augmentation in fastidiously chosen cases.