Why is Forehead Reduction Surgery Integral to Facial Feminisation?Dr Sanchaita Kohli
Facial feminisation surgery refers to a collection of procedures that transform masculine facial characteristics into feminine features aesthetically and gracefully. Forehead reduction surgery is one of the prominent procedures in facial feminisation.
The desire to look feminine is a natural urge of every woman. Struggling with masculine facial traits impacts women both emotionally and psychologically and negatively affects their confidence and self-esteem.
Many women desire forehead reduction as it considerably feminises the face. This procedure lowers the natural hairline and desirably reshapes the forehead. Since masculine traits are often intense and more prominent, women with these appearances opt for forehead reduction surgery to look more feminine.
Why Women Opt for Forehead Reduction Surgery
Let us analyse certain prominent facial features which match a male facial system and challenges feminine elegance.
The anatomical structure of the male forehead or frontal bone is flat, which presents them with a broader and higher forehead than their female counterparts. Additionally, a longitudinal bony ridge slants across the sides of the forehead and beyond the eyes.
The male forehead is generally backwards leaning and offers a high and “receding” hairline, whereas the female forehead is smaller, with a lower hairline. Moreover, the female forehead is smooth – something forehead reduction surgery aims to replicate.
A male hairline begins typically six to eight centimetres beyond the glabella, whereas in females, the hairline begins around five to six centimetres. This difference can drastically change the overall facial appearance. If your forehead is taller or masculine, you may have to think about lowering your hairline. It may also recede backwards horizontally, revealing the forehead further.
Thus, many women may opt for a forehead reduction or scalp advancement in their facial feminization surgery (FFS).
Deep-Set Eyes and Low Eyebrows
The eyes and eyebrows are the most attractive features on the face, as they are the most expressive. Female eyes look a little larger than male eyes because their eyebrows are slightly higher and more arched. Male eyes have a more deep-set and narrower appearance, and the eyebrows are usually straighter and bushier than female eyes.
Male eyebrows have more or less square-shaped lower eyebrows, while feminine eyebrows are more arch-shaped. Additionally, male eyebrows are set deep on the orbital rim, while in women, eyebrows are placed superiorly or above the orbital bone. The lower eyebrow placement contributes to a seemingly more prominent forehead, creating the need for forehead reduction surgery, as well as a forehead lft.
While forehead reduction is primarily focused on lowering the hairline, many surgeons incorporate a host of other procedures for a more feminised look. The goal of FFS is to give women the coveted feminine face framework, and forehead reduction contributes to this.
However, such refined results are only possible if your surgeon uses state-of-the-art technology and the latest, safest techniques.
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Technology Implemented in Forehead Reduction Surgery
With the most modern technology, forehead reduction surgery and facial feminisation are reliable procedures with predictable outcomes. The primary technologies utilised in these procedures are as follows.
Crisalix 3D – a three-dimensional imaging and visualisation software is implemented before the procedure. It aids both the patient and surgeon in planning and assessing the postoperative results. Therefore, both the patient and surgeon feel secure in knowing the outcome and how to get it.
Advanced resorbable fixation devices fix the advanced scalp to the underlying bone to make the results long-lasting and reduce the chances of scar spreading.
Once the surgeon and patient understand how much reduction would create the most desirable results, they discuss other procedures that could complement your FFS results. Additional procedures like brow bone contouring are done today through high-quality, ultrasonic bone surgery.
While this is not required for forehead reduction, your surgeon having the ultrasonic device, Piezotome, showcases their dedication to patient care and improved precision and safety.
The Forehead Reduction Surgery Procedure
Initially, the surgeon traces the incision alongside the hairline, securing the hair follicles. Another incision is additionally marked on the forehead skin to delineate the proposed, new, lower hairline. This marking is determined during the pre-operative planning stage after a discussion between you and your surgeon.
Then you are administered general anaesthesia before your surgeon proceeds with the incision. The incision is concealed in the hairline, ensuring there is no conspicuous scarring.
The soft tissues of the scalp behind the incision are then surgically freed from the underlying skull bone and stretched forward and downward over the forehead. The proposed section of forehead skin between the two incision markings is then carefully cut out, and the advanced scalp tissue is secured to the bone using various stabilising devices. The incision is then sutured, resulting in an automatic lowering of the hairline.
Other forehead feminising procedures may also be performed simultaneously during the same operation through the same incision used for forehead reduction surgery, for a better overall look.
These procedures belong to the larger pantheon of facial feminization surgery that affects the face’s top third. They include:
- Frontal and Orbital Recontouring: The Piezotome precisely trims the excess bone, smoothing out the forehead bone for a more feminine structure. It manages this without affecting any nearby structures.
- Brow Lift: Repositioning the muscles and soft tissues under the eyebrows, raising the eyebrows and forehead to an elevated position. It gives a feminised sparkle by creating higher set, arched, feminine eyebrows.
- Hair Transplantation: For a lower, fuller hairline and a realistic look. FUE, FUT, and DHT (Advanced FUE) are a few hair transplant methods.
Surgery is completed with the suturing of the wound. If you have any additional procedures, you may also need titanium fixation plates or mesh for better results; however, this is not necessary for forehead reduction alone.
Recovery and Results after Forehead Reduction Surgery
Forehead reduction is a daycare procedure. That is, a hospital stay is not required unless you go for other procedures. You may encounter certain postoperative changes which regress during the healing process. Some staples of the recovery period include:
- Mild swelling over the forehead for a few days
- Slight numbness over the scalp and forehead for a few weeks
- Possible temporary nasal congestion for 3-5 days
An experienced surgeon who can ensure safety and consider your requirements is vital for the success of the surgery. When you undergo a sophisticated surgery, you get the assurance of specific certainties that a less qualified surgeon cannot guarantee.
Therefore, choosing a renowned maxillofacial surgeon in Delhi like Dr Sanchaita Kohli is essential. A leading expert in facial feminization surgery, Dr Kohli uses the highly developed infrastructure at RG Aesthetics to impart femininity through absolutely safe, secured, and precise procedures.
Dr. Sanchaita Kohli
Oral and Maxillofacial Surgeon
Dr. Sanchaita Kohli is an Oral and Maxillofacial Surgeon with over 13 years of training and work experience at the country’s leading dental institute, Maulana Azad Institute of Dental Sciences, enabling her to plan and manage an extremely wide variety of craniofacial deformities, jaw diseases and facial trauma.