Slanted forehead


  • Identifying the sex of a skull
  • Facial Feminization Surgery (FFS) in Austin, TX
  • Forehead and Brow Lift in Utah
  • How To Fix a Sloped Forehead
  • Brow Lift (Forehead Lift) - Case 4
  • What causes a sloped forehead?
  • Identifying the sex of a skull

    Not every patient wants or needs all of these procedures, but many patients undergo more than one. Many of the procedures are naturally easy to perform together and have a synergist effect on a larger region of the face in comparison to independent features.

    During a consultation, Dr. Goals for facial feminization are very patient-specific, so hearing what is important to the patient is extremely important and a major focus of all consultations. An area of almost universal interest in the trans women seeking FFS is the forehead, specifically the forehead ridge.

    Eyebrow shape and position are also important features to address. Many trans women also see a change in the inter-related trio of the length of the forehead, the shape of the hairline, and the position of the hairline. The forehead or brow ridge will be addressed first. The Type 3 Cranioplasty — A Critical Appraisal A Type 3 cranioplasty is a forehead contouring procedure that has been popularized by some surgeons. It is by no means the only way to address the brow ridge, and not all patients need that technique.

    Often, male foreheads have a brow ridge in the bottom part and a depression or slope backward in the mid and upper part. A Type 3 cranioplasty only brings the ridge back to the lowest part of the forehead, which may be a non-feminine depression. The Type 3 technique does not address the fact that, while female foreheads should be smooth i.

    His goal was to develop an approach to FFS for the forehead that was less invasive and more comprehensive.

    ASFC is less invasive because it does not require cutting into the frontal sinus, and it is more comprehensive because it addresses both elements of the male forehead that need to be modified in the transformation to a female forehead. The brow ridge needs to be lowered, and the depression above it needs to be filled. In the ASFC technique, fat grafting is used to fill the depression Addition , and a burr is used to flatten the ridge Subtraction.

    The balance of adding and subtracting volume and contour with precision yields a more naturally feminine forehead that is rounded instead of flat and sloped, as can sometimes occur with the Type 3 approach.

    Another benefit is that Addition Subtraction Forehead Contouring ASFC can be performed endoscopically; thus, a coronal or pretrichial incision is not required. A coronal incision is one across the top of the head. A pretrichial incision is one just at the frontal hairline. This is the incision that is needed for hairline advancement forehead shortening. But not every patient wants or needs a hairline advancement, so not all patients desiring a femininely contoured forehead need a pretrichial incision.

    A guarded endo burr is used under direct endoscopic visualization to reduce the ridge in the lower part of the forehead. The burring of the bone can be combined with an open pretrichial incision when hairline advancement is planned or in patients who want the lateral orbital bone reduced.

    That cannot be done endoscopically. Prior to doing that, fat is injected under the skin in the depression or dip that exists in most masculine foreheads just above the ridge. Fat is removed from parts of the body where there is excess. The abdomen and waist are often good donor sites because fat removal there can narrow the waist, which adds to a more feminine body shape. Often, women seeking FFS benefit from fat grafting to the temples. Adding fat there creates a more youthful appearance, and it reduces the apparent projection of the lateral orbital bones.

    Smoothing this area further projects femininity. FFS often involves fat grafting to the lower part of the face. That will be discussed elsewhere. The ASFC technique can be used to enhance forehead that were not fully contoured by prior Type 3 cranioplasties. Also, there are some patients who for personal reasons desire the Type 3 Cranioplasty. Weinfeld does offer the Type 3 cranioplasty for those that need it or want it. A CT scan computed tomography is ordered of the facial bones. Three dimensional digital images are generated and used to plan the procedure and determine how much the frontal bone is set back.

    Burring bone removal techniques and fat grafting, as used in the ASFC, are used to smooth and contour areas that are traditionally left untreated with the Type 3 cranioplasty. A Type 3 cranioplasty can be performed via a hairline or coronal incision. Hairline Advancement Hairline advancement has been brought up in the discussion of forehead contouring. There are a few additional concepts worth addressing.

    A long forehead resulting from a hairline that is located farther up and back on the head is a masculine trait. This is also true of lateral side receding hairlines. Many females have shorter foreheads and do not have receding lateral areas and, thus, have rounder hairlines without sharp side angulations. Hairline advancement treats the long forehead but relocates where the forehead ends and the scalp hair starts farther forward and down.

    To do this, an incision is made at that line and the undersurface of the scalp with relaxing incisions to allow the hair-bearing tissue to stretch out forward and downward. The excess forehead skin that the scalp tissue overlaps is removed, thus shortening the forehead. The hairline is secured in a variety of ways to the underlying skull so that it is anchored in place while the tissue heals.

    If a brow lift is desired, the forehead skin is repositioned upward at the same time as the hairline advancement to lift the brows. Patients should be aware that hairline advancement surgery involves an incision and thus a scar at the hairline pretrichial and creates numbness in the front part of the scalp.

    These occurrences are well tolerated by patients given the results are so transformational. Brow Lift Lifting and shaping the brow is possible without a pretrichial incision and without a coronal incision and, thus, does have to be combined with a hairline advancement.

    As discussed elsewhere, brow shape and location can be controlled with an endoscopic approach. Numbness is less likely with this approach. Eyelid Surgery Some trans women also benefit from blepharoplasty eyelid surgery. Blepharoplasty is a procedure to adjust the amount of skin and fat in the eyelids.

    Excess skin in the upper and lower eyelids can create a tired and sometimes masculine appearance. Excess or poorly positioned fat in the upper and lower eyelids can do the same.

    Addressing skin and fat can control the overall appearance of the lids and the eyes, which are an important feature that signifies different positions along a gender spectrum.

    Lower Face Dr. Weinfeld has observed and strongly believes that relative facial volumes are an important factor in creating a gendered facial appearance.

    Feminine faces have more volume in the upper face relative to the lower face, and, in comparison, masculine faces have more volume in the lower face relative to the upper face.

    Regarding the upper face, forehead ridge treatment represents a small reduction in volume, but this is balanced with the feminizing effect of fat grafting to the forehead and temples, which adds volume.

    These techniques in the upper face work synergistically with lower face volume reduction to create a whole facial volume ratio that is feminine. The three main lower face volume reduction procedures are: Jaw and chin contouring.

    Facial Feminization Surgery (FFS) in Austin, TX

    Contact Forehead and Brow Lift in Utah Does the outer portion of your eyebrow droop causing others to think that you are sad when you are not? Do others misunderstand you to be angry, tired, or concerned when you are not because your eyebrows droop? Are you developing furrows in your forehead from constantly making an effort to hold up your eyebrows? Key elements of the upper portion of the face are the eyebrows and forehead. The brows are central in conveying human emotion.

    Downward slanted eyebrows convey grumpiness, sadness or anger while droopy eyebrows convey an aged or tired look. Properly done, surgery can result in your facial appearances becoming more consistent with your internal emotional state and this can result in others responding to your facial appearances in a more positive way.

    Endoscopic forehead and brow lifts in Sandy are performed utilizing an innovative surgical device via a small incision hidden behind the hairline. The Endoscopic forehead lift is a face lift of the upper portion of the face that elevates and shapes the eyebrows while removing droopiness and wrinkles from the forehead.

    It is an excellent choice for men and women alike. McCann also performs pretrichial brow lifts which are an excellent choice for women with a strong hairline who desire a shorter forehead with a strong reduction in mid-forehead wrinkles. The Internal brow lift is a common approach and is performed in conjunction with upper blepharoplasty.

    Internal brow lift is accomplished via the same incision used to rejuvenate the upper eyelids, and it is effective in raising the eyebrows and removing the furrows between the brows. It is an appropriate procedure for men and women with a small degree of droopiness of the brows. McCann is a very experienced expert having performed several thousand eyebrow and forehead lifts throughout his career.

    It is one of his favorite procedures as it leads to a very high level of patient satisfaction. With Dr. Call us today or click the request consultation button.

    Forehead and Brow Lift in Utah

    But not every patient wants or needs a hairline advancement, so not all patients desiring a femininely contoured forehead need a pretrichial incision. A guarded endo burr is used under direct endoscopic visualization to reduce the ridge in the lower part of the forehead. The burring of the bone can be combined with an open pretrichial incision when hairline advancement is planned or in patients who want the lateral orbital bone reduced.

    That cannot be done endoscopically. Prior to doing that, fat is injected under the skin in the depression or dip that exists in most masculine foreheads just above the ridge.

    Fat is removed from parts of the body where there is excess. The abdomen and waist are often good donor sites because fat removal there can narrow the waist, which adds to a more feminine body shape. Often, women seeking FFS benefit from fat grafting to the temples. Adding fat there creates a more youthful appearance, and it reduces the apparent projection of the lateral orbital bones.

    Smoothing this area further projects femininity.

    How To Fix a Sloped Forehead

    FFS often involves fat grafting to the lower part of the face. That will be discussed elsewhere. The ASFC technique can be used to enhance forehead that were not fully contoured by prior Type 3 cranioplasties.

    Also, there are some patients who for personal reasons desire the Type 3 Cranioplasty. Weinfeld does offer the Type 3 cranioplasty for those that need it or want it. A CT scan computed tomography is ordered of the facial bones. Three dimensional digital images are generated and used to plan the procedure and determine how much the frontal bone is set back. Burring bone removal techniques and fat grafting, as used in the ASFC, are used to smooth and contour areas that are traditionally left untreated with the Type 3 cranioplasty.

    A Type 3 cranioplasty can be performed via a hairline or coronal incision. Hairline Advancement Hairline advancement has been brought up in the discussion of forehead contouring.

    There are a few additional concepts worth addressing. A long forehead resulting from a hairline that is located farther up and back on the head is a masculine trait.

    This is also true of lateral side receding hairlines. Many females have shorter foreheads and do not have receding lateral areas and, thus, have rounder hairlines without sharp side angulations.

    Brow Lift (Forehead Lift) - Case 4

    Hairline advancement treats the long forehead but relocates where the forehead ends and the scalp hair starts farther forward and down. To do this, an incision is made at that line and the undersurface of the scalp with relaxing incisions to allow the hair-bearing tissue to stretch out forward and downward. The excess forehead skin that the scalp tissue overlaps is removed, thus shortening the forehead.

    The hairline is secured in a variety of ways to the underlying skull so that it is anchored in place while the tissue heals. If a brow lift is desired, the forehead skin is repositioned upward at the same time as the hairline advancement to lift the brows. Patients should be aware that hairline advancement surgery involves an incision and thus a scar at the hairline pretrichial and creates numbness in the front part of the scalp.

    These occurrences are well tolerated by patients given the results are so transformational. Brow Lift Lifting and shaping the brow is possible without a pretrichial incision and without a coronal incision and, thus, does have to be combined with a hairline advancement.

    As discussed elsewhere, brow shape and location can be controlled with an endoscopic approach. During your initial consultation, he will take the time to get to know you and your specific surgery goals. This is essential for the doctor to fully understand your motivations for undergoing the surgery and what outcome you would like to achieve. Sedgh also offers video consultations for international or out-of-town patients.

    Should you proceed with the surgery, his highly trained team will help arrange the logistics for your visit.

    What causes a sloped forehead?

    This includes transportation and accommodation arrangements, aftercare assistance, and even a concierge service for leisure and other needs. This region of the body has a very complex anatomy and requires extensive training to perform the correct surgical augmentations and produce the desired results.

    Slope of the Forehead Due to the brow ridge, a masculine forehead appears steeper and has a sharper angle between the nose and the forehead in a lateral view.

    Everyone has their own specific goals for undergoing forehead contouring, which is why the procedure usually varies between patients. But generally, it involves reshaping the hairline, forehead bones, brow ridge, and the bones around the eye sockets to promote a more feminine appearance.

    The procedure typically begins with a precise incision at the hairline or just behind it to access the bone structure underneath. Sedgh will then reconstruct and reshape the brow bone and other structural components of the brow and forehead until the desired result is achieved.


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