Forehead Reduction: A Retrospective Study of 820 Consecutive Cases.

BACKGROUND

An excessively open forehead poses a significant aesthetic problem that can lead to a lack of self-confidence, social weakness, failures in private and business life, and unhappiness due to its impact on perceived ideal facial proportions. The surgical technique for forehead reduction is discussed in the literature from different perspectives, but a single clinical method that is based on a relatively large series covering the current approach, technical details, and results still seems to have potential scientific benefits.

METHODS

Between 08/2019 and 01/2025, 820 consecutive forehead reduction surgeries were performed with the same technique. Preoperative markings, site infiltration, incision and dissection details, tissue resection considerations, methods for fixing the advancement flap to the bone, and the subtleties of suturing are discussed. Complications were evaluated. The discomfort of the resulting scars and the patients' overall satisfaction with the process and outcome were surveyed.

RESULTS

The mean shortened length was 25,5 mm (10-50 mm). The maximum follow-up period was 71 months. Patients rated their satisfaction with the outcome of their procedure on a scale of 1 to 5, and the average satisfaction score was 3,98.

CONCLUSION

The technique discussed in detail in this study provides a reliable treatment option and improved aesthetic outcomes with few complications for individuals who want an effective and permanent solution to their high forehead.

LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .