Forehead Brow Bossing

[maybeventually]

Any doctor can order an x-ray, but not sure what exact kind you would need. I am of the opinion that, unless you already have a very feminine forehead, burring alone is rarely enough to give you the result needed. I have seen people with quite prominent brow bossing who had a large sinus and were told that bone shaving would be just as good as having a reconstruction. It was not. They still had prominent central bossing, and the attempts made by the surgeon to hide this (by using bone paste or by yanking the eyebrows up to a very abnormal position) were not successful in my opinion. Several people I have talked to had holes punched into their sinus by aggressive burring without reconstruction, and one lady on here actually had her whole forehead collapse years later after the bone was shaved paper thin by a doctor who only does burring. I myself had serious complications after having surgery by a doctor who tried to cut corners, and I ended up needing a lot of reconstructive work. Choose wisely, and at the very least I do think an x-ray can be helpful to determine bone thickness and make the decision easier.

Wow, I have searched relentlessly on FFS and the difference between type i and iii. I have not come across any situations where type i was done and the done was left too thin that led to collapse. Where is this? I notice doctors and patients tend to bash the procedure that they do not perform/have done. I have also seen many, many before and afters where type i did a fine job for women with a pronounced brow, especially on Dr Mayers website.

Also which procedure did you have done that came with complications?

Thanks!

[anjaq]

I think its a bit of a misconception that type 1 means to burr down the bone in front of the sinus and risk a hole. This is not a type 1 forehead then. A type 1 forehead has no sinus cavity and thus can be burred down. What these surgeons do is to apply the technique for a type 1 forehead to a type B3 forehead that has a sinus cavity - which is basically not worth it and risky. Better leave the forehead alone then and just do the orbitals

[maybeventually]

How much did it cost to have those x-rays made?

[anjaq]

I think this is highly variable. The best is to have a 3D CT scan done. This probably will cost about $200-400? Facialteam does one for free at the consultations, but I guess you can also make one elsewhere and have the advantage to show it to all the surgeons you like. A good FFS surgeon should always ask for one or do one at the clinic anyways to plan the surgery, otherwise he is sort of starting the surgery without a plan on what is going to be in there - this is important for sinus cavity as well as position of some nerves of the eyes and lip/chin/jaw

[DanielleBasel]

I think this is highly variable. The best is to have a 3D CT scan done. This probably will cost about $200-400? Facialteam does one for free at the consultations, but I guess you can also make one elsewhere and have the advantage to show it to all the surgeons you like. A good FFS surgeon should always ask for one or do one at the clinic anyways to plan the surgery, otherwise he is sort of starting the surgery without a plan on what is going to be in there - this is important for sinus cavity as well as position of some nerves of the eyes and lip/chin/jaw

Im not a radiologist, but I think for nerves a CT will no being sufficient... That's why my surgeon for example anted a Orthopantogram which is much more precise that a CT scan.