FFS - Forehead Feminization

orbital bony contouring

(forehead contouring)

One of the most distinct differences between a male and female forehead is a more prominent brow bone in males.

To properly address this noticeable difference, Dr. Mayer performs Orbital Bony Contouring (or Supraorbital Bone Reduction and Contouring). This procedure provides a very dramatic feminizing result, along with the Forehead Lift and Hairline Lowering procedures, pioneered by Dr. Mayer more than 25 years ago. The appearance of the upper third of the face is truly transformed.

Since a masculine forehead has a heavier brow ridge, softening this creates a lighter, more feminine appearance.

Using the technique that Dr. Mayer developed, the hair is forced to grow through and in front of the incision, which will ultimately conceal it.

forehead lift

(BROWLIFT)

Since men tend to have larger foreheads than women, many of our patients desire a lower hairline to decrease the size of the forehead, making it more feminine. Your brows will also be lifted in this procedure, as a Forehead Lift (or Browlift) is often performed on transgender female patients to raise the brows to a more feminine position, while decreasing the forehead. The Forehead Lift is often combined with Orbital Bony Contouring, or a reshaping of the bone underneath the eyebrows, to open and soften the area around the eyes.

Through the unique Hairline Lowering and Forehead Lift procedures developed by Dr. Mayer, these can be performed simultaneously, allowing us to resolve these related problems all at once. The hair is forced to grow through and in front of the incision, naturally concealing the hairline, with no trace of scarring.

Please note that some patients have more extensive male-pattern baldness that may require other hair replacement procedures to correct. These procedures can often be done in conjunction with a Forehead Lift.

hairline lowering
(forehead reduction)

The Hairline Lowering procedure is the “brain child” of Dr. Toby Mayer, created more than 30 years ago, as described in his medical textbook, Aesthetic and Reconstructive Surgery of the Scalp. At the same time, he developed an innovative technique that allows the hair to grow through and in front of the incision, preventing a visible scar. This technique, called the “Irregular Trichophytic Incision,” has been performed by Dr. Mayer on numerous actors, actresses, social media influencers, pageant queens, and models all over the world.

TISSUE EXPANSION

When the scalp is very tight, tissue expansion gives Dr. Mayer the opportunity to advance the hairline without tension at the incision site. In these instances where there is not enough elasticity in the scalp, a tissue expander can be placed under the hair-bearing portion of the scalp.

Some doctors who do not perform tissue expansion make more extensive scalp incisions which limits the choice of hairstyles.

The expander is slowly filled with saline, and over time, will stretch the scalp to provide the needed advancement to lower the hairline. After several weeks, the tissue expander is removed and the hairline is advanced to its correct position, utilizing Dr. Mayer's camouflage incision technique at the hairline.