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lovelylia
2 Oct 2023

Doctors' Response

Can Orbital Bone Contouring, specifically Brow Bone Reduction, assist me in achieving the desired eye shape?

I naturally have low brows, which result in hooding over my eyes, and I'm looking to eliminate this feature. I'm a 24-year-old cis-male, and while some people appreciate the hooded appearance, it's not something I desire. The brow and eye shape I find attractive involve having very straight brows and a fully visible upper eyelid across the entire eye. After consulting with various surgeons, a leading FFS (Facial Feminization Surgery) specialist in London recommended Brow Bone Reduction as the solution. Other surgeons have mentioned that a blepharoplasty would not achieve the desired outcome. I'd appreciate your thoughts on this, and I'm happy to provide further clarification if needed.

Replies1
Samuel Mattine
Dr. Samuel Mattine
Aesthetic Plastic Surgeon
5 Oct 2023

Thank you for the photos which are very helpful. Yo are absolutely right that you have hooding/ptosis of the lateral brows. This is however complicated with the presence of an underling bony deformity, the frontal bone bossing. In my opinion, blepharoplasty alone will be completely the wrong treatment for you. On the other hand you will get a a reasonable result a with a brow lift. There are different types of brow lift and the limited lateral approach is likely to give you the best outcome. Having said that, if you do wish to get the best results, it will certainly require a combination of the frontoplasty to address the bony deformity in combination with a lateral brow lift. Stay away from a blepharoplasty alone as you are likely to be left dissatisfied with the outcome.

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