Forehead contouring & endoscopic brow lift.

In adult biological males, the frontal bone over the eyebrows is not solid all the way through; it houses the frontal sinus, a hollow air-filled cavity. The anterior wall of this sinus is typically only 2 to 3 millimeters thick. Attempting to shave down significant brow bossing with a drill almost always breaks through the bone into the hollow sinus chamber, causing an open hole (sinus breach) or dangerous weakness. Type III setback is the only medically sound technique: it carefully removes the anterior bone plate, sculpts the surrounding margins, and resets the plate posteriorly, achieving up to 10+ mm of safe, natural flattening without sinus compromise.

We select between two precision incisional strategies depending on your hairline and aesthetic goals. If you already have a low, feminine hairline, a coronal incision is hidden well behind the hairline inside the hair-bearing scalp, making it completely invisible from the front. If you have a high, masculine hairline or receded temporal corners, a pre-trichial incision is placed right at the frontal hair border. We perform a specialized trichophytic bevel cut so hair follicles grow directly through the healing scar line, camouflaging it into undetectable natural hair growth.

Temporary numbness or altered sensation across the forehead and top of the head is completely normal following subperiosteal elevation. The supraorbital and supratrochlear sensory nerves are meticulously identified and microsurgically preserved under magnification throughout the procedure. While they experience temporary neuroapraxia (stretching) resulting in numbness for the first several weeks, sensation progressively returns over 3 to 9 months, often heralded by tingling or itching sensations as nerve pathways fully regenerate.

Yes, and it is frequently recommended. The forehead, brow ridge, and nasal radix (bridge of the nose) form a continuous aesthetic line termed the nasofrontal angle. When performed concurrently, our surgeons harmonize the transition where the lower forehead meets the top of the nose, preventing an abrupt or unnatural junction. Forehead contouring is also routinely paired with hairline lowering, temporal fat grafting, and tracheal shave during a single comprehensive anesthesia session in Bangkok.

Patients spend 1 to 2 nights in a private suite at our JCI-accredited partner hospital in Bangkok, where cold therapy masks and IV anti-inflammatory regimens keep swelling and periorbital bruising to a minimum. You will then transition to our partner luxury recovery hotel for 8 to 10 days of personalized nursing visits, daily gentle hair washes, and wound checks. Staples and sutures are removed on day 8 to 10, after which you receive full clinical fit-to-fly clearance to return home safely.