Brow Bone Reduction Surgery in Bangalore | Dr. Rajendra Gujjalanavar
What Is Brow Bone Reduction Surgery?
Facial Feminization Surgery (FFS) is a specialised set of surgical procedures designed to reshape and soften masculine facial features into a more feminine appearance. FFS is sought by transgender women, non-binary individuals, and cisgender women who wish to enhance the softness and harmony of their facial structure.
Who Is a Candidate for Brow Bone Reduction?
- Individuals with naturally protruding or heavy brow ridges
- Transgender women seeking upper-face feminisation (FFS)
- Patients with frontal bossing (excessive brow bone protrusion)
- Those who feel their brow ridge creates a harsh, heavy facial appearance
- Patients seeking a smoother, more refined forehead contour
Brow Bone Anatomy: Why Is It Complex?
The brow bone overlies a hollow air-filled space called the frontal sinus. This anatomical feature determines the surgical approach. Dr. Rajendra assesses the thickness of the anterior sinus wall via CT imaging to determine whether simple burring or a more advanced osteotomy-setback technique is required.
Surgical Techniques for Brow Bone Reduction
Technique 1 — Burring (Shaving)
For patients with thick brow bone walls (no hollow sinus underneath), the outer bone is shaved using a surgical burr. This is the simpler approach with a faster recovery.
Technique 2 — Osteotomy & Setback
For patients with a hollow frontal sinus beneath the brow bone, the anterior sinus wall is carefully removed as a single piece, reshaped (flattened, smoothed), and then repositioned and fixed with micro titanium plates. This achieves significantly greater brow reduction.
Access Incision
Surgery is performed through a coronal (scalp) incision hidden within the hairline, OR through a pre-existing hairline incision if combined with hairline forehead reduction.
What Results Can I Expect?
Brow bone reduction produces a noticeably flatter, smoother forehead-to-brow transition. The eyes appear less deep-set and more open. The overall facial expression becomes softer and less severe. When combined with hairline forehead reduction or forehead implant, patients achieve a completely rejuvenated and balanced upper-face profile.
Benefits of Brow Bone Reduction at De Aesthetikos
Significantly softens heavy, protruding brow ridges permanently
Creates a smoother, more feminine or aesthetically balanced forehead
Eyes appear more open and less deep-set
Incision hidden within the hairline — no visible forehead scars
Can be combined with hairline lowering, forehead implant, or FFS
Expert craniofacial surgical skill — Dr. Rajendra's core speciality
Recovery After Brow Bone Reduction
Week 1–2: Swelling around forehead and eye area; cold compresses and head elevation recommended. Sutures removed at 7–10 days. Week 3–4: Swelling reduces substantially; return to light work. Month 2–3: Forehead contour clearly visible; scar fades within hairline. Month 4–6: Final smooth, flat brow-bone contour fully apparent.
Frequently Asked Questions
Brow bone reduction (frontal bossing reduction) is a surgical procedure that reduces the prominent bony ridges above the eye sockets (supraorbital ridges), creating a smoother, flatter forehead transition and a softer facial appearance.
Yes. Whether performed by burring (shaving) or osteotomy setback, brow bone reduction delivers permanent structural changes to the bone.
Brow bone shaving (burring) is suitable for patients with thick bone walls and no hollow sinus underneath. Osteotomy setback is required when a hollow frontal sinus is present — the sinus wall is removed, reshaped, and re-fixed for greater reduction.
No. The incision is placed within the hairline (coronal or hairline incision), so no scar is visible on the forehead or brow area.
The procedure takes approximately 2 to 3 hours under general anaesthesia, depending on the technique used.
Significant swelling resolves within 3–4 weeks. Most patients return to work in 2–3 weeks. Final results are visible at 4–6 months.
Yes. It is commonly combined with hairline forehead reduction, forehead implant, rhinoplasty, or full facial feminization surgery (FFS) for a comprehensive upper-face transformation.
Yes. Brow bone reduction is one of the most impactful procedures within FFS, as the brow ridge is a primary marker that distinguishes masculine from feminine facial structure.