FFS with Type 1 Brow Bone Reduction, Hairline Lowering, and Orbital Contouring

This patient underwent a type 1 brow bone reduction, orbital rim contouring, brow lift, and hairline lowering as part of facial feminization surgery.

If you would like to see additional before and after photographs by Dr. Mittermiller, please click the link below.

Facial Feminization Surgery (FFS) Before and After Photographs

These before and after photographs demonstrate the intraoperative results of a hairline lowering, type 1 brow bone reduction, orbital rim contouring, and brow lift as part of facial feminization surgery (FFS).

The hairline lowering uses an incision in the front the hairline to bring the hairline lower on the forehead and to create a more rounded hairline. It is especially powerful for lifting the eyebrows more than a standard brow lift. It does create a scar high at the front of the hairline, so this needs to be part of each patient’s decision-making process. The scar fades with time, but it will always be present.

A type 1 brow bone reduction involves shaving down the front of the forehead bone to reduce the brow ridge prominence (brow bossing). This is commonly performed in combination with orbital rim contouring, which reduces the bony prominence above the lateral eyes.

The brow lift is particularly enhanced when performing a hairline lowering with the brow lift. By creating tension on the brows, they can be maximally elevated. The brows do come down with time, but the effect is still notable. 

These before after photos of FFS (facial feminization surgery) allow people to see what type of results can be obtained from this opreation. Every person’s face and goals are different, so it is important to discuss your specific situation and expectations with your surgeon.

Dr. Mittermiller is a specialty trained plastic surgeon who primarily operates in the Los Angeles area. He is passionate about craniofacial surgery, gender-affirming surgery, and rhinoplasty.

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