Softening the Upper Face
Forehead contouring (brow bone reduction) is a key component of facial feminisation surgery, designed to reshape the brow and upper forehead to create a smoother, more typically feminine appearance.
By reducing prominence of the brow bone and refining the contour of the forehead, the procedure softens the transition between the forehead and the eye area—contributing to a more harmonious upper face.
Why This Procedure Is Considered
The shape of the forehead and brow plays a central role in how the face is perceived.
A more prominent brow ridge can create:
- A heavier or more angular upper face
- Shadowing over the eyes
- A stronger, more typically masculine profile
Forehead contouring may be appropriate if you are looking to:
- Soften a prominent brow ridge
- Create a smoother forehead contour
- Achieve a more balanced relationship between the forehead and eyes
- Align your facial features more closely with your identity
The goal is not to change your appearance arbitrarily, but to bring features into better proportion.
How the Procedure Works
Forehead contouring is performed under general anaesthetic.
Depending on your anatomy, the procedure may involve:
- Reduction or reshaping of the brow bone
- Contouring of the forehead to create a smoother surface
- In some cases, repositioning of the frontal sinus wall
Access is typically gained through an incision placed along, or just behind, the hairline.
The precise technique is tailored to your underlying bone structure and desired outcome.
Recovery
Recovery is gradual and carefully supported.
- Swelling and bruising are expected in the early weeks
- Most patients return to normal daily activity within a few weeks
- Numbness in the forehead or scalp can occur initially and improves over time
Follow-up ensures healing progresses as expected.
Results
As healing settles, the upper face appears:
- Smoother and less prominent
- Softer in contour around the brow
- More open around the eyes
The change is structural but designed to look natural and integrated, without appearing obvious or overdone.
A Personalised Approach
Forehead shape, bone thickness, and sinus anatomy vary significantly.
Careful planning ensures:
- The appropriate surgical technique is selected
- The degree of contouring is proportionate
- The result fits naturally with the rest of your face
Combination with Other Procedures
Forehead contouring is often performed alongside:
- Hairline lowering
- Brow lift
- Other facial feminisation procedures
Combining treatments can provide a more cohesive and balanced outcome.
Consultation
A detailed consultation includes assessment of your facial structure, imaging where required, and discussion of your goals.
This allows for a clear and tailored treatment plan, aligned with both anatomy and desired outcome.
Book a Consultation
For forehead contouring as part of facial feminisation surgery in London, arrange a consultation to discuss your individual goals and options.