There are distinct differences between male and female forehead shapes and hairline distribution, which are therefore also integrated into transsexual facial reconstruction. The standard male forehead is generally relatively flat and broad, with the eyebrow bone distinctly prominent; the hairline is also relatively low, with the eyebrow appearing linear or straight. On the contrary, the female forehead is mostly round and full; it is relatively wide at both sides, and the hairline is generally high, with the eyebrow bridge slanted upward. Due to various different characteristics between male and female foreheads, such a distinction should be taken into account in the evaluation for a transsexual facial change, and both the bone and skin are altered to attain complete results. Common surgical conditions and options are as follows:
The emphasis of this surgery is to soften the lines of the male forehead, elevate the hairline, and lift or adjust the eyebrow shape. The surgery is generally conducted via an incision (in the scalp) behind the forehead hairline. Common surgeries comprise forehead and eyebrow bone shaving osteotomy, forehead and eyebrow lifts, or combined autologous fat filling of the forehead or temple depression, which sculpt a feminine plumped up and round forehead line and mitigate the prominence of the forehead or eyebrow bone and also indirectly alleviate the overtly deep or sunken eye sockets.
The highlight of this surgery is enhancing the prominent lines of the eyebrow bone or lowering the hairline and eyebrow position. The surgical incision is behind the hairline, but if the hairline is to be lowered, the incision should be created at the border of the forehead skin and hair (hairline incision). Surgical conditions generally encompass forehead implant emplacement, Gore-Tex eyebrow bone enhancement, and hairline lowering surgery. The surgery aims to deepen the eyebrow bone and eye socket, lower the curvature and height of the eyebrow, and bring down the hairline to sculpt a masculine angular forehead appearance similar to that of the male forehead.