Mr Omar Tillo
Consultant Plastic Surgeon
Forehead osteoma removal is a procedure for surgically removing bony lumps from the forehead. An osteoma is a slow-growing benign tumour composed of mature bone tissue usually found in the skull and neck area of the body that may cause a degree of facial asymmetry. An osteoma is quite uncommon and not thought to be related to any health issues, however, the prominent location and the size can have a big impact on an individual’s life. Most are concerned with the unsightly swollen appearance of the osteoma and in some cases, patients can experience pain and discomfort.
Sometimes, osteomas can develop after a head injury. These types of osteomas can also be treated effectively with our techniques.
If an individual would like the osteoma to be removed, surgical removal is the only viable option.
In rare cases, a forehead lipoma can mimic a forehead osteoma. This is much easier to remove than a forehead osteoma and the procedure can be performed under a local anaesthetic.
Anyone who has a forehead osteoma and wishes for it to be removed will be an appropriate candidate.
You will have to be over 18 years old to undergo this procedure. You will also have to stop smoking prior to the procedure and during the recovery period.
You will need to be in good physical and mental health. It is important to have realistic expectations of what can be achieved with this procedure.
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Osteomas are not just lumps like cysts that can be popped, because of which only surgical methods have been found to be an effective way of removing them. Forehead osteoma removal can be performed using two different surgical techniques. Both techniques are easily performed with local anaesthetic alone. There is no need to be asleep for the procedure although this is always an option for those who may feel anxious.
One approach used is by direct incision as shown in the picture on the left. The cut is made over the osteoma which will leave a small inconspicuous scar. A specialised bone chisel is used to gently remove the lump. The osteoma is exposed and then separated at its base and then removed for a smooth and flat forehead bone. For younger patients where the bone is less hard, the bony lump can often be scraped off to flatten the raised area and give a smooth appearance. This can be performed using minimal access techniques and gives an aesthetically pleasing result as the incision can be hidden in the hairline. The recovery period is very short and people can even go back to work within 24 hours.
At Centre for Surgery, we offer both the direct method and the minimal access method of osteoma removal. The minimal access method results in an incision which is made behind the hairline which will leave a discreet scar. The procedure takes under an hour for completion and the recovery is quite quick.
Forehead osteoma removal is a minimally invasive procedure that has little downtime. It is performed as a day case and you will be able to return home the same day as your surgery.
Most people are able to go back to work the next day itself but there may be a little swelling, which is to be expected. Swelling can be alleviated by applying an ice pack to the area.
You may experience some pain and discomfort following the procedure. This can be managed with appropriate pain medication.
If you have a bony lump on your forehead that naturally grew out of nowhere, it is most likely to be an osteoma. To diagnose this correctly, you will need to have a CT scan to be sure.
Sometimes, osteomas can develop after a knock to the head. This can also be treated effectively with our techniques.
The direct approach and the minimal access approach.
The age of the patient, the size of the osteoma and how close the osteoma is to the brow determine the correct method.
Forehead osteoma removal is performed under local anaesthesia to ensure maximum safety optimisation and you will be relaxed and comfortable throughout the whole experience.
Forehead osteoma removal typically takes 1-2 hours depending on the size of the osteoma and if there is more than one.
You will be under local anaesthesia which means you will not be in pain during the procedure.
Forehead osteoma removal is a minimally invasive procedure that has little downtime. Most people are able to go back to work the next day itself but there may be a little swelling, which is to be expected.
Both techniques result in small inconspicuous scars.
With the minimal access technique, the incision is made behind the hairline and so it can be covered with a longer hairstyle.
The supraorbital nerve that provides sensation on the scalp may be injured during the procedure, but if done correctly this risk can be completely avoided.
The surgical methods which our surgeons use result in permanent removal.