Forehead Osteoma Treatment

Osteomas are somewhat common and benign bony growths sometimes appearing as hard knots on the forehead. Osteomas can present at a young age or develop slowly over time. They can rarely cause pain, and most both people in terms of their appearance.

Dr. Fishman treats osteomas with a simple surgical excision, which can be performed in the office (under local anesthesia) or in the operating room (under general anesthesia). She removes osteomas via a small incision directly over the bony growth or hidden behind the hairline. Most osteomas are superficial, but some patients may need to undergo a CT scan to evaluate the osteoma for connection to other structures.

OSTEOMA TREATMENT ADVANTAGES

  • Forehead osteoma surgery removes or improves the appearance of the related forehead bony knot
  • Osteoma treatment is a minimally invasive procedure, usually associated with little to no downtime
  • Osteoma treatment may be combined with other facial procedures, such as eyelid surgery or a brow lift

OSTEOMA SURGERY: TREATMENT DETAILS

Dr. Fishman performs osteoma excision surgery under local or general anesthesia. During this procedure, Dr. Fishman places an incision directly over the hard knot of the osteoma or behind the hairline, for an endoscopic approach. She removes the osteoma through the created incision, either approaching it directly or via an endoscopic approach. An endoscopic approach allows Dr. Fishman to use one or several small incisions hidden within the hair-bearing scalp and perform the osteoma dissection and removal with the help of a small camera placed under the skin. The endoscopic approach is very similar to Dr. Fishman’s endoscopic technique for a brow lift. After removing the osteoma, Dr. Fishman closes her incisions with sutures or surgical steel clips (these are the most gentle on hair) and places a compression dressing on the treated area. The created incisions usually heal very well and are essentially imperceptible once healed.

AFTER SURGERY

  1. You will have some swelling, possible bruising, itching, and tenderness in the treated area.
  2. You may have some discomfort, which should be controlled with oral pain medications.
  3. Cool compresses should be used on the treated area to help with swelling and discomfort.
  4. You will need to sleep with your head elevated for the first week after surgery.

Frequently Asked Questions

IS BLEPHAROPLASTY SURGERY RIGHT FOR YOU?

If you are in good health and are bothered by a hard knot on your forehead or scalp, you may have an osteoma that may do well with treatment. Please consult with Dr. Fishman about your treatment options.

WHAT TYPE OF ANESTHESIA IS USED DURING OSTEOMA REMOVAL SURGERY?

Dr. Fishman will discuss her anesthesia preferences during your consult. She uses local anesthesia, deep sedation, or general anesthesia for forehead osteoma removal surgery.

HOW LONG IS OSTEOMA REMOVAL SURGERY?

Dr. Fishman typically performs eyelid surgery over 45 minutes to 1.5 hours, depending on the amount of work to be done and other associated procedures.

DOES OSTEOMA REMOVAL SURGERY LEAVE SCARS?

Yes, osteoma surgery leaves scars, which are hidden in the hair-bearing scalp or the natural forehead creases or wrinkles. These scars fade significantly over time and are difficult to find once healed.

HOW PAINFUL IS OSTEOMA REMOVAL SURGERY?

Most of Dr. Fishman’s osteoma treatment patients describe bruised or sore sensation after surgery. Most people will have mild-moderate swelling and bruising. These symptoms are well-managed with cold compresses and oral pain medications.

WILL INSURANCE PAY FOR BLEPHAROPLASTY SURGERY?

Health insurance plans may cover the removal of osteomas causing pain or other functional symptoms. Health insurance plans do not typically cover the removal of osteomas for appearance or cosmetic reasons. We recommend checking with your insurance provider regarding the details of your healthcare plan. For non-insurance cases, we offer financing and are happy to discuss this with you after your consult with Dr. Fishman.