Brow Bone Reduction in Iran

Understand brow bone reduction, the options to discuss with a qualified clinician and what to confirm before planning a visit to Shiraz.

On this page

• What is Neanderthal forehead condition?
• What causes neanderthal forehead?
• How is brow bone reduction done and how many types of it are there?
• Type 1 brow bone reduction – Shaving
• Type 2 brow bone reduction – Shaving and Filling
• Type 3 brow bone reduction — Forehead reconstruction
• Type 4 brow bone reduction — Forehead reconstruction and Filling
• Does brow bone reduction have any risks?
• Are there any possible complications for brow bone reduction surgery?
• Is there a way to perform brow bone reduction non-surgically?
• Is it common to perform brow bone reduction procedure for males?
• What is the process of “Feminizing” the brow bone?
• What is endoscopic brow bone reduction?
• A practical point for your care
• Planning treatment in Shiraz
• Sources

Gain the aesthetic look you have always dreamed of with affordable brow bone reduction surgery in Iran as a part of a complete feminization process.

The protruded forehead is one of the most important masculine features of a man’s face. That is why many women, end even men, who suffer from forehead protruding seek to have a brow bone reduction surgery, also known as Neanderthal forehead surgery, to eliminate or reduce forehead protruding. In this article, we explain about this operation and the advantages of having a forehead brow bone reduction in Iran. Please read on to learn more about all aspects of this surgery.

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Iran is one of the leading countries in the field of cosmetic and plastic surgeries, well known for its affordable prices, and possesses one of the highest success rates in this surgery worldwide. Neanderthal forehead surgery in Iran is no exception in this, because this surgery is sought to be done in Iran by many patients from all over the world.

How much does bone brow reduction cost in Iran?

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Brow bone reduction surgery or Neanderthal forehead surgery is a delicate surgical procedure that can be done in order to get rid of an over-masculine look. This procedure is typically performed for aesthetic purposes and as a part of a facial feminization process.

What is Neanderthal forehead condition?

The forehead as one of the major parts of the face occupies up to one-third of its total surface area. However, major differences can be seen between males and females in terms of the frontal hairline. Also, the bottom of the forehead outlined by the eyebrows and the brow bones (which are known as the ridges of skull bone) shows major facial differences between the two sexes, as the shape of the bony forehead and the prominence of the brow ridges (known as neanderthal forehead ridges) helps differ the masculine from the feminine appearance.

However, when the bone ridge running across the forehead above the eyes, known as brow bossing, exceeds the ranges of acceptable brow protrusion, it causes the condition of over-masculine forehead known as “Neanderthal Forehead”. Many types of frontal brow bossing can be categorized as “Neanderthal”. For instance, sloping forehead, protruding forehead, and flat forehead are all considered “neanderthal”.

What causes neanderthal forehead?

One common underlying cause is acromegaly, which is a chronic disorder that leads to an overproduction of growth hormone. Hands, feet, jaws, and skull bones of the body become larger than normal for people with this condition. However, many other potential causes contribute to frontal bossing or Neanderthal Forehead, such as:

• Congenital syphilis
• Basal cell nevus syndrome
• Rubinstein-Taybi syndrome
• Cleidocranial dysostosis
• Pfeiffer syndrome
• Crouzon syndrome
• Hurler syndrome
• Russell-Silver syndrome
• Rickets
• Abnormal growths in the forehead or skull
• Certain types of anemia, that cause increased, but ineffective, production of red blood cells by the bone marrow.

How is brow bone reduction done and how many types of it are there?

There are four types of brow bone reduction procedures, each of which depends on the degree of prominence of the brow bone, the thickness of the frontal sinus wall, and the size of your frontal sinus and forehead in general.

Type 1 brow bone reduction – Shaving

Some patients may have a very small sinus with a thick frontal sinus wall. In this case, the excess amount of bone can just be burred away. This condition is called a ‘type I forehead’, and this procedure is referred to as ‘feminizing the forehead’. Many surgeons today can perform only this procedure, but only a small percentage of patients end up with good result with this technique.

Type 2 brow bone reduction – Shaving and Filling

This procedure is done properly when the projection angle between the nose and the forehead is already satisfying. In this case, the surgeon tend to treat only the concavity behind the bossing by filling the concave area above the bossing with bone cement.

Type 3 brow bone reduction — Forehead reconstruction

This procedure, which is performed the most, is called ‘type III forehead’ procedure. During this procedure, the anterior wall of the frontal sinus bone is removed, remodeled, and returned to its perfect place.

Type 4 brow bone reduction — Forehead reconstruction and Filling

Sometimes, reconstruction is not enough. In such cases, it is necessary to use a combination of forehead reconstruction and some filling with bone cement as required to get the desired forehead slope.

Does brow bone reduction have any risks?

When it comes to eyebrow bone reduction surgery, the risks are not much of medical risks. However, the complexity of this surgical procedure makes it more difficult and complicated than many other surgical procedures.

The main problem with shaving the brow bone is the risk of burring right into the frontal sinus cavity, as most of the brow prominence is composed by air from the sinus cavity underneath instead of bone. However, in simpler cases, the glabellar area, which is the part of the brow bone between the eyebrows, often will have no frontal sinus cavity underneath so it may be able to be reduced much more.

Are there any possible complications for brow bone reduction surgery?

No surgical procedure is totally free of complications. Although it is considered safe, Neanderthal brow surgery might be accompanied by the following complications:

• Double vision in certain directions.
• Unexpected facial asymmetry.
• Non-satisfying aesthetic result.
• Changes to the shape of the frontal sinus could affect the resonance (amplification of vocal sounds).
• Reduced sensation of the forehead skin.
• The possibility of an Infection.

Is there a way to perform brow bone reduction non-surgically?

Botox brow lift or Botox Neanderthal forehead can be considered a non-surgical alternative to the brow bone reduction surgery. However, even non-surgical approaches may have many complications and side effects. For instance, headaches, soreness, and numbness are reported by most of the patients. In rare cases, severe brow bone reduction side effects that include breathing difficulties, droopy brows or eyelids, problems with swallowing, and speech changes have been reported.

Is it common to perform brow bone reduction procedure for males?

For males, brow bone reduction surgery reduces an over-masculine or “Neanderthal” forehead and restores a more aesthetically pleasing appearance. The surgery will result in a brow bone that is in proportion with the other facial features. Additionally, where significant hairline recession or male pattern hair loss has occurred, a forehead reduction is often elected as an alternative to hair transplant surgery. However, it requires multiple sessions over a longer period of time to achieve the desired results.

What is the process of “Feminizing” the brow bone?

For facial feminization forehead surgery patients, the forehead or brow ridge bone contouring procedure will alter the masculine appearance around the forehead and upper eye areas and result in features that are more feminine. Forehead contouring and reduction surgery for patients seeking “a feminizing process” involves shaping the forehead bones and orbital bones to remove the masculine ridge, opening up the appearance of the eyes, and creating a more naturally feminine and softer appearance.

What is endoscopic brow bone reduction?

The procedure of endoscopic eyebrow bone reduction of frontal bossing is a safe and effective minimally-invasive procedure that results in very little swelling or bruising. A hidden inconspicuous incision will be made in the scalp along the hairline, which means very few scars will appear and they will be difficult for even the patient to notice, resulting in a much faster healing process a and a shorter recovery time.

However, this procedure is restricted to a very few patients whose brow bone thickness allows visible improvement with a burring technique. It is medically known that the preferred bone thickness in order to achieve aesthetically pleasing results is at least 5 mm as a 1 or 2 mm reduction will not make any noticeable difference, but a 3 to 4 mm reduction will make a discernible reduction in the amount of frontal bossing.

A practical point for your care

Before an operation, the pre-assessment team should review your health, previous tests and all medicines and supplements. Ask for written instructions on medicines, eating, drinking and aftercare that apply to your planned procedure.^[1]

Planning treatment in Shiraz

Ask SanaMedTour about the appropriate specialty, appointment arrangements and practical support for your visit. The treating clinician confirms the diagnosis, treatment options, suitability and follow-up after assessment.

Request an itemised written quote identifying the clinician, facility, tests, treatment, medicines, reviews and any accommodation or transfers included.

Sources

Editorial adaptation: 25 October 2026. General information for planning and discussion; your clinician’s individual instructions take priority.