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impairs healing)","Untreated body dysmorphic disorder","Bleeding disorders or anticoagulant use that cannot be managed (relative)","Thin anterior frontal sinus wall preventing safe burring (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typical day-case stay with discharge the same day or after one night of observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Return to strenuous exercise and contact activities, depending on surgeon guidance and technique."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves gradually; final contour assessed after this period."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After early wound check and surgeon clearance; longer if swelling, drain use or frontal sinus setback is involved."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Early check and dressing/suture review."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":14,"unit":"days","qualifier":"If non-absorbable sutures or staples are used."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Assessment of contour once swelling has settled."}}],"indications":["Prominent brow ridge or frontal bossing (reduction)","Flat or recessed forehead (augmentation)","Aesthetic contour irregularities of the forehead"],"main_risks":["Swelling and bruising","Hematoma or infection","Forehead or scalp numbness or sensory nerve injury","Temporal branch (frontal) nerve injury causing brow weakness","Contour asymmetry or irregularity","Frontal sinus injury or cerebrospinal fluid leak (rare)","Hair loss along the incision","Implant displacement or infection if implants are used","Anesthesia risks"],"pain":"Mild to moderate pain, pressure and tightness for the first several days, controlled with oral analgesics.","preparation":["Surgical consultation with photos and facial analysis","CT imaging to assess frontal sinus and bone thickness","Pre-operative medical assessment and blood tests as indicated","Stop smoking and nicotine in advance","Review of medications and supplements with the surgeon","Fasting before general anesthesia","Arrange transport and help at home"],"recovery_timeline":[{"phase":"Days 0-3","description":"Peak swelling and bruising; head elevated; dressing in place.","restrictions":["Sleep with head elevated","No bending or lifting"]},{"phase":"Days 4-14","description":"Swelling and bruising begin to subside; sutures removed if needed.","restrictions":["Avoid strenuous activity","Avoid pressure on the forehead"]},{"phase":"Weeks 2-6","description":"Return to normal routine; residual swelling and numbness fade.","restrictions":["No contact sports or heavy exercise until cleared"]},{"phase":"Months 3-6","description":"Swelling resolves and contour is final.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal rehabilitation programme."},"result_longevity":"Bone reshaping is generally permanent; implant-based results are long-lasting but may need revision if complications occur.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Secondary surgery for asymmetry, irregularity or implant problems within 2 years."},"scars":"Typically a coronal or hairline incision hidden in the hair or at the hairline; usually a fine, well-concealed scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical session."},"stages":[{"code":"surgery","label":"Forehead contouring surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of procedure."}}],"qualifier":"One-stage surgery; follow-up checks are not treatment sessions."},"success":{"metric":"Patient satisfaction with forehead contour","value":90,"unit":"percent","horizon":"6 months after surgery","population":"Adults with brow prominence or frontal bossing, mostly facial feminization patients","evidence_status":"limited"},"techniques":[{"name":"Burring or shaving of the frontal bone (reduction)","suits_whom":"Patients with prominent brow ridge and sufficient bone thickness.","recovery":"Roughly 2-3 weeks to social recovery."},{"name":"Frontal sinus setback (anterior table osteotomy)","suits_whom":"Marked frontal bossing with a pneumatized sinus, often in facial feminization.","recovery":"Longer swelling; about 3-4 weeks to social recovery."},{"name":"Augmentation with implant or bone cement","suits_whom":"Flat or recessed forehead needing added projection.","recovery":"About 2-3 weeks to social recovery."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Forehead contouring alone as a standalone procedure; longer for frontal sinus setback."},"initial_assessment_documents":["Front, side and three-quarter forehead photos","Hairline and profile photos with hair pulled back","Facial CT scan of skull","Prior facial or skull surgery reports (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days for early wound check and suture review. Result review can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon counsels you on realistic expectations before surgery","scope":"procedure","source":{"url":"https://wexnermedical.osu.edu/gender-affirming-care/surgery-options/facial-surgeries/frontal-bone-reduction","host":"wexnermedical.osu.edu","quote":"Counseling on realistic expectations is imperative prior to undergoing surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check whether pre-operative photos are taken from several views for planning and later comparison","scope":"procedure","source":{"url":"https://wexnermedical.osu.edu/gender-affirming-care/surgery-options/facial-surgeries/frontal-bone-reduction","host":"wexnermedical.osu.edu","quote":"Pictures will be obtained from various views for planning as well as comparison following the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that the surgeon is trained and experienced in performing this procedure before you agree to it","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check the qualifications of the clinician who will do the procedure and the facility's credentials","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check whether a body regulates the clinic, because regulation is what ensures it meets the correct standards","scope":"treatment_abroad","source":{"url":"https://baaps.org.uk/patients/safety_in_surgery/cosmetic_tourism.aspx","host":"baaps.org.uk","quote":"Find out if there is a body that regulates the clinic or practice to ensure it meets the correct standards.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check that staff can communicate with you well, since misunderstandings about care can otherwise follow","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Receiving care at a facility where you do not speak the language fluently could lead to misunderstandings about your care.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C7","text":"Check for a named doctor who can deal with complications, not just a helpline, before you agree to treatment","scope":"treatment_abroad","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Make sure you have the contact details of a named doctor who can deal with any complications rather than a helpline.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer sells the cosmetic surgery as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Beware of any hospital which markets cosmetic surgery as part of a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The surgeon or hospital does not want to discuss the details of the surgery when you ask","scope":"treatment_abroad","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Be wary of surgeons and hospitals that do not want to discuss the details of surgery with you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding from the surgical site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10784-brow-lift","host":"my.clevelandclinic.org","quote":"Bleeding from your surgical site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Swelling that does not go away","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10784-brow-lift","host":"my.clevelandclinic.org","quote":"Excessive swelling that doesn't resolve.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Fever above 100 degrees Fahrenheit","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10784-brow-lift","host":"my.clevelandclinic.org","quote":"A fever of more than 100 degrees Fahrenheit (37.77 degrees Celsius).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the medicines given abroad to continue treatment","document":"medication list from the clinic","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Remind travelers to request documentation of any medical care received during travel, including a list of medications received.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Home doctor needs imaging taken abroad to continue care","document":"x-rays and scan copies","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Travellers should ensure they have copies of all overseas medical records, including x-rays and scans, before departure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer a nonsurgical option for your brow ridge","name":"Dermal fillers","source":{"url":"https://www.healthline.com/health/transgender/facial-feminization-surgery","host":"healthline.com","quote":"If you opt for lip or brow fillers, be very cautious about permanent fillers, such as silicone.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"burring","name":"Burring or shaving of the frontal bone (reduction)","how_it_works":{"text":"Shaving down the bone reduces the prominence of the brow","source":{"url":"https://www.healthline.com/health/transgender/facial-feminization-surgery","host":"healthline.com","quote":"Forehead procedures contour the forehead by shaving down hard angles and reducing the prominence of the brow bone.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"frontal-sinus-setback","name":"Frontal sinus setback (anterior table osteotomy)","how_it_works":{"text":"The forehead bone is set back and held in place with plates","source":{"url":"https://wexnermedical.osu.edu/gender-affirming-care/surgery-options/facial-surgeries/frontal-bone-reduction","host":"wexnermedical.osu.edu","quote":"If the frontal sinus is set-back, expect the bone to be replaced and held in place with plates and screws","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"augmentation","name":"Augmentation with implant or bone cement","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=barselona/procedure=konturnaa-plastika-lba/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":14},"manualSeo":[],"updatedAt":"2026-11-14T23:24:46.000Z","activeCountries":["ES","TR","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}