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Case Reports
. 2022 Feb 25;55(1):111-114.
doi: 10.1055/s-0041-1740524. eCollection 2022 Feb.

Barbie Doll Forehead: CAD Design from Silicon Block

Shruti Marwah  1 , Arjun Handa  1
Affiliations
Case Reports

Barbie Doll Forehead: CAD Design from Silicon Block

Shruti Marwah et al. Indian J Plast Surg. .

Abstract

The forehead is an important determinant of masculine or feminine look of the face. There are many methods described to achieve forehead augmentation for a more feminine face, and they include fillers, autologous fat grafting, silicone implant or methyl methacrylate. We present a case of a "Barbie doll forehead," which is an interesting trend in Asian countries. Availability of silicone implants of various sizes are not uniform and currently unavailable in India. Alternatively, we devised carved silicone block using computer-aided design (CAD). We also discuss the various methods described for forehead augmentation with their advantages and disadvantages.

Keywords: facial feminization; forehead augmentation; silicone implants.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
3D reconstruction of noncontrast computed tomography (NCCT) head and face which will be used for computer-aided design (CAD). ( A ). Front view. ( B ). Side view. ( C ). Oblique view. ( D ). Front view of the face showing the silicone nasal implant and malpositioned silicone chin implant (placed elsewhere).
Fig. 2
Fig. 2
Computer-aided design (CAD). ( A ). Frontal view showing the implant with 6 mm thickness in the center. ( B ). Lateral view showing the implant in relation to the supra-orbital ridge and temporal line. ( C ). Soft-tissue reconstruction to show to the patient the expected change in shape.
Fig. 3
Fig. 3
( A ) The positive template made from industrial grade silicone. ( B ) 3D printed replica of the patient's forehead. ( C ) Negative template which helped to carve out the implant.
Fig. 4
Fig. 4
Intraoperative view showing the marking of midline and bilateral temporal fusion lines, arrow showing incision site.
Fig. 5
Fig. 5
Before and after pictures at 1 month. ( A ). Front view. ( B ). Left oblique view. ( C ). Right side view.
See this image and copyright information in PMC

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