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Up to this date, the forehead contouring augmentation surgery was perfomed with silicone or
microfat graft. However, augmentation with silicone has given complications such as postoperative
infection, extrusion, long linear scar, and displacement of implant. Moreover, augmentation using
microfat graft often requires re-operation due to fat resorption. Surgical technique was performed in
10 patients from September 2008 to April 2009. Eight patients had macrogenia and two had prognathism.
Particulated bone was harvested from squared mandibular bone. The particulated mandibular
bone was then grafted on the frontal bone through a 2 cm incision posteriorly to the midforehead line.
As a result from the three-dimensional Computer Tomogram, the frontal bone was engrafted 6
months after the particulated bone graft. Even though, traditional concept using prothesis for
forehead augmentation is still popular, the author suggests autologous augmentation can make
better facial contour which is named as \'facial bone redistribution concept\'. Facial bone redistribution
concept is the distribution of residual bone (mandible or zygoma) to deficient area (frontal bone) to
achieve better facial contour. To achieve better survival rate of bone, bone marrow stem cell and
platelet rich plasma (PRP) should be applied in next study to increase the survival rate of particulated
bone. (J Korean Soc Aesthetic Plast Surg 17: 17, 2011)
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