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Specialized Forehead (Frontal Bone) Fracture Treatment in Mission Viejo

The forehead, or frontal bone, plays a vital role in both facial aesthetics and cranial protection. When trauma affects this area—whether from an accident, fall, or sports injury—it requires highly specialized care to ensure proper healing, prevent complications, and restore natural appearance. At Orange County Surgical Specialists in Mission Viejo, Dr. Reza Bolourian brings unparalleled surgical expertise to the treatment of forehead (frontal bone) fractures. With advanced training in facial trauma and reconstruction and a commitment to natural-looking outcomes, Dr. Bolourian delivers results that prioritize both structural integrity and aesthetic harmony.

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What Is a Forehead (Frontal Bone) Fracture?

A forehead fracture—technically known as a frontal bone fracture—occurs when the bone above the eyebrows and around the upper eye sockets sustains direct trauma. These injuries may vary from simple, non-displaced fractures to complex, comminuted fractures involving the frontal sinus, eye sockets, or other cranial structures. Because the frontal bone plays a role in both the appearance and protection of the brain, prompt evaluation and treatment by a skilled facial trauma surgeon is essential.

At Orange County Surgical Specialists, frontal bone fracture repair involves more than just restoring bone continuity. Dr. Bolourian uses precision techniques to reestablish facial symmetry, minimize scarring, and preserve critical structures such as the sinuses and eye sockets.

Causes of Frontal Bone Fractures

Frontal bone fractures are typically the result of significant blunt force trauma. Common causes include:

  • Motor vehicle accidents
  • Falls from height
  • Sports injuries
  • Physical altercations
  • Workplace accidents
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What Are the Symptoms of a Frontal Bone Fracture?

  • Visible depression or swelling in the forehead
  • Facial bruising or lacerations
  • Pain and tenderness at the site of injury
  • Headaches or dizziness
  • Numbness in the forehead or upper face
  • Double vision or changes in eye alignment (if the orbit is involved)
  • Clear fluid leaking from the nose (possible sign of sinus or cranial involvement)

Any of these signs warrants immediate medical evaluation to determine the severity and extent of injury.

What Are the Symptoms of a Frontal Bone Fracture?

  • Visible depression or swelling in the forehead
  • Facial bruising or lacerations
  • Pain and tenderness at the site of injury
  • Headaches or dizziness
  • Numbness in the forehead or upper face
  • Double vision or changes in eye alignment (if the orbit is involved)
  • Clear fluid leaking from the nose (possible sign of sinus or cranial involvement)

Any of these signs warrants immediate medical evaluation to determine the severity and extent of injury.

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How Frontal Bone Fractures Are Diagnosed

Accurate diagnosis of a frontal bone fracture typically involves a combination of physical examination and advanced imaging. Dr. Bolourian uses high-resolution CT scans to evaluate bone fragments, sinus integrity, and potential complications such as dural tears or orbital fractures.

A detailed exam is also conducted to assess nerve function, sinus drainage, and soft tissue damage. With this comprehensive information, a personalized treatment plan is developed to achieve optimal structural and cosmetic outcomes.

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Treatment Options for Forehead Fractures

Treatment depends on the complexity of the fracture:

  • Non-displaced fractures may require only observation and symptom management.
  • Displaced or comminuted fractures generally require surgical repair to realign bone fragments and restore aesthetics and function.
  • Fractures involving the frontal sinus may necessitate sinus repair or obliteration to prevent chronic infection or cerebrospinal fluid (CSF) leakage.
  • Associated orbital or cranial injuries are addressed in tandem, often through a multi-disciplinary approach.

Dr. Bolourian often utilizes minimally invasive or endoscopic-assisted approaches when possible. In more complex cases, open surgery through carefully concealed incisions allows for precise repositioning of bone, fixation with plates or screws, and cosmetic contouring of the forehead.

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"From the moment I saw Dr. Bolourian, I knew he was the right surgeon for me."

I visited many plastic surgeons for my facelift. From the moment I saw Dr. Bolourian, I knew he was the right surgeon for me. My procedure went very smoothly, my recovery was easy, and my results are natural. I highly recommend Dr. Bolourian for facial plastic surgery. He truly is a master of his work.

Mike N.

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What to Expect from Your Forehead Fracture Surgery

Surgery is typically performed under general anesthesia, and the approach depends on the extent of the fracture. Dr. Bolourian prioritizes low-profile hardware placement and minimal visible scarring. His deep understanding of facial aesthetics ensures a result that respects your natural features, even in the aftermath of trauma.

Postoperative care may involve:

  • Swelling and bruising management
  • Pain control
  • Antibiotics (especially if sinuses are involved)
  • Limited activity for several weeks
  • Follow-up imaging and exams to monitor healing

Most patients can resume light activity within 1–2 weeks, with complete recovery expected over a few months.

Long-Term Results and Considerations

With expert care, most forehead fracture patients experience excellent functional and cosmetic recovery. Potential complications such as contour irregularities, sinus issues, or numbness are minimized with precise surgical planning and technique.

Dr. Bolourian's approach prioritizes not only safety and structural repair but also long-term aesthetic refinement. For patients who previously received suboptimal fracture treatment elsewhere, revision options may be available to correct contour defects or lingering concerns.

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Why Choose Orange County Surgical Specialists for Forehead Fracture Treatment in Mission Viejo, Orange County?

Choosing a surgeon with specialized training in facial trauma is critical when addressing frontal bone fractures. At Orange County Surgical Specialists, Dr. Reza Bolourian combines fellowship-level cosmetic and maxillofacial expertise with a deep understanding of craniofacial anatomy. His reputation for natural-looking outcomes, meticulous technique, and compassionate care makes him a trusted provider throughout Mission Viejo and Southern California. With a fully accredited in-office surgical center, Dr. Bolourian offers patients world-class care in a safe, private setting.

Forehead Fractures Frequently Asked Questions

Face of a woman

Can a forehead fracture heal without surgery?

In cases where the fracture is non-displaced and there's no sinus or orbital involvement, non-surgical management may be appropriate. However, close monitoring is essential to ensure proper healing and avoid complications.

Will I have a visible scar after forehead fracture surgery?

Dr. Bolourian uses meticulous techniques to minimize scarring. Incisions are often hidden within the hairline or natural skin creases, resulting in subtle or barely visible marks.

What happens if the frontal sinus is damaged?

If the frontal sinus is involved, Dr. Bolourian may repair or obliterate the sinus to prevent chronic drainage or infection. This decision is based on fracture pattern and sinus integrity.

Is there a risk of brain injury with forehead trauma?

In high-impact injuries, there is a potential for intracranial involvement. Dr. Bolourian works closely with other specialists when needed to ensure comprehensive care.

Can I still have forehead contouring after trauma?

Yes. Once the bone has healed, secondary contouring procedures can be performed to refine shape or address residual irregularities for improved cosmetic results.

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