Q: Dr. Eppley, I am interested in numerous facial augmentations particularly brow bone augmentation. I saw your work and thought you did an amazing job on your patients. I have struggled with my eyes my whole life and I am trying to obtain a more “masculine” look. I put a word file together to so you what I am trying to achieve. There is this male model who I think has similar features to me and I would like to have some of his features (especially in the eyes). I was even thinking I need an infraorbital rim implant. Hope to hear from you soon!
A: Thank you for your inquiry and sending your pictures. In comparing the two pictures, what you ‘lack’ is a downward brow bone protrusion, fuller supraorbital sulcii, broader cheek/zygomatic arches and a less recessed infraorbital region. There are two fundamental strategies in making these facial changes:
1) Fat injections for all of the above facial areas, or
2) Brow bone/cheek/infraorbital implants for augmentation with fat injections to the supraorbital sulcii.
Facial augmentations can be done by these two methods and each has its own advantages and disadvantages which are well known and come down the degree of invasiveness, amount of recovery and potential permanence of the results. My preference is usually for implants because they offer permanency and can be custom made to fit the patient, which are both major advantages even though they are more invasive.
Dr. Barry Eppley