Brow Bone Augmentation
Q: Dr. Eppley, I am interested in brow implants to create a more deep set masculine look. I would first like to trial it with filler. I certainly would need to find an injector who has experience with this as it is not a common request for filler. Is this something you do? Where would the actual filler be introduced. I realize it would take a fair amount. Do you have experience with this procedure? Thank you for your time.
A: I have done brow bone augmentations using injectable fillers, fat injections, bone cements and actual brow bone implants. You are correct in that it takes a fair amount of filler to create a visible brow bone augmentation effect depending upon the filler used, the current size of your brow bones and the amount of brow bone augmentation you desire to achieve.
It is very reasonable to first do a test with injectable fillers. While the result may not exactly replicate the effect of a brow bone implant, it will provide a fairy good idea of what you can expect. I would use a hyaluronic-acid based filler, like Voluma, to get a good push on the brow soft tissues. The filler is placed down at the bone level across both brow bones.
Dr. Barry Eppley