Brow Bone Augmentation for the Inner Brows Only

Q: Dr. Eppley, I’d like to do a brow bone augmentation surgery. I want to add some depth to my eyes and make my eyebrow bones more prominent 

But I just want to do the parts in the middle where they connect to my nose… Is it possible? Or do I have to do the whole thing…? Also I assume implants will be used? What options am I looking at here when it comes to implant materials…? 

Thank you very much for your time! 

A: Thank you for your inquiry. You can make a custom implant that just augments the central glabellar and medial brow area from a 3D CT scan. This is best done with a solid silicone material which allows it to be placed through the smallest scalp incision. (endoscopic technique) All other materials (Medpor or PEKK implant materials or bone cements) would require a more open semi-coronal or full coronal scalp approach for placement but they can be used as well if one can accept a longer scalp scar)

The brow bone area you want to augment is the Y-area and would largely look like that in the final implant design. (probably closer to a more flattened Y)

Dr. Barry Eppley

Indianapolis, Indiana