Brow Bone Augmentation

Q: Dr. Eppley, I’m interested in having brow bone augmentation to give it a deeper and more masculine appearance. I understand that there are various materials available, and I was wondering if you could kindly answer these few questions:

1) Which material would allow for the smallest scar?

2) I understand that custom silicone implants will provide the most dependable results, but will hydroxyapatite (HA)  be able to provide a similar augmentation?

3) Which would also have the cheapest overall surgical cost – silicone, HA or PMMA?

4) As I’m leaning towards HA, could you also provide the cost of getting this procedure?

Thank you!

A: When it comes to your questions on brow bone augmentation the answers are as follows:

  1. A silicone brow bone implant can be placed with the smallest scar. Because of its preformed shape it can be inserted and positioned with a limited incision or endoscopic technique. All other forms of brow bone augmentation (except fat injections) require a wide open scalp incision technique with a long scalp scar.
  2. Hydroxyapatite can provide a good brow bone augmentation if one can tolerate the coronal incision to have it placed. This is a liquid and powder mixture that must be carefully applied and shaped. To do so requires wide open visibility.
  3. A preformed silicone implant would provide the most economical approach since it has the shortest operative time to complete.
  4. I will have my assistant pass along the cost of the different brow bone augmentation procedures to you on Monday.

Dr. Barry Eppley

Indianapolis, Indiana