Brow Bone Implant
Q: Dr. Eppley, I am interested in a brow bone implant. My objective is to create a more deep set/ masculine appearance. One of your before/after galleries shows a young man that had this surgery and looks great-naturally. I also wanted pursue improved symmetry even though I realize not everyone is perfectly symmetric. Would having a previous endo browlift have any effect on the coronal approach for this brow bone implant surgery?
A: With a custom brow bone implant I usually place it endoscopically through the same size incisions and locations that the endo browlift was done. A custom implant can also be placed through upper blepharoplasty incisions. Only the use of bone cement necessitates a coronal incisional approach. The relevance of a prior endo browlift is that it creates more scar and tissue tightness over the brow bone regions so a good release is necessary. But it certainly does not preclude the placement of a brow bone implant.
When it comes to brow bone implants, they can be made custom from a 3D CT scan or a preformed implant can be chosen based on custom designs from other male patients. Because it is preformed this permits it to be inserted through small scalp incisions under endoscopic visualization.
Dr. Barry Eppley