Can Brow Bone Implants Be Placed Through Eyelid Incisions?
Q: Dr. Eppley, I’ve read your articles on brow bone augmentation and was wondering if silicone implants could be used instead of hydroxyapatite or PMMA? Apart from the scalp incision, could the silicone implants be placed through any other incision (upper eyelid)?
A: Performed silicone brow bone implants could be placed either through an upper eyelid incisional approach or through an endoscopic technique through two small scalp incision. Because they would be made of a flexible silicone material, they can be inserted in two separate pieces and ‘assembled’ once inside. If this brow bone augmentation technique is done, it is best to make the preformed silicone implants beforehand using a 3D CT scan of the patient.
Dr. Barry Eppley