Can Brow Bone Reshaping Make My Inner Brow More Sloped?
Q: Dr. Eppley, I am interested in brow bone reshaping. I am wondering whether it is possible to make the inner corner of my brow ridge-glabellar more sloped. I would attach my photos in order to better address my requests to see if they are achievable. I am also attaching an example of the brow shape I am after as I think his brow ridge shape is very elegant. I found out that the formation of the triangular contour that I desire is formed by the downward slope of brow bone in the inner eye corner. Is it possible to, besides make the ridge-line more prominent, also make it more sloped?
Also, I had a previous glabellar implant (not fixed) which has an undesired shape and bad connectivity with my forehead and brow-ridge. I’m 100% sure that I’ll remove this graft sometimes (if not now, it has to be during my revision rhino), but I’m wondering whether it possible to remove this portion with the same incision of brow implant? I have consulted some doctors and they said the position of this graft is relatively high so it’s easier to remove this from upper incision instead of the incision of open rhino. How do you think?
A: When it comes to brow bone reshaping, the ability for remove bone along the medial supraorbital rim depends on two factors. First, the thickness of the rim bone in that area. you have to remember that the frontal sinus lies immediately beneath it. The bone is undoubtably a few millimeters thick so some change is possible, it is just a question of how much. Secondly, it requires good incisional access to reach down that low. No endoscopic or other more limited incisional technique will work.
Wherever the glabellar implant is located, it most certainly can not be removed through an open rhinoplasty incision. It must come out the way it was put in.
Dr. Barry Eppley