Can Custom Temporal Implants Augment The Lateral Brow Area As Well?
Q: Dr. Eppley, I want temporal implants as I have very narrow sides of my head. I think the implants need to be customized as I also have very small brow bones. I want to widen my brows as well. I have attached a front view picture of my head so you can see what needs to be done.
A: Thank you for sending your picture. Based on this information you are in need of a total temporal augmentation (the entire side of the head) procedure which means both anterior (by the side of the eye) and posterior temporal zones. (hair bearing area all the way back to almost the back of the head) This can be done by two different implant methods, a one piece total temporal implant placed at the deep subcutaneous plane (see attached implant example) or a two piece implant approach with a standard extended anterior implant placed in the subfascial plane with a custom posterior temporal implant placed in the deep submuscular plane. There are arguments for either complete temporal augmentation approaches and that permits further discussion.
But since you have also mentioned the need for lateral brow augmentation as well the best approach would be a one piece custom total temporal implant placed in the deep subcutaneous location so the lateral brow area can be included as well.
Dr. Barry Eppley