Can The Opposite Side Of The Forehead and Brow Bone In Plagiocephaly Be Augmented?

Q:Dr. Eppley, , I have a brow bone deformity similar in nature to this case you did https://exploreplasticsurgery.com/case-study-one-sided-brow-bone-reduction/, and extends somewhat into the orbit. In my case, I have also a moderate case of anterior plagiocephaly with less prominence on the left side, same as where my brow bone protrudes. I have read about that case and generally am aware of the coronal approach to reduce the prominence through osteotomies. The scale of the incision has always scared me. I am wondering if instead of minimizing, the opposite may be possible. Is it possible to place a forehead implant to correct the plagiocephaly (and would it extend over the temporal area) and also place a secondary custom implant over the smaller side of the brow bone to match? Can it be achieved with small hidden incisions? And if so, do you think it is a good idea?

A: What you are referring to is a compensatory approach rather than treating the direct problem which makes sense depending on the magnitude of the brow bone-forehead asymmetry. The best way to answer that question is to take some face pictures and do some imaging to what this contemporary approach may look like.

Dr. Barry Eppley

World-Renowned Plastic Surgeon