Custom Forehead Implant

Q: Dr. Eppley, I was just curious on the cost of the filler for forehead horns. My brow bone sticks out too far and I would like to have it filled like I see in the photos on the website. Do you know the cost roughly? Also, would you ever have to get this procedure done again in the future or will it be permanent once it’s done? Thanks in advance!!

A: For filling in the central depression of the forehead, I really don’t use an injectable filler technique for it in most cases. Synthetic injectable fillers are only very temporary (a few months) while the fate of fat injections is uncertain as well as its permanency. I have used injectable bone cement as a form of injectable filler but it is difficult to get it perfectly smooth and, if it does not become smooth, a secondary revision of it is going to a larger incision to access it to even it out. The most successful strategy in my experience has been the use of a wall custom implant made from a 3D CT scan. This fills in the depression nicely and is permanent. I would need to see some pictures of your forehead to provide a more specific answer as to what work best for you. But central forehead augmentation to fill in a depression between the brow bones and the upper forehead prominences is usually best done with a custom forehead implant approach.

Dr. Barry Eppley

Indianapolis, Indiana