Does A Custom PEEK Forehead Implant Have Feathered Edging?

Q: Dr. Eppley, Hello I had pmma cement done on 2023 since then I got many revision due to abnormal results lumps, last revision was in 025. I would like to know if it’s possible to do a total removal and replace with custom peek implant. I really want to keep the volume but I am done with cement. I was told by other surgeons that custom PEEK implant will have edges showing and still look not normal, is that true? Thank you

A: PMMA bone cement forehead augmentations can be prone to irregularities which can be hard to correct as you have experienced particularly if it has been done through a limited incisional approach.

It would be helpful to know what type of incisions was used for your PMMA forehead augmentation.

 It is accurate to state that PEEK implants do not have feathered edging because it is a machined or milled implant. Such non-feathered edging will be visible in a large skull area such as the forehead. This leaves you with two options: 1) do intraoperative implant edging reduction by hand and hope it to be successful, or 2) make a solid silicone custom forehead implant that has feathered edging by its manufacturing methods.

Dr. Barry Eppley

Plastic Surgeon