How Can I Fix My Brow Bone Asymmetry?

Q: Dr. Eppley, Hello, as you can see there is an obvious difference between the right side od the frontal bone and the left side. On my right side you can see concavity and lower brow bone . So im asking is there some sort of implant that can be inserted safely so i can get similar results like the left side and fill up the augumentation ?

A:Thank you for your inquiry and sending your pictures. Your brow bone asymmetry is a direct result of the right vertical orbital dystopia. As the right eyeball has developed lower than that of the left everything around the eyeball follows it down. Thus your right brow bone is lower and has less forward projection than that of the opposite left side. Such brow bone asymmetry can be improved at least in the filling in the concavity above the lower right brow bone. Whiel that some shape improvement I don’t think we could say that it will look exactly similar to that of the left side because the two brow bones alright completely different horizontal levels.

Assuming filling in the right front upper brow bone cavity is seen to provide effective improvement then the next question is what type of implant is needed to do so. In an ideal world we would make such an implant of of your 3-D CT scan to have the best possible implant design. Given that its size it Is likely to be small an alternative approach is to hand carved and implant based on visual estimates of the size needed. The reason to choose the latter approach is an economic one. Either way the brow bone implant would be placed through an endoscopic approach with a single microscrew fixation.

Dr. Barry Eppley

World-Renowned Plastic Surgeon