How Predictable Is The Shape Of The Eyebrows If The Brow Bones Are Lowered?

Q: Dr. Eppley, When using tissue expanders and brow bone  implants to lower the prominence of the brow ridge and eyebrows, what degree of control do you have over the shape of the eyebrows?

If a person wanted a lower, straighter brow ridge, with lower straighter eyebrows to match, would that be achievable using implants and tissue expanders?

A: In the design of custom brow bone implants one has complete control of the shape of the bone bones. However, how the soft tissues respond to tissue expansion and the driving force of the implant can not be as precisely predicted. To no surprise hard tissue augmentation is more predictable than the response of the overlying soft tissues 

Dr. Barry Eppley

Indianapolis, Indiana