Should I Have Brow Bone Implant Before or After Eyelid Surgery?

Q: Dr. Eppley ,I’m getting asian eye surgery so I can maximize the look but I will try to keep a lot of the eye shape features the same from mine and the male models like a down turned medial canthas, and a narrow eye shape not too round like most asian patients get without thinking. Do you think it’s best to get the brow ridge implant first before the asian eye surgery?

And my mid face from the side does look flat not only because my forehead and brow ridge and eye area but because I dont have a good nose bridge because of my race, but thats the last thing I will get, because with most of those male models their brow ridge and nose look so well together like they are almost connected with perfect harmony etc so I will in the future get a nose job so it can match the brow ridge implant I get 2 to 4 mm if thats the right length needed without it being too much, visually my eyebrows might look a couple mm closer to my eyes because of the projection of the brow ridge?

But overall do you recommend no more than 2 to 4 mm projection of the brow ridge I’m aiming for the lowest my eyebrows can look visually and closer to my eyes which if thats a slight difference from going to high to medium thats a win, and with the asian eye surgery that will open my eyes slightly but not too much because a compact narrow eye shape is my goal still not like those anime or k pop looks that are the opposite to Sean oprey, Jordan barret, Chico lachowski, brad Pitts eyes, so that will add the illusion of my eyebrows being closer as well.

A: There is no question that the brow bone implant should be placed first as the swelling from that surgery could disrupt any concomitant or previous eyelid surgery.

You probably need more than 2 tio 4mms for the brow bone augmentation, 5mms forward and 3mm down would be the better implant measurements.

Dr. Barry Eppley

World-Renowned Plastic Surgeon