What Is The Most Natural Product For My Brow Bone Surgery Revision?
Q: Dr. Eppley I need a revision of my brow bone contouring surgery back in 2014. I would like more information re: brow bone revision contouring while maintaining a male appearance. I have an indentation in the center at the hairline, narrow arched groves from center curving upward & outward toward each side and a small bump on the left side. I see on your website that you have used hydroxyapatite and bone cement for surgical use of brow bone recontouring. I would like to use the most natural product that works with the human body/immune system as apposed to silicone, which the body over time rejects. I would also like to discuss other products, perhaps titanium or other recommendations.
A:The material of choice for any form of brow bone contouring depends on what type of structural change is needed and what type of incisional access is used to do it. Because the brow bone is a small area of the forehead HA can be a good choice as the material demand (volume needed) is low. That being said what is first needed is a 3D CT scan of your forehead to understand the exact condition of the brow bones. I assume you had a bone flap setback in 2014 in which bone defects along the osteotomy line may exist as well as other contour issues as you have described. I would also assume that this was like done from a more wide open access from a scalp incision.
Dr. Barry Eppley
World Renowned Plastic Surgeon

North Meridian Medical Building
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