Will A Brow Bone Implant Give Me Deeper Set Eyes?

Q: Dr. Eppley, I’m inquiring about the brow bone augmentation. I’ve been trying to find a way to have deep set eyes. I went to a doctor in L.A. and he suggested orbital decompression, which sounds dangerous. So I’ve been searching around the internet and I found of Dr Eppley’s before/after picture of a patient , under “forehead brow bone and temporal contouring” patient 8 and 9, (esp 8), desire for more prominent brow bones and forehead.

I’m thinking of doing fillers first to see if it would do the same effect, even temporary. In this case at least I know if it would look good on me. Maybe it’s a waste of money and just go straight to the implant.

A: Thank you for sending your pictures. In the pursuit of deeper set eyes there are two fundamental diametric procedures….orbital rim augmentation around the eyeball and orbital decompression which makes the eye sit a bit further back behind the orbital rims. In looking at your pictures, while you have adequate brow bone (superior orbital rim) projection and hooded upper eyelids, you do have a deficiency in the infra- and lateral orbital rims. Thus your deep eye deficiency is in the lower half of the orbital. You can make an argument for both approaches for deeper set eyes, and the combination is undoubtably best, but infra-/lateral orbital rim augmentation will have the more pronounced effect if one had to choose between the two procedures.

Dr. Barry Eppley

World-Renowned Plastic Surgeon