Will A Large Skull Augmentation Raise My Eyebrows?

Q: Dr. Eppley, I have some questions about large skull augmentations using a first stage scalp expansion.

I know you said the procedure would raise the hair line’s position, by how much do you estimate it would? I would just like to know if you think it would be a noticeable amount.
Aside from the two phase expansion, are there any downsides to a large augmentation?
Since you said this was similar to a lefort I, would this lower the philtrum? And or increase the width of the alar base?
I understand it is a substantial augmentation, do you think it would be advisable to further reduce the amount being augmented?
If I were to do just a temporal and top augmentation without the frontal augmentation would there be noticeable margins from the front view?
Would the skull augmentation affect the position of my eyelid/eyebrows

A: In answer to your large skull augmentation questions:

1) Since how much hairline change, if any, can not be accurately predicted beforehand make the assumption in considering the procedure that a hairline change will occur and it will be noticeable.

2) In general a large skull implant does not necessarily have more risks than a smaller skull implant.

3) A midface mask implant has some similar effects to that of a LeFort I advancement with the exception that it does not change the upper lip because it does not affect the incisor tooth position.

4) Imaged changes may be a goal but in the end the amount of skull augmentation will be controlled by what the scalp tissues can tolerate.

5) The risk of implant edging is always eliminated when the edge of the implant stays at or behind the hairline.

6) Large skull augmentations may have a limited eyebrow lifting effect.

Dr. Barry Eppley

World-Renowned Plastic Surgeon