Would Tail of the Brow Bone Augmentation Fix My Eye Asymmetry?

Q: Dr. Eppley, I hope you’re all well. I’ve just had a revision of my initial Facial Feminisation at another clinic but I have a problem with the appearance of my eyes. One appears hollow and the other more smooth. I’d like to book an online consultation with Dr Eppley, or at least humbly request his feedback for my particular case. Please see the attached images.

I present the following images and I am grateful for any insight he is able to provide. Depending on this, I’d be willing to travel to an in-person consultation if needs be.

A:While I don’t know what you looked like beforehand the 3D CT scan clearly shows the less forward projection of the right tail of the brow, lateral orbital wall, infraorbital rim and cheek. Since not all of these changes could have occurred from the surgery, as only the teil of the brow bone was reduced ,this indicates that much of this bony asymmetry existed beforehand. Thus the brow bone reduction has now made this asymmetry more visually evident as the brow bone support has been removed both horizontally and vertically. Logic would then dictate that restoring some tail of the brow bone would be helpful in decreasing the orbital asymmetry. Such tail of the brow bone augmentation could be done by a transpalpebal (upper eyelid) approach.

Dr. Barry Eppley

World-Renowned Plastic Surgeon