Can A Lateral Brow Bone Implant Lower The Eyebrows?

Q: Dr. Eppley, I would like the supralateral orbital rim  to be addressed but would like to understand the extent to which he can enhance my whole browbone with this approach – is it just the orbital rim or can he go further, is it possible to have a brow bone that goes on my eyebrow or lower down on the holes? I’m not sure what would look aesthetically pleasing . My primary goal is to achieve a deeper-set appearance for my eyes and to have the upper eyelids a lot less visible. My eyes currently appear bulgey and the globe of the eye is visible – I am hoping this approach will create a somewhat masculine appearance slightly too.

Does Dr Eppley know how many millimeters the implant should be to cover over the eyeball? Would this procedure help in concealing the holes in my brow bone (if not it’s not a big deal)? I am also curious if the implant could potentially lower my eyebrows, particularly flattening the arch and shifting them laterally.

A:You have some misconceptions about what a transpapebral brow bone implant can and can not do:

1) It is not a complete brow bone augmentation procedure, it augments the tail or outer half of the brow bone only.

2) Even if the procedure could augment the whole brow bone you can not have that done as there is bone defects across the central brow in which placing an implant over such an area poses a high risk of infection.

3) Short of a bone graft for the central brow bone where the holes are  hydroxyapatite bone cement could be used….but never an implant. That, of course, can not be placed through an upper eyelid incision.

Dr. Barry Eppley

World-Renowned Plastic Surgeon