Can You Lower The Eyebrows With A Brow Bone Implant?

Q: Dr. Eppley, I have a question about my eye area. My eyes look quite feminine and weak despite good palpebral fissure length. My lower eyelid look quite round. I noticed that I have bad upper eyelid hooding and my upper eyelid looks round. I show examples of masculine,alert eyes I wish I could achieve. First example is my eye area.

Another question is if its possible to lowering entire brow bone and push eyebrows lower. Also is it possible to change orbital rims shape? I asked one surgeon before and he told me for infraorbitals is possible to get 2.5-4mm of vertical augmentation and up to 6mm of horizontal augmentation and for supraorbitals is it possible to move horizontally up to 4mm and there is a problem for lowering cause you have to release some skin from forehead or use expander to make place for implant and in that case even 7mm of vertical augmentation can be achieved.

Thank you.

A: I would generally agree using custom implant designs with the following statement ‘ for infraorbitals it is possible to get 2.5-4mm of vertical augmentation and up to 6mm of horizontal augmentation and for supraorbitals is it possible to move horizontally up to 4mm.’…..with the exception I have seen brow bone augmentations that are much greater.

I would also agree with the statement that ‘there is a problem for leyebrow lowering cause you have to release some skin from forehead or use expander to make place for implant and in that case even 7mm of vertical augmentation can be achieved’ ….with the exception that I have seen eyebrow lowering of a few millimeters just with brow bone implant augmentations alone that have a vertical inferior lowering design.

Dr. Barry Eppley

Indianapolis, Indiana