Forehead and brow bone augmentation

Question

It seems that quite a few craniofacial doctors are performing forehead and brow bone implants, while others avoid it for safety reasons. I would like to get your professional unbiased opinion, on whether this procedure should best be avoided. Can some of the risks be avoided using ceramic materials like Hydroxyapatite? Is this a procedure that will age poorly, and potentially require a revision 30 years later?

Zoran Potparic, MD · Answer

It is completely theoretical question. Augmentation and shaping of forehead and brows can be achieved in multiple ways using bone grafts, alloplastic implants, cadaver bone grafts, fat grafts, fillers. Major craniofacial contouring with osteotomies is usually not performed for mild cosmetic corrections. Hope this may help.

Randal Haworth, MD, FACS · Answer

If im doing an open brow lift and hairline lowering at the same time then I prefer hydroxyapatite since its a more artistic and even customizable approach. It can be molded en even once it is set it can be tapered and it can be shaved down later. In my experience, forehead implants and temple implants often times are « blocky » and the edges of the implants can be seen and felt.

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