Plastic Surgery
Dr. Barry Eppley

Explore the worlds of cosmetic
and plastic surgery with Indianapolis
Double Board-Certified Plastic
Surgeon Dr. Barry Eppley

Endoscopic Brow Bone Implant Incisions/Scars


Brow bone augmentation can be done using a variety of techniques and materials. The most common approach has been an open scalp or hairline incision using bone cements to do the buildup of the brow bones. While effective it does necessitate a long incision that is fairly distant from the implantation site and the final shape of the result depends on the surgeon’s artistic shaping skill during surgery.

custom-brow-bone-implant-design-dr-barry-eppley-indianapolisendoscopic-custom-brow-bone-implant-surgical-technique-dr-barry-eppley-indianapolisAnother approach is to place a brow bone implant that is premade from a 3D CT scan. This has a lot of advantages in that the implant design is predetermined before surgery and its placement can be done through a much more limited incisional method. An endoscopic technique can be done using two small paired hairline (or just behind the hairline) incisions. The subperiosteal pocket is developed under endoscopic visualization  and the brow bone implant is inserted through one of the incisions.

endoscopic-screw-fixation-technique-of-custom-brow-bone-implant-dr-barry-eppley-indianapolisendoscopic-screw-fixation-of-custom-brow-bone-implant-dr-barry-eppley-indianapolisThe implant is then positioned and secured, if needed, with small screws using a percutaneous technique. Even though the implant has a custom fit, keeping it from sliding upward is important since most brow bone implants need to sit as long as possible particularly in the male patient. This is a brow procedure that takes only about an hour to complete.

incision-and-scar-healing-of-endoscopic-brow-bone-implant-placement-dr-barry-eppley-indianapolisendoscopic-bropw-bone-implant-hairline-scars-dr-barry-eppley-indianapolisThe hairline incisions offer a very direct approach to the brow bones. Some patients understandably may find these incisions and their resultant scars as potentially problematic. But it has been my experience that these hairline scars in the male patient do well and blend in inconspicuously. It is their irregular zigzag pattern that allows them to heal well as a straight line incision would be more noticeable.

Dr. Barry Eppley

Indianapolis, Indiana

Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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