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OR Snapshots – Forehead Augmentation with Hydroxyapatite Cement

The forehead occupies a third of the visible face. Because it does not have any topographic features that draw one’s attention to it like other parts of the face, its broad non-remarkable surface is not an immediate eye-catcher. But despite being relatively bland, the sheer size of the forehead does play a role in aesthetics and there are well known gender differences in its shape.

The male forehead has the topographic feature of brow bones with a forehead that is flatter and may even have a slight backward slope to it. Conversely women usually have no visible brow bones and a more convex and rounded forehead that is almost completely vertical.

For women that desire forehead augmentation there are a variety of material options to achieve a feminization effect. From bone cements to preformed implants each choice has their own unique advantages and disadvantages. To some degree they are all implant materials and the body responds to them by differing degrees of encapsulation.

hydroxyapatite-cement-forehead-augmentation-dr-barry-eppley-indianapolisFrom a biologic standpoint the argument could be made that hydroxyapatite cement is the most biocompatible material for forehead augmentation. A direct bonding of the material does occur without a fibrous layer at the bone-cement interface. This unique biologic response to it is countered by the need to apply the cement in an open fashion through a coronal scalp incision. It is also the most costly of all forehead augmentation material options.

While there are different forms of commercially available hydroxypatite cement for craniofacial applications, these difference are largely in the material’s handling and set properties.


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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