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OR Snapshots – Head Widening Temporal Implants

 

The width of the head is determined by how wide it is above the ears.  This is known as the temporal region and consists of a very uniquely shaped temporal bone and varying thicknesses of the temporals muscle over it. By the eye the temporal bone is very concave and the temporalis muscle is correspondingly very thick. (anterior temporal zone) Back by the ears, the temporal bone is much thinner, has a convex shape and the overlying temporalis muscle is much thinner. (zone 2)

While the side of the head is really comprised of both temporal zones, the perception of its width is determined more by the zone 2 region than zone 1. With a more narrow head width the shape of the head above the ears may be either a straight vertical line or even tilted in with a more narrow temporal line distance across the top of the head.

The narrow head can be effectively widened through the use of specially designed temporal implants. Placed either above the muscle in the subfascial plane or between the muscle and the bone (this is based on incisional access), the side of the head can be substantially widened. Traditional use of temporal implants is for the anterior or zone 1 region and by comparison these performed implant are relatively small. But when covering all of the zone 2 region and the poster part of one 1, head widening implants cover a far greater surface area.

The size of head widening temporal implants suggests that they would be hard to surgically place, but they often are not much thicker than 5mm to 7mms. Because there are two sides to the head, a pair of head widening temporal implants causes a more substantial widening effect that one may think based on the numbers alone.

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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