A custom male forehead–brow bone implant is a facial implant designed to enhance the supraorbital ridge (brow ridge) and forehead contour—typically to create a stronger, more masculine appearance.
Here’s a clear breakdown of what that involves:
What It Is
- A patient-specific implant (usually made from solid silicone or PEEK)
- Designed from a CT scan of your skull
- Built to augment:
- Brow ridge projection (more prominent “bossing”)
- Forehead slope (flatter or more angular)
- Transition between forehead and nose
Why Men Get It
Common goals:
- Stronger, more masculine facial structure
- Correction of a naturally flat or recessed brow bone
- Balancing facial proportions (especially with rhinoplasty or chin/jaw work)
- Gender-affirming facial masculinization
Custom Implant Design
Only method to do so, no standard total forehead implants exist.
- Designed to fit each patient’s bony anatomy
- Smooth, natural transitions
- Symmetry correction possible
- Result design dependent
- A more complex implant design than it initially seems
Bone cements
- Shape too complex to try and intraoperatively create
- Would require a full bicoronal scalp incision to try and do
- An historic material only used when custom implant designs did not exist
Case Study
Custom Implant Design
Using the patient’s 3D Ct scan a custom implant creating forehead and brow bone augmentaiton was design. Its width stopped at the lateral bony temporal line at the fascial-muscle junction. Total implant volime was 52ccs. His goal was a strong implant design.
The mplant thickness was 5mms in the central mid-forehead
Surgical Approach
Behind the hairline incision- Subperiosteal pocket creation with full brow bone release
- Implant is placed directly on bone
- Confirmation of implant placement legs onto the lateral orbital rim.
- Micro screw fixation of implant to bone at incision
- Procedure time: ~1–2 hours
Behind the hairline incision
Micro screw fixation of implant to bone at incisionRecovery
- Swelling: noticeable for 2–3 weeks
- Bruising: usually mild to moderate
- Back to normal activities: ~10–14 days
- Final result: ~6–8 weeks
Results
At 6 months after surgery he had a well healed symmetric result with a strong upper third of the face augmentationn outcome.
Discussion
Key Design Considerations
A good custom implant design balances:
- Projection (how far the brow sticks out)
- Lateral extension (how wide across the brow)
- Central vs lateral fullness
- Forehead slope (straight vs curved)
- Creates a suprabrow bone break between brows projection and forehead slope
Too much projection can look unnatural—this is where custom design really matters.
Risks (Like Any Implant)
- Infection (low, but possible)
- Implant shifting (rare with proper fixation)
- Over/under-correction
- Temporary numbness of scalp
Important Insight
This is one of the most powerful structural changes you can make to the upper face. Even a few millimeters of brow augmentation can dramatically change how masculine or dominant the face appears.
Dr Barry Eppley
Plastic Surgeon