Deleted member 10449
Zephir
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Do Jewppley s implants work or cope
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I think it makes someone look more chadWhy would you want a wider forehead?
Thank you so much for the detailed responseGood question. Yes there is but it would probably be too risky to undertake to resolve an aesthetic request and that is a anterior cranioplasty or frontal bone remodeling.
Implants usually won't work because of eye spacing and temporalis muscle. Degloving the Temporalis from the temporal fossa and implanting custom PEEK implants under the muscle has been tried with bad results. Sub-fascial silicone temporal implants can help some if the change desired is not very much, but remember ES ratio.
Expansile High-Orbital Box Osteotomy is a method which has also been applied for non-syndrome close-set eyes in people without intellectual deficit. As a little pearl, all expansile Orbital Box Osteotomies are done as "High" OBO's involving the forehead so everything blends. This is by far more rare since most Orbital Box Osteotomies are for Orbital Medialization not Lateralization.
I will post an old before and after picture of this form a textbook if you remind me.
They look better than sloped ones , oval onesWhy would you want a wider forehead?
That’s shape though, not width. Narrower hairline is better than wide if both are square. Like Zayn’s for example, it’s narrow but also squared.They look better than sloped ones , oval ones
Good info. How is the ES ratio relevant here though? I thought ES ratio involves just the IPD and bizygo, not bitemporal width. @RealSurgerymaxGood question. Yes there is but it would probably be too risky to undertake to resolve an aesthetic request and that is a anterior cranioplasty or frontal bone remodeling.
Implants usually won't work because of eye spacing and temporalis muscle. Degloving the Temporalis from the temporal fossa and implanting custom PEEK implants under the muscle has been tried with bad results. Sub-fascial silicone temporal implants can help some if the change desired is not very much, but remember ES ratio.
Expansile High-Orbital Box Osteotomy is a method which has also been applied for non-syndrome close-set eyes in people without intellectual deficit. As a little pearl, all expansile Orbital Box Osteotomies are done as "High" OBO's involving the forehead so everything blends. This is by far more rare since most Orbital Box Osteotomies are for Orbital Medialization not Lateralization.
I will post an old before and after picture of this form a textbook if you remind me.
I have a way to do it with implants now, invented some modifications that will make it work just fine.Good info. How is the ES ratio relevant here though? I thought ES ratio involves just the IPD and bizygo, not bitemporal width. @RealSurgerymax
What can be done for the opposite problem by the way? To reduce a wide temple area (above the eyebrows)? Is there any solution? @RealSurgerymaxI have a way to do it with implants now, invented some modifications that will make it work just fine.
probably. scans and pics and we can devise a strategyWhat can be done for the opposite problem by the way? To reduce a wide temple area (above the eyebrows)? Is there any solution? @RealSurgerymax
Thank you. I sent scans via email @RealSurgerymaxprobably. scans and pics and we can devise a strategy