Q: Dr. Eppley, Please help me I have flat head from the back and it looks ridiculous and people are laughing at me . And I’ve been suffering for over 22 years. I want to ask do you you have plastic surgery for the back of my head and please tell me the solution. I have attached a picture for you to see how bad it is.
A: Thank you for sending your picture. I will admit, and I have seen many flat back of the heads, that you do have an impressive one. It is one of the flattest back of the heads that I have ever seen. There is no question there is improvement to be had with flat back of head surgery, it is just a question of how much and what effort do you want to put into it. There are two basic approaches, either a single stage or a two stage approach. In a single stage approach, a custom implant or PMMA bone cement is use to create a moderate improvement. In a two-stage approach, a first-stage tissue expander is placed to stretch out the soft tissues. Then a custom implant or bone cement is placed to get a more significant change. (at least double that of the one-stage) Either way, you definitely can get a positive improvement from the very flat back of the head that you have with these occipital augmentation.
Dr. Barry Eppley