Parasagittal Skull Implants

Q: Dr. Eppley, we’ve been emailing for the last 3 years about my skull shape and various skull reshaping methods to improve it. I hope you’re doing well. Last we emailed, I was thinking about getting two parasagittal skull implants which would require a pair of of 2.5 cm incisions.

Is that still the best option today? I was wondering about a single central incision as I think that will be hidden a little better with my naturally thin hair. Do you have an idea of 1) whether that’s possible with 2 implants, and 2) roughly how short we could keep the incision? I recently saw a blog post of yours where you performed a sagittal reduction through a small central incision. This might be a good chance to do a little bit of reduction along with implants.

Finally, are there any long-term health risks with these implants?

A: The truly best option for your skull is to have a combination of a sagittal ridge reduction with custom parasagittal skull implants placed through a 4 to 5 cm incision. It really comes down to whether the sagittal ridge is addressed or not. If it isn’t then the two bilateral smaller incisions would be best. Because the one central incision is essentially going to be he addictive width of the paired incisional approach.

There are no long-term medical risks with these skull implants.

Dr. Barry Eppley
Indianapolis, Indiana