Q: Dr. Eppley, I have some inquiries regarding skull reshaping. I have a problem with the top of my skull, to be more preicise, there is a big “bump” (I can send you pictures if you provide me with your e-mail adress). It’s approximately 1 inch high, 1.5 inches wide, and about 2.5 inches long. I already have a big head, and this only makes it worse. This has caused me much anxiety throughout my life. I would like to know if you had come across with similar cases and if it can be fixed, shaped down to a normal shaped skull? Also, can you tell me what the cost would be of such an operation?
A: Thank you for your inquiry. By your description I believe what you have is a sagittal ridge/bump. Please send me some pictures of it in a reply to this email for my assessment. It can usually be effectively reduced and I have done so many times. Whether the bony bump can be completely flattened (due to the thickness of the skull) and whether it is magnified by a parasagittal deficiency (whose augmentation may be needed to get a really normal skull shape) remains to be determined by the pictures your send. (and sometimes by x-ray assessment of the thickness of the bony bump)
Dr. Barry Eppley