Back of Head Augmentation

Q: Dr. Eppley, your internet page explains that back of head augmentation is possible by use of different kind of surgery. However, I have read a lot about different possibilities such as implants made from silicone or the use of Osteobond. I am struggling a bit by imaging what is best suitable for me and I have a couple of questions. I would be really grateful if you could give me some feedback.
• What is approximately the maximum thickness backhead augmentation you are able to realize without the use of an expander in advance?
• How can it guaranteed that the implants adhering over years and what will happen if they get loosen? Can the implant crack somehow?
• I have shaved skin on my head, a scar doesn’t cares me but can this being done in an asymmetrical way of cut to make the appearance more looking unintended?
• What is about martial arts fighting sport as an hobby, will it be still possible to do those sports or is it dangerous in case of too much force introduction to the implant?
• Can the implant be formed in a way that rim areas on the outer contour are not visible anymore (print through)?
• I read that Osteobond develops heat while curing caused by exothermic chemical reaction. How this will interact with my organism? What is about chemical reaction products – will this interfere somehow?
• In case of problems how easy the implant can be removed again?
• What does the surgery approximately cost? Is there a possibility to stay in your clinic for a couple of days?
I am looking forward to your feedback!

A: In answer to your questions about back of head augmentation:

1) About 15mms is the maximum thickness that the scalp can accommodate.
2) Skull implants do not get loose, that has never occurred.
3) You can design the scarline anyway you want.
4) Having an implant on the back of your head is more protective than restrictive. It is like putting a layer of protection for the bone.
5) The implant is designed to have very thin feather edges to make the implant-bone transition smooth.
6) Osteobond is an inferior alternative to a custom made skull implant. I would never use it on a shaved head…or any head for that matter if I had a choice.
7) The implant is easily removed.
8) My assistant will pass along the cost of the surgery to you later today. You should be able to return home in a few days after surgery.

Dr. Barry Eppley
Indianapolis, Indiana