Can My Skull That Sticks Out Be Reshaped?
Q: Dr. Eppley, I have this weird-shaped head in the back sticks out. I have been teased about this since I was a child. As an adult, it has not gotten any better. They call me all sorts of names like football or peanut head. I have very low self esteem from this my whole life and I feel like people are always looking at it. I was just wondering if there is a way to flatten the back of my head or make it not stick out in the back as much. Please help me. This would change my life and give me great confidence.
A: While I can not provide any exact recommendations without seeing pictures of your head first from different angles, I can make the following general comments. When it comes to head or skull reshaping, the question is whether the bone needs to be reduced, built up or some combination to get a smoother and better-shaped skull area. Given that there are limits as to how much the skull bone can actually be reduced and that the amount of build-up is always much greater than what reduction can be achieved, the focus should be on whether an augmentative cranioplasty will help. The second general comment is that most cranioplasties, other than for very small areas, has to be done using an open approach. From a scar standpoint, this makes skull reshaping a more common procedure in women than men due to differences in hair densities.
Dr. Barry Eppley