Can A Sagittal Crest of the Skull Be Safely Reduced?
Q: Dr. Eppley, I would like to know if an operation is possible. As you can see from my attached photos (+ MRI), I have a lump in the vault of my skull. It makes me very self-conscious. I would like to know if it is possible to reduce it very slightly simply at the point.
To give you an idea, when I press hard on this bump and the skin comes in for a few seconds, the shape suits me at that time. Is it a malformation of the skull? If this operation is possible, is there no danger to the skull? What would be the price approximately for this operation?
I thank you in advance.
A: Thank you for your inquiry and sending your pictures and CT scan. What you have is a classic posterior sagittal crest/ridge. This skull ridge can be safely reduced and it is an operation I do all the time. You have demonstrated how much reduction you need by your skin compression test which is very achievable. Typically the sagittal crest can be reduced 5 to 6mms as illustrated on a drawing on one of your pictures. This is very safe to do as your CT scan shows that there is ample bone to do so.(see attached)
Dr. Barry Eppley