Can Custom Skull Implants Provide More Back of Head Augmentation Than PMMA Bone Cement?
Q: Dr. Eppley, I’m a 21 year old female had an occipital augmentation surgery in South Korea 1.5 years ago (methyl methacrylate was used), however it didn’t fully correct the flatness of the back of my head. Would it be possible to have a revision surgery to augment the back of my head more?
Additionally, I am wondering if you place your implants above or underneath the periosteum?
A: To no surprise PMMA skull augmentation will always be inadequate for occipital augmentation because of its low volume. (usually 60cc of volume or less) Custom skull implants provide much better augmentation as their volumes are in the 120 to 150cc volume range, at least 2X bigger.
All skull implants are always placed below the periosteum.
Dr. Barry Eppley
World-Renowned Plastic Surgeon