Can My Sagittal Skull Ridge Be Reduced?

Q: Dr. Eppley, I’d like to discuss whether a sagittal crest reduction is possible. I have a small bump on the top center of my head that gives it a slightly elongated “egg” shape. I’m generally happy with the overall shape and am only interested in a subtle reduction to create a more rounded appearance.

A:Thank you for your inquiry and sending your picture. Sagittal ridge reduction is always possible in my experience because a sagittal ridge usually represents thicker skull bone along the suture line and not thinner bone. How much reduction that can be done can be determined by a preoperative 2-D CT scan but, in my experience, always at least a modest reduction can be achieved as per the attached image.  since you used the term subtle reduction that certainly seems to be possible.

Dr. Barry Eppley

World-Renowned Plastic Surgeon