Can Skull Reshaping Surgery Improve My Abnormalities of a Sagittal Ridge and Asymmetry?

Q: Dr. Eppley, We had a skull reshaping video consultation two Saturdays ago about my cranial abnormalities resulting in asymmetry and sagittal ridge deformity. I apologize that it has taken me so long to get photos to you as you had requested. Rather than taking new ones, I wanted to rectify that situation as I felt the photos I have attached are indicative of the oddities of my skull.

Thank you for your time that morning. I feel that working with you could pave the way to a brighter future for me.

A: Thank you for sending all of your pictures which show the combination of a sagittal ridge and asymmetry.

With the skull reshaping goal of a smoother rounder head shape you have two options:

1) Sagittal ridge burring reduction and augmentation of the asymmetry….while this is a logical approach the dilemma is that this will requires a significant scalp scar whose aesthetic trade-off may not be worth it.

2) The other option is to make a thin custom implant that covers the ridge and the asymmetry. This is more appealing from a scar standpoint as the incision to do so would be smaller.

As you can see each skull reshaping option has its own advantages and disadvantages.

Dr. Barry Eppley

Indianapolis, Indiana