Can Occipital Augmentation Be Done At The Same Time As Sagittal Ridge Reduction?
Q: Dr. Eppley, I’ve been looking into cranial augmentation and it has led me to here. You seem to have a lot of experience in the matter so I have a few questions. I have flatness in the back of my head and also a hump on the top of my head. If you look at my pictures, the flatness starts at point A up to the top of my head. The hump starts at point B and continues to point C. I have also outlined a drawing of how I would like the final result to shape into. My questions are:
1. Can both of these issues be corrected in the same procedure and through the same incision point?
2. Could a single vertical incision,essentially from point A to point C give better access to address both issues, or is a coronal incision still the method of choice?
3. I would be an out of town patient. If I were to go through with the procedure, how many days would I have to stay in the Indianapolis area for?
A: When it comes to skull reshaping, it is very common to simultaneously perform areas of reduction and augmentation. In answer to your specific questions:
- Both the sagittal ridge reduction and the occipital augmentation can be done through the same incision at the same time.
- The transverse coronal incision would be the standard approach. While there is nothing wrong per se with a sagittal or vertical incision, as equal access to do the procedure can be obtained as the coronal incision, there would be greater scar widening with that scalp incision orientation.
- You would be able to leave for home by 48 hours after surgery.
Dr. Barry Eppley