Can The Dip Across The Top Of My Head Be Fixed?

Q: Dr. Eppley, Would like to change the shape. I’m not sure what is the best option? The top of the head has a dip and is flat, not sure if could be burring or implant. Front forehead is also too large.

A:Thank you for your inquiry and sending all of your pictures. You really have a combination of two skull shade issues. The first is the classic coronal dip that can occur across the top of the head along the coronal suture line. This is treated with a sin custom scholar implant that goes from side to side to provide a dip correction. This is placed through an extremely small 2 cm scalp incision. The other problem, as you have mentioned, is that the forehead is a bit pronounced and you have prominent bony temporal lines along the side of the forehead that go up to the coronal dip area. This is a reductive problem, done by burning, and while effective, presents a major aesthetic concern in that the scalp incision needed to do it would be considerably larger than that of the skull implant placement and for most me who shave their heads would probably be viewed as an aesthetic trade-off that may not be worth the benefits.