Does A Custom Skull Implant Feel Like Bone?

Q: Dr. Eppley, I have what I think is brachycephaly with a very flat back of the head but also the sides of the back of the head are pointy and flat. My question is how much bigger and rounder can these areas become with a custom skull implant?  Also does the silicone feel soft ? Like if someone touches those areas can they feel it ? Or if you lay down does it feel soft or just like bone?

it’s like my head doesn’t have a back, its appears cut in half. I think my case is very very very severe. I can’t go outside without a hat. I think if you can fix this it will be truly life changing for me ! I hope and pray and I’m waiting for your answer. thank you

A:Thank you for sending all of your pictures. You do have classic brachycephaly which accounts for the shape of the back of your head. That can be improved by a custom solid silicone skull implant which will feel just like bone. The amount of augmentation is controlled by the stretch of the scalp and I would estimate that to be in the amount shown. (see attached image)

Dr. Barry Eppley

World-Renowned Plastic Surgeon