How Can I Fix The Dip On The Top Of My Head?

Q: Dr. Eppley, My head shape dips and then peaks upward again, most notably visible on a profile view seen in the included image. I’m not happy with the resulting contours and was wondering if a bone burring could have any success at reducing the severity of the slope, and I would rather avoid any kind of silicone or insert as much as possible. I’ve lost a lot of confidence and peace over the years I’m hoping could be somewhat regained.

A:Thank you for your inquiry and sending your picture. I would agree with you that the indentation across the top of your head is more reflective of an excessive growth of the crown of the skull than it is an actual coronal dip deformity. While it is true that the easiest strategy to changing the shape is to fill in the indentation that would be contrary to your goal of avoiding any form implant augmentation. Therefore we have to focus on crown reduction which I believe it is possible but we will need to know the actual thickness of the bone to see how much of the crown of the skull reduction can be safely achieved. This is done by a 3-D CT scan of the skull which is then analyzed by color thickness bone mapping.

Dr. Barry Eppley

Plastic Surgeon