How Can I Get A Square-Shaped Head?

Q: Dr. Eppley, I wish to achieve a more square head shape around my temporal lines and get my sagittal ridge reduced. Can this by done with sagittal ridge reduction as well as a silicone skull implant?

A: Thank you for your inquiry and sending your picture. The pertinent question is whether your sagittal crest is present because the parasagittal area to the sides is too low (not square) or whether you need a combined square-shaped custom skull implant with a sagittal crest reduction. You may just need a modification of the attached custom skull implant design to achieve your desired effect. It will take some computer imaging to help make this determination to compare how these two types of skull reshaping changes would look.