How Can The Indents In My Skull Be Fixed?
Q: Dr. Eppley, I have concerns about my head shape. I know my head shape is not terrible but it bothers me enough to want something done. I know actually looking it over or feeling the shape would give better insight. The way it’s shaped makes it difficult for normal looking haircuts. I really want to try to do something about it so please try and help me. I think the one noticeable thing is that it’s not a smooth shape at the top, it divot’s a lot on the sides. I have attached pictures. Please let me know what you think.
A: I have reviewed your pictures and read your concerns. The exact area to which you refer is the transition zone between the superior attachment of the temporalis muscle and parasagittal bony skull area. There are many people who have an indentation or steep transition between these two aesthetic skull zones. In some people it is more severe and noticeable. That area could be augmented, it is a question of how that can be done. The method that would provide the smoothest and best contour result is an open skull augmentation (cranioplasty) using either PMMA or hydryoxyapatite. The use of an open cranioplasty involves a croronal incision and resultant scar may not be acceptable in many male patients. An alternative approach is an injectable cranioplasty using Kryptonite bone cement. While this does not have any scar concerns, there is a potential issue of visible edges in the anterior aspect of the defect in the upper forehead.
Dr. Barry Eppley
A detailed description and pictures of your concerns allows for the most informed response.