How My Wide Skull Be Reduced?

Q: Dr. Eppley, I want to reduce the skull. There are prominent bones and a lot of asymmetry. The skull is wide.

A:Thank you for sending your illustrated pictures. On the one picture with the drawling I am going to assume that these are the desired general areas of reduction not necessarily how much you think the skull can be reduced to. While  the bony temporal line and the side of the head  and the posterior crown areas can be reduced by bone removal the key question from an aesthetic standpoint is that it would take a coronal scalp incision to do so. In this type of skull reduction surgery to narrow the  wide head this degree of surgical exposure needed requires a coronal scalp  incision . While this incisional approach is not a debate to be had for many more major craniofacial surgeries  when it comes to aesthetic skull reshaping surgery this issue becomes much more paramount. In other words would a fine line scar across the top of your head almost from ear to ear be acceptable trade-off for the skull reduction improvements?

Dr. Barry Eppley

World-Renowned Plastic Surgeon