If I Augment The Sides Of My Head Can I Augment The Back As Well?

Q: Dr. Eppley, Why does increasing width on the wide of my head restrict augmentation on the back of my head? I am asking because I have a bit of a flat head. I also am wondering if I could also increase the width of my face during one procedure around my head. I have a narrow face so I would like to increase the total width in general but minimally because I want it to look as natural as possible. Overall, I am looking to increase the total width of my face by around 7-8 mm and I am looking to increase the total circumference of my head from around 55.5 cm to 56.5 cm. And if possible I would also like to fix the back of my head which is flat. I want to keep the same look on my face, just slightly bigger, I don’t want anything that looks unnatural. 

A: The scalp can only take so much implant volume. It does not have a  endless ability to be stretched. Thus if you buildup the sides there may not be enough scalp stretch to add anything to the back.

Since the scalp provides implant size/volume limitations there is no risk of looking unnatural…which almost always refers to a size change that is too big.

Dr. Barry Eppley

World-Renowned Plastic Surgeon