Is Scalp Hyperhidrosis A Concern In Getting A Custom Skull Implant?

Q: Dr. Eppley, I’ve seen your amazing work and read many articles on your website — they’re truly remarkable and insightful. I’m interested in a procedure to correct the back of my head, which is relatively flat and appears somewhat disproportionate. I have a few questions before moving forward: What material would you recommend for this type of augmentation? Given my current head shape, would PMMA be a suitable option? How long should I avoid high-intensity sports after the surgery? I have craniofacial hyperhidrosis — should I be concerned about any long-term effects related to this condition following the procedure? I enjoy skiing, for example — are there any risks associated with impact if materials like silicone are used? How does the implant feel to the touch once healed? Could you please provide an estimate of the total cost of the procedure and your current availability? Thank you very much for your time and consideration. I look forward to your response.

A: The only truly effective material or method for any form of aesthetic skull augmentation of any size significance is custom implants made of a solid silicone material. The use of bone cements is a poor alternative and is only of near historic significance at this point in my skull reshaping experience.

Once you are fully healed, three months after the surgery there are no physical restrictions. Think of a custom skull implant as placing a bumper guard on the skull. It will feel as hard as bone and coincidentally will act as a method of protection.

As for scalp hyperhidrosis that is a superficial issue at the skin level and has no negative impact running implant placed down on the skull bone.

Dr. Barry Eppley

World-Renowned Plastic Surgeon