Skull Augmentation and Hairline Lowering

Q: Dr. Eppley, I am interested in skull augmentation and hairline lowering. The problem is that my skull is very small for a man size, around 52 centimeters roughly measured, And I have a very big forehead. I was approaching you to see if I could enlarge my skull, specially the back part and widen the right and left sides. And if it was possible to lower the hairline or decrease the size of the forehead along this procedure. 

A: Thank you for the skull reshaping clarifications to which I can provide the following general statements:

1) Skull augmentation and hairline lowering can not be done together or even separately. One procedure works against the other one. Once one of them is done the other can never be done.

2) Skull augmentation can be done for any part of the head, including the back and both sides using custom made skull implants from the patient’s 3D CT scan. The critical question is what amount of augmentation and whether the natural elasticity of the scalp will permit the placement of an immediate skull implant or whether a first stage scalp expansion procedure is needed to accommodate the implant’s size.

Dr. Barry Eppley

Indianapolis, Indiana