Q: Dr. Eppley,I am interested in skull reshaping surgery. I try to hide my head shape as best as I can. It’s almost as if I have bumps on each side right above my ears that end right after my ears going back that make dents toward the upper back of my head that make the top of my head look even pointier than it already is when facing me from the front. It is much more evident when my hair is shaved even lower than these pictures which I try to avoid.
A: By the front view pictures that you have attached, you have a peaked head shape probably due to a congenital microform sagittal craniosynostosis. The midline sagittal area is very high while the parasagittal regions are very sloped down into the temporal areas. This makes the top of the head very peaked with the sides being narrow…very much like that of a roof. Ideally you need a combination of sagittal ridge reduction and parasagittal augmentation. This is best done using a custom skull implant to build up the sides (parasagittal/temporal areas) and to burr down the sagittal ridge at the same time.
Dr. Barry Eppley