Skull Reshaping

Q: Dr. Eppley, I am very much interested in getting a skull reshaping procedure done under you. I’ve always been conscious of my head (shape wise) growing up. I’ve noticed I have two flat areas of my skull which is the back and the sides. I’ve done many research on skull reshaping and landed on your website. I have the following questions:
1. What is the cost of the procedure? Is it more expensive to do a custom graft or use bone cement? Can you give me a price quote based on my pictures attached (the images on the right (front view)t/below(side view) is photoshopped to give you sort of an ideal results I’d like to have)
2.Do I get the custom graft via CT scan done same day as when I get the procedure done? How does that work since I’m coming from out of state?
3.What is the downtime for the procedure? When can I go back to work?

Hoping for a timely response. Thank you for answering my questions.

A: Thank you for your inquiry. Based on your pictures and description, I see that your two issues need an occipital augmentation (for back of the head projection) and posterior temporal muscle reduction. (for side of the head reduction above the ears) Your imaging results are right on for the side of the head reduction and about 75% obtainable in the back of the projection increase. A custom occipital implant is always the best approach to the back of the head because it can be placed through the smallest incision low in the occipital hairline. The use of bone cements, which are intraoperatively applied and shaped, requires a ,much longer incision placed across the top of the head. I barely use this approach anymore. The posterior temporal reduction is done from an incision behind the ear.

A custom skull implant is made from a 3D CT scan which the patient can get where they live and then they send it to me. It takes about three weeks to have the implant designed and made.

You should be able to return to work in about one week after the surgery.

Dr. Barry Eppley
Indianapolis, Indiana