Q: Dr. Eppley, I have a flat back of the head that I think makes me look odd and I want to build it out. I have attached pictures from the side of my back of the head profile. How can this head change be done?
A: Thank you for sending your pictures and illustrating your desired back of the head change. Based on your goals and drawings, the first thing I would point out is that the skull bone actually stops at just about the level of the top of the ear, an area much higher than most people realize. Therefore, no type of skull bone augmentation can go that low. The lower half of your desired expanded area are the soft tissue of the neck not bone. Secondly, as a man who shaves his head any incision to do skull augmentation is a very treacherous aesthetic trade-off and I would not recommend it for most men. The only option I would consider would be fat injections to build up the back of the head. But the problem with fat injections is whether you nave enough fat to harvest to do the procedure and the unpredictability of how much would survive and how smooth it would be. But this is the safest aesthetic option with very little downside.
Dr. Barry Eppley