Case Study – Custom Forehead Reconstructive Implant

  Background: Reconstruction of the forehead is very different than aesthetic forehead augmentation. By definition reconstruction is required when a portion of the bony forehead has sustained a full-thickness bone loss. This most commonly occurs due to either trauma or the loss of a craniotomy flap after intracranial tumor surgery. When rebuilding the forehead that…Read More…

OR Snapshots – 3D Forehead Reconstruction Implant

  Forehead reconstruction encompasses a variety of inlay and onlay bone procedures. Reconstruction of full-thickness frontal bone defects most commonly occurs from either neurosurgical procedures where a craniotomy bone flap has been lost or from skull bone loss due to trauma. While replacing the lost bone can be done by using the patient’s own bone,…Read More…

Case Study – Custom Occipital Skull Implant

  Background: Deformities of the back of the head, or of the occipital skull, are not uncommon. Due to the back of the head being exposed to pressures in utero and after birth, occipital deformation is the most frequently occurring skull shape alteration. While known to occur in certain ethnic groups (e.g., Asians) more than…Read More…

Case Study – Minimal Incision Bone Cement Occipital Cranioplasty

  Background: Skull deformities of the back of the head are very common. It is probably the one skull area that has the greatest incidence of shape distortions. This likely occurs because it is the most exposed skull area to deformational force both in utero and after birth due to fetal and neonatal positioning. Thus…Read More…

Skull Augmentation in Young Children with Plagiocephaly

Plagiocephaly is a term used for a broad collection of congenital skull deformities that involve a general twisting or rotation of the skull base. This is most commonly seen as flattening on one side of the back of the head with compensatory changes anteriorly to the forehead and face. When diagnosed early skull molding therapies…Read More…

Case Study – Custom Skull Implants for Head Widening

  Background: The shape of the head can be quite variable amongst different people. While often perceived as a smooth oblong shape, some people are not as blessed with such a smooth and symmetric skull. The skull can have a large number of asymmetries and deficiencies that may be of concern to the patient but…Read More…

Case Study – Funnel Insertion Technique for Injectable Occipital Cranioplasty

  Background: Flat spots on the back of the head or one-sided occipital flatness is not rare. While the back of the head is typically round, it is prone to numerous indentations and irregularities from in utero and neonatal influences. Since the back of the head is exposed to greater eternal pressures than the rest…Read More…

Technical Strategies – Perfusion Holes in Skull Implants

Aesthetic cranioplasty often involves the coverage of large skull areas with alloplastic material. Whether it be PMMA or hydroxyapatite cements or with today’s custom 3D generated silicone implants, a fairly large amount of material can serve as a solid interface between the overlying scalp and the underlying cranial bone. As the scalp has an excellent…Read More…

Plastic Surgery Case Study – PMMA Cranioplasty for Moderate Flatness of the Back of the Head

  Background: Excessive flatness of the back of the head can affect women and men equally. While shorter hairstyles reveal the shape of the back of the head most clearly, women with longer hair can be similarly affected and use various hairstyling methods to camouflage it. There are various materials by which the back of…Read More…