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Role of Perfusion Holes in Custom Aesthetic Skull Implants

Perfusion holes in aesthetic skull implants serve several important biologic and mechanical purposes. Since onlay skull implants for aesthetic augmentation are made of solid silicone these holes are intentionally made intraoperatively for multiple purposes. Some of these effects are for intraoperative use while others have postoperative benefits. In either case they have the biologic effects Read More…

The Geometry of Aesthetic Custom Skull Implants

One of the most successfuk forms of aesthetic skull surgery is augmentation using a custom designed skull implant. Enlargement or augmenattion of any or all of the five surfaces of the skull can be done (forehead, top of head, back of head, sides of the head) with designs only limited by the  ability of the Read More…

The 3D Architecture of the Human Skull Explained

The human skull is not just a collection of bones—it is a highly engineered three-dimensional biological structure designed to achieve four major goals simultaneously: Protect the brain Support the face Enable sensory function Provide lightweight structural strength Its architecture resembles principles seen in: domes, trusses, shell structures, and composite materials used in engineering. 1. The Read More…

Occipital Skull Reduction – Anatomy and Technique

Occipital skull reduction is a cosmetic cranial contouring procedure that reduces the prominence or projection of the back of the skull (the occipital bone). It is typically done for patients who feel the back of their head is overly protrusive, asymmetrical, or disproportionate in profile. Common Reasons for the Procedure Prominent occipital “bump” or bulge Read More…

Custom Facial Implants – Techniques in Intraoperative Placement

Some surgeons falsely allege and some patients erroneously assume that a custom facial implant just snaps into place because of its design with an underlying shape that mimics the surface anatomy of the bone on which is placed.  There is also the mistaken belief that certain implant materials (aka PEEK) are better because of this Read More…

What is Aesthetic Skull Reshaping Surgery

  Every day I get inquiries from patients requesting ‘skull reshaping surgery’ without any further specifications or details of their head shape concerns, not recognizing the scope of the general term. A detailed description of what encompasses skull reshaping surgery is described. What is Aesthetic Skull Reshaping Surgery Aesthetic skull reshaping surgery—often called cranial contouring Read More…

Secondary Custom Skull Implant Overlays and Extensions

Custom designed implants for aesthetic skull augmentation and contouring is a very effective method that has replaced the limitations of traditional cranioplasty bone cements. But like any aesthetic implant patients may determine secondarily that they desire an enhanced augmentation effect. This could mean more projection than the current implant, increased surface area of augmentation coverage Read More…

Adult Plagiocephaly Skull Asymmetry Correction Case Example

Custom skull implants are one of the main surgical options used to improve cranial asymmetry in adult plagiocephaly when the skull bones can no longer be reshaped. In adults, the cranial sutures are fused, so correction is typically done by augmenting the skull contour rather than moving bones. Below is a structured overview of how Read More…

Custom Occipital-Parietal Temporal Skull Implant Overlay Case Example

A custom skull implant overlay (sometimes called a “topper implant” or stacked skull implant) is a secondary implant designed to sit on top of an existing skull implant to increase projection or refine contour without replacing the original implant.  Concept The original implant acts as the base implant that establishes the footprint on the skull. A secondary overlay implant is designed to fit precisely over that base implant within the Read More…

Tertiary Custom Skull Implant Overlay Case Example

Placing a custom skull implant overlay on top of an existing skull implant is possible — but it requires careful analysis and is not a routine situation. The approach depends heavily on what the first implant is, how it was placed, and why additional augmentation is needed. Here is a structured breakdown: 1. When Would Read More…

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