Category: skull reshaping

Quick Set Hydroxyapatite Cement for Skull and Facial Contouring

The introduction of hydroxyapatite bone cements (HAC) in the 1990s, based upon an extensive experimental and clinical history of proven osteoconductive responses in maxillofacial surgery as granules and blocks in the 1980s, was a welcome alternative to acrylic (methyl methacrylate) in cranioplasty and skull augmentations.The ability to intraoperatively mix and mold a liquid and powder Read More…

Plastic Surgery Case Study – Custom Skull Implant and Sagittal Crest Reduction for the Inverted V Shape Skull Deformity

Background: The shape of the head is typically rounder regardless of the view to which it is seen. In the profile view it has an oblong curved convex shape. When seen from behind the shape of the head is fairly round. When looked at front the front, which is how most people see their head, Read More…

Reducing the Isolated Occipital Skull Bone Protrusion Deformity

The back of the head is typically called the occiput or occipital bone. But anatomically this is inaccurate as only the lower central part of the back of the head is the occipital bone. Much of the back of the head is the parietal bone which lies above the inverted v-shaped lambdoid sutures. Appreciating the Read More…

Custom Skull Implants and The Scalp Incisions Needed To Place Them

Augmenting depressed contours of the skull can be done by a variety of materials. When placing any skull augmentation material the two key elements of importance are assurance of the desired contour and a limited scalp incisional scar to do so. It is important to differentiate reconstructive skull thickness restoration from aesthetic skull contouring. The Read More…

Technical Strategies – Intraoperative Placement and Positioning of Custom Skull Implants

Aesthetic augmentations of the head can be most effectively done using a custom skull implant approach. Using the patient’s 3D CT scan implants can be designed to contour large surface areas of the external skull bone surface. While these skull implant designs can be made of any of the traditional materials, solid silicone is the Read More…

Plastic Surgery Case Study – Custom Skull Implant for Plagiocephalic Back Of Head Flatness and Asymmetry

Background: Plagiocephaly is a common and most recognized developmental skull shape deformity. It is typically seen as a flattening on one side of the back of the head that wraps around the side onto the posterior temporal region. This is why the ear on the affected side is always displaced a bit more forward. In Read More…

Plastic Surgery Case Study – Occipital Skull Reduction with Scalp Tuck for Back of Head Reshaping

Background: The back of the head is frequently called the occiput or occipital region of the skull. While there is anatomic truth in that statement, it is a bit overstated. The occipital bone actually only makes up the lower central area of the back of the head with its superior borders being the inverted v-pattern Read More…

Plastic Surgery Case Study – The Mobile Window Concept in Occipital Knob Skull Reduction Surgery

Background: The dominant feature of the back of the head that is rarely seen is that of the inion. This small protrusion of bone emanates from the underside of the mid-occipital bone and exists as a source of musculoligamentous attachments. It exists in both men and women and is of variable sizes. When it becomes Read More…

Plastic Surgery Case Study – Custom Skull Implants for Female Crown of Head Augmentation

Background: Skull implants represent a new type of aesthetic augmentation procedure in the ability to reshape one’s head. Just like any other face or body feature, however, there are gender specific types of changes that apply to the head as well. While women’s head shapes are overall smaller as would be expected, their bone thicknesses Read More…

Concepts in Custom Skull Implants For Flat Back Of The Head Augmentations

Flatness of the back of the head is the single most common patient concern when a skull shape deficiency exists. The flatness can be on one side or both or can be higher or lower but it is always about lack of enough prominence or projection on the back of the head. In evaluating back Read More…