Category: skull reshaping

Black Bone Disease Seen In Skull Reshaping Surgery

Human bones are well known to have a white color. This is seen as more white on skeletal models than in a live person where it is often more of an off white, grey white and rarely an off white with a yellowish hue. Such bone coloration comes from its calcium phosphate content which refracts Read More…

Plastic Surgery Case Study – Two Piece Custom Skull Implant for Enlargement of the Small Head

Background: Head size is typically determined by a circumferential measurement taken just above the ears. In adults this can be anywhere from 55cms (small) to 60cms which would be considered large. Gender differences also expectedly exists with men’s head size being about 10% bigger than females in average. (men = 56 – 60cms, women = Read More…

Plastic Surgery Case Study – Sagittal Crest Skull Reduction Using A Miniature Scalp Incision

Background: The sagittal suture is a well recognized connective tissue joint that runs down the middle of the skull between the parietal bones. It intersects anteriorly with the coronal suture and posteriorly with the lambdoidal suture. These front and back intersections also represent the original anterior and posterior fontanelle. (soft spots) The sagittal suture gets Read More…

Plastic Surgery Case Study – Combining Custom Skull and Temporal Implants for Overall Head Enlargement

Background: Enlarging the size of the head must take into consideration multiple issues. The first is what zones of the head need to be augmented. (top, back, front and sides) The second is how much augmentation can be done in a single surgery given the stretch of the scalp to permit it. And thirdly, if Read More…

Cadaveric and Clinical Observations of Common Facial and Skull Asymmetries

Asymmetry of the face and skull is often stated to be the ‘norm’. In fact, many plastic surgeons say that not only is facial asymmetry common it also adds character and uniqueness to those who have it. When face or skull asymmetry exists it commonly occur together as the crania facial skeleton develops in an Read More…

Plastic Surgery Case Study – The Use Of A Custom Skull Implant To Create A Smoothing Effect in The Irregular Head Shape of The Shaved Head Male

Background: The typical and most commonly illustrated picture of a skull is one with a smooth surface across the top. And while many people have such a smooth skull surface, many don’t. With hair coverage such skull surface irregularities may not be noticeable or may be known but are not an aesthetic concern. But in Read More…

Plastic Surgery Case Study – Custom Temporal Implants for Male Head Widening

Background: There are various general descriptions of head shape concerns which imply which section of the skull is either excessive or deficient. A narrow head shape refers to the side of the head which is commonly perceived as that of the temporal bone which sits above the ear. Technically it also includes a portion of Read More…

Plastic Surgery Case Study – Large Two-Piece Custom Skull Implant Replacement For Improved Design

Background: Custom skull implants create the most significant head shape changes that are possible in adults. Provided that an augmentation effect is needed there is no other form of implant, intraoperatively or preoperatively designed, that produce a better or more substantive result within the limits of what the overlying scalp can accommodate. While less well Read More…

Plastic Surgery Case Study – Skull Asymmetry Correction with Occipital Protrusion Reduction and Custom Skull Implant Placement

Background: Aesthetic deformities of the skull disrupt a pleasing convexity to its shape. These disruptions can consist of excesses and deficiencies at various skull locations. High or long skull excesses tend to occur at the top and back of the head. Deficiencies are more ubiquitous and can occur anywhere on the bony surface of the Read More…

3D CT scan Assessment of Custom Skull Implant Perfusion Holes

Custom skull implants are the most effective method for a wide variety of head augmentations. Made from the patient’s 3D CT scan they are preoperatively contoured to the shape of the skull to allow for the amount of head shape increase that the overlying scalp will permit. One of the important components of their design Read More…