Category: OR snapshots | skull reshaping

OR Snapshots – Scalp Incision Location for Custom Occipital Skull Implants

Correction of flat and asymmetric back of the head deformities is unequivocally best done with a custom skull implant. Made from the patient’s 3D skull CT scan, the outline of the skull augmentation needed and the point of maximal projection and symmetric shape can be best achieved. With a preformed skull implant, like any other Read More…

Plastic Surgery Case Study – Right Occipital Plagiocephaly Custom Skull Implant Correction

Background: Plagioephaly is a well known skull deformity that is marked by an asymmetry of the circumferential skull shape. This is most commonly manifest by a flatness on the back of the head with varying degrees of asymmetry of the forehead as well. It is almost always that the back of the head is flatter Read More…

Plastic Surgery Case Study – Skull Height Reduction using a Grid Pattern Technique

Background: Macrocephaly can be a pathologic condition where the entire size of the head, the skull, scalp and intracranial contents, are abnormally large. There are a variety of causes for it including hydrocephalus, genetic conditions and an enlarged brain as some of the most common reasons. These are usually treated a younger age of often Read More…

Plastic Surgery Case Study – Head Enlargement with a Custom Skull Helmet Type Implant

Background: The size of one’s head is subject to a variety of normative values such as a circumferential measurement and percent of total body size. But regardless of numbers, the person’s interpretation of their head size is what is most aesthetically important. For those concerned about their head size, some people see their head size Read More…

Product Review – OsteoVation Injectable Bone Cement for Small Skull Contouring

The concept of an injectable cranioplasty to augment various areas of the skull has tremendous appeal. Avoiding scalp incisions has an obvious benefit as well as limiting the magnitude of the surgery. Having worked years ago at trying to develop this surgical technique, it was eventually abandoned due to not being able to solve the Read More…

Plastic Surgery Case Study – Small Custom Skull Implant for Discrete Contour Depression

Background: In an era where it is common to see an adult male with a shaved head or a very closely cropped haircut, the shape of the head takes on great aesthetic significance. Not only are large head shape issues glaringly apparent but small ones that would normally never be seen with a head of Read More…

Plastic Surgery Case Study – Custom Total Skull Implant for Overall Head Enlargement

Background: The size of one’s head or shape of the skull is usually congenitally controlled. While microcephaly is a pathologic skull development condition that restricts brain development, some patients have small narrow heads but not true microcephaly. Sometimes called ‘peanut heads’ and often having issues with wearing hats or helmets their head shape might be Read More…

Plastic Surgery Case Study – Custom Skull Implant in the Sagittal Ridge Skull Deformity

Background: A sagittal ridge skull deformity is most commonly perceived as its fullest expression with sagittal craniosynotosis in an infant. But there are greater numbers of patients affected by lesser or more ‘aesthetic’ sagittal deformities where the height of the sagittal crest and the degree of parasagittal depression along the sides is much less severe. Read More…

Design Considerations ofor a Total Custom Skull Implant for Head Augmentation

Aesthetic augmentation of the head can now be effectively done using custom skull implants made from a 3D CT scan. With 3D designing software the zone of skull augmentation can be clearly identified and an implant designed to cover it and create an improved head shape. This is a far superior technique to the use Read More…

Scalp Tissue Expansion Technique in Large Custom Skull Implants

Custom skull implants can be designed in virtually any shape or thickness. But just because it can be so designed does not mean that it can be safely placed or maintained. The ultimate success of any skull implant, particularly larger ones, is that the overlying scalp must have adequate stretch to accommodate it. This is Read More…