Category: plastic surgery case study | skull reshaping

Plastic Surgery Case Study – Hydroxyapatite Reconstruction of Large Pediatric Skull Defects

Background: The correction of congenital skull deformities with early cranial vault reconstruction is a well established surgical therapy. Such early skull manipulations are based on two fundamental principles of the infant’s skull. First, the bone is thin and can fairly easily be removed, reshaped and re-inserted. Secondly, the osteogenic regenerative power of the dura at Read More…

The Value of Flexibility in Custom Skull Implants

The use of custom skull implants has revolutionized the treatment of many aesthetic skull deformities. Being able to precisely locate the defect and design an implant from the patient’s 3D CT scan that can augment it provides an unparalleled accuracy in improving head shape contours. This is particularly effective in skull asymmetries or augmenting skull Read More…

OR Snapshots – The Customizable Custom Skull Implant

Custom made skull implants are the best way to perform almost any type of skull augmentation. Covering potentially large surface areas of the skull in a smooth manner is very difficult when attempted by traditional bone cement materials. The computer designing process does what no surgeon can do as well with the naked eyes and Read More…

The Peaked Square-Shaped Custom Skull Implant Design

Custom skull implants make it possible to effect many different types of aesthetic head shape changes that were not possible just a decade ago. Fabricating the implant from the patient’s 3D CT scan, the only restrictions to its design and size is the limits of how much the scalp can stretch to accommodate it. Placed Read More…

Plastic Surgery Case Study – Hydroxyapatite Granule Skull Reconstruction for Traumatic Partial-Thickness Skull Defect

Background: The skull, while often perceived as a solid piece of bone, is not. It is actually composed of three layers, very much like an Oreo cookie. There are the outer and inner solid cortical layers (the cookie) and then there is a thinner inner layer which is softer known as the diploid or marrow Read More…

OR Snapshots – Sagittal Crest Skull Reduction

A bony ridge that runs down the midline of the head is known as a sagittal crest. This is a palpable raised ridge of bone that when high enough can cause a peak-shape to the head from the front view. The normal more convex shape off the head becomes more triangular shaped. This is most Read More…

OR Snapshots – Custom Occipital Skull Implant for the Flat Back of the Head

There are over fifteen types of aesthetic skull deformities. But the most common amongst them is various forms of flattening of the back of head. Perhaps because the back of head is exposed to various pressures in utero and after birth more than any other area of the head, it is prone to deformational pressures Read More…

Plastic Surgery Case Study – Posterior Sagittal Crest Reduction Through a Limited Scalp Incision

Background: The sagittal suture is the fibrous connection between the two parietal skull bones running down the midline of the head. It remains as a soft tissue connection until the second or third decide of life when it closes and disappears. Premature closure of the suture in utero or early after birth results in the Read More…

Custom Skull Implant Design for Occipital Plagiocephaly Correction

Flattening of the back of the head is one of the most common aesthetic skull deformities. It can occur either as a total or bilateral flattening of the back of the head (occipital brachycephaly) or on just one side. (occipital plagiocephaly) The actual occurrences of either type of occipital skull deformity is not known and Read More…

Plastic Surgery Case Study – Secondary Custom Skull Implant Replacement for Greater Volume

Background: Various forms of skull augmentation have become a common procedure in my practice. From flatness on the back of the head, a narrow head width, the desire for greater skull height and shape to a more projecting forehead and/or brows, custom skull implants can more than adequately meet these needs with a safe and Read More…