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Plastic Surgery Case Study – Custom Parasagittal Skull Implants

Background: The top of the skull has the best aesthetic shape when it is a smooth convex curve from one temporal line to the other. This shape can be altered and is influenced by the original sagittal suture line which runs down the middle of the skull between the two original anterior and posterior fontanelles. Read More…

Plastic Surgery Case Study – Custom Occipital Implant in Women

  Background: One of the most common aesthetic skull deformities occurs in women with concerns about the shape of the back of their head. Lack of adequate fullness at the vertex and upper occipital region creates a flatness that promotes some women to compensate by puffing up their hair to hide it. This is such Read More…

Technical Strategies – Custom Skull Implant Orientation Markings

  The fabrication of custom skull implants offers a major advance in the treatment of many aesthetic skull deformities. Historically skull augmentation had to be done using a long and complete coronal scalp incision and resultant scar for access and intraoperatively shaped bone cement materials. But today’s custom skull implants allow for the shaping of Read More…

Plastic Surgery Case Study – Reduction of the Vertex Skull Bump

Background: The skull is formed by six separate cranial bones which are initially joined by fibrous tissue known as sutures. The union of these sutures is most commonly recognized by the two large open areas between them that remain after birth, the fontanelles or soft spots. The fontanelles allow for rapid stretching and deformation of Read More…

Plastic Surgery Case Study – Sagittal Ridge Skull Reshaping

Background: While the skull is often perceived as just a large round homogenous surface, it is actually made up of various regions or aesthetic units. These units arise from the various plates and suture lines from which the skull is embryologically and developmentally formed. Each of these skull areas can be prone to surface contour Read More…

Plastic Surgery Case Study – Browlifting Effect from Custom Skull Implant

Background: Skull implants are used today to treat a variety of aesthetic head shape concerns and deformities. While many think of skull implants of filling in craniotomy or other traumatic skull defects, aesthetic skull implants are placed in a subperiosteal onlay fashion to build out usually normal thickness skull bone areas. Skull implants placed in Read More…

Plastic Surgery Case Study – Upper Head Widening Custom Skull Implant

  Background: Aesthetic skull augmentation can be done for a wide variety of deficient skull shape concerns. Changes can be made in skull height, skull width and frontal and posterior skull projection. In rare cases and with the use of a first stage scalp tissue expander, the entire skull can be augmented through a circumferential Read More…

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