Category: plastic surgery case study | skull reshaping

Plastic Surgery Case Study – Custom Back of Head Skull Implant for Plagicephaly Correction in the Older Male

Background: Plagiocephaly is the most recognized deformational skull shape deformity in both children and adults. While it affects the entire skull to some degree the back of the head is usually the most affected, often initiated in utero or shortly after birth. While many assume that the flat back of the head is an irrelevant Read More…

Plastic Surgery Case Study – Head Width Reduction with a Combination Temporal Muscle Transposition and Parietal Eminence Skull Reductions

Background: Treatment of the overly wide or convex head shape requires a temporal reduction procedure. The side of the head is known as the temporal region which has a large muscle component external to the thinner temporal bone underneath. It iswell known in temporal craniotomies for brain tumors and aneurysms that loss of temporal muscle Read More…

Plastic Surgery Case Study – Male Occipital Bun Reduction by a High Speed Burring Technique

Background: The occipital bone is the most posterior projection of the skull. It is a curved bone of which only its upper half is seen externally. Its lower half extends inferiorly beneath the thick neck muscles and provides the aperture for the spinal column. The upper half of the occipital bone has a superior border Read More…

Plastic Surgery Case Study – Surgical Technique for Anterior Sagittal Ridge Skull Reduction

Background: The top of the head typically has a smooth convex surface from the front view. While the midline is its highest point it has a gentle slope down to the temporal lines which serve a more acute change onto the side of the head. In the aesthetic peaked head shape the top of the Read More…

Plastic Surgery Case Study – Secondary Custom Posterior Temporal Implants for Completion of a Head Widening Effect

Background: In the congenitally narrow head the sides appear not wide enough for the height of the skull. This is most easily seen in the forehead and anterior temporal area which appears ’pinched’ or indented. One’s hair may hide the rest of the narrow side of the head but it usually extends all the way Read More…

Plastic Surgery Case Study – 1st Stage Scalp Tissue Expansion in Large Custom Skull Implants

Background: Dramatic head shape changes are achievable with the use of custom skull implants. Part of their success depends on the ability of the overlying scalp to accommodate the push of the underlying onlay implant volume. Since the bone and the implant are stable structures it is up to the scalp to change its shape Read More…

Plastic Surgery Case Study – Custom Skull Implant Augmentation for the Male Upper Flat Back of the Head

Background: One of the most common areas for aesthetic skull augmentation is the back of the head. This is more true in men than women if for no other reason than it is more exposed due to short or no hair styles. But the back of the head can have differing degrees of flatness as Read More…

Plastic Surgery Case Study – Custom Skull Implant After PMMA Bone Cement for Crown of Skull/Top of Head Augmentation

Background: Aesthetic skull augmentation can be done by either PMMA bone cement or a custom made skull implant. Each has advantages and disadvantages as a skull implant material. The question is never which biomaterial is safer, as they are both biocompatible, but which one is more effective. That would depend on the type of skull Read More…

Plastic Surgery Case Study – The Aesthetic Advantages of a Custom Skull Implant Over PMMA Bone Cement in Large Surface Area Skull Augmentations

Background: Aesthetic skull augmentations consist of placing various materials on top of the surfaces of the skull to change its external shape. In the history of plastic surgery this skull augmentation material has been PMMA bone cement, one of the few true plastic materials used in aesthetic and reconstructive surgery. While originally intended as a Read More…

Plastic Surgery Case Study – Comprehensive Craniofacial Asymmetry Correction with Combined Skull Reshaping and Custom Facial Implants

Background: Plagiocephaly is a unique form of craniofacial asymmetry and its probably the best known because of its syndromic presentation from its axial twisting developmental pattern. With predominant symptom of a flat back of the head on one side (right more frequently than left), which is often the major issue, there is a series of Read More…