How Can I Make My Head Wider and Taller?

Q: Dr. Eppley, It’s a bit hard to describe, but my face is small, and so is the shape of my head, which makes my face look even smaller. My wish is to have a higher hairline or scalp and also adjust the sides of my head. It that possible and was is the risky? My face look always bigger at the photos but it is smaller. I want a shape like this, so i can do my hair like i want.

A:The shape of your head is one I treat all the time. It is a narrow head shape from the side of the forehead around the sides of the head to the back. This requires a custom forehead-temporal skull implant similar to skull implant design attached. This changes the shape of the head to a wider forehead/temporals and somewhat taller head shape. (see attached face/head prediction) The only debate in these type of skull augmentations is the amount of augmentation change the patients wants and whether the implant volume needed to achieve would require a first stage scalp expansion or not. The implangt design design and prediction images attached are based on NO first stage scalp expansion. However we would still need to factor in a side view picture for a more complete assessment of the forehead change.