Will A Custom Skull Implant Have A Space Between It And The Underlying Bone?

Q: Dr. Eppley, With the new custom skull implant, will there be a void between the implant and my skull? or will the implant be in full contact with my skull for the entire surface area?  The implant is placed directly onto the bone (skull).  Understood, however, if the volume is greater than the thickness of the implant, will there be a void between implant and skull? meaning the implant will have a curvature and the skull is flat, there will be void between implant and skull. does that make sense?

A: Silicone skull implants have some flexion so the pressure of the scalp will press it flat against the skull if it does not have a perfect fit.

Dr. Barry Eppley

World-Renowned Plastic Surgeon