A male’s concern is often lack of mid-occipital projection or asymmetry of the two sides of the back of the head. Women tend to be highly focused on the lack of projection in the crown area which is really the junction of the top of the back of the head whose upper extent goes onto the top of the skull. ![]() While the occurrence of these occipital shape disturbances occur in both women and men, there are some unique gender differences. It occurs in a wide variety of presentations that differ in location (mid-occipital and crown flatness), plagiocephalic (one-sided) vs brachycephalic (both sides) and extent of missing occipital projection. Well known to occur from sleeping positions in infants and predisposed to occur in certain ethnic groups, lack of a nice shape to the back of the head can be aesthetically disturbing. One of the most common aesthetic deformities of the entire skull is the flat back of the head. ![]()
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