If flat head syndrome (plagiocephaly) isn't treated, the flattening may persist, although it often improves naturally over time, particularly by the time the child is one or two years old. However, complete correction may not occur.
Potential Outcomes of Untreated Flat Head:
While plagiocephaly is primarily a cosmetic concern, here's what can happen if it remains unaddressed:
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Persistent Head Shape Deformity: The most common outcome is a continued flattening of the head. The severity can range from barely noticeable to more pronounced. According to the NHS, although improvement typically occurs, a "completely perfect shape" may not be achieved.
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Facial Asymmetry (in more severe cases): In some instances, untreated plagiocephaly can contribute to minor facial asymmetry. This might involve slight differences in the position of the ears, eyes, or jaw.
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Cosmetic Concerns: The visual appearance of the head shape can be a source of anxiety for parents and, later, the child themselves.
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No Impact on Brain Development: Importantly, plagiocephaly does not affect brain development. The skull is malleable, allowing the brain to grow normally.
Natural Improvement vs. Intervention:
Many cases of mild plagiocephaly will resolve on their own with repositioning techniques and tummy time. However, more significant flattening might benefit from interventions such as:
- Repositioning: Encouraging the baby to sleep on their back, but alternating the head position each night.
- Tummy Time: Supervised tummy time while the baby is awake helps strengthen neck muscles and reduce pressure on the flat spot.
- Physical Therapy: A physical therapist can provide exercises to improve neck strength and range of motion.
- Helmet Therapy (for severe cases): A custom-made helmet can gently reshape the skull over time. This is typically considered for babies between 4 and 12 months of age with moderate to severe plagiocephaly that hasn't responded to other treatments.
When to Seek Medical Advice:
Consult a doctor if you notice flattening of your baby's head or have any concerns about their head shape. Early intervention can often lead to better outcomes. While the NHS states that improvement often occurs naturally, seeking professional advice is always recommended.
