A method for producing a cranial remodeling device to correct for cranial shape abnormalities is described. One method comprises the steps of: providing cranial remodeling device trim line information; forming device material onto a three-dimensional model of a desired head shape; providing a machine responsive to said trim line information to move a spindle in a plurality of axes over the device material; providing a marking tool carried by the spindle; and operating the machine in response to the trim line information such that the machine moves the marking tool into surface engagement with the device material such that trim lines for the cranial remodeling device are marked onto the device material.