If youíre smiling but your forehead is still frowning, your face is sending mixed signals. Take a look in the mirror. If your forehead is lined with creases, if it droops, or if you have frown lines between your eyebrows, youíre giving others the impression youíre grumpy, sad or angry. A browlift can help your face reveal how you really feel.
The consultation is your first chance to talk to Dr. Krummen about how a browlift can enhance your appearance. Before arriving for this appointment, know what you want to achieve by having this surgery. Your goals will be an important part of your evaluation. If necessary, write down your questions so you will have all your concerns addressed during this meeting. Dr. Krummen will listen carefully to your concerns and tell you which surgical options she thinks would work best for you. She will evaluate your skin and bone structure. She will also explain the risks and likely results of the procedure. Since both your physical and emotional health have a tremendous impact on the outcome of your surgery, itís important to be honest with Dr. Krummen about your health history. Every person is different and your operation will be individualized to your specific needs.
There are several different techniques that can be used to complete this procedure and at your initial consultation, Dr. Krummen will evaluate you to choose which one will work best in your situation.
Coronal Incision Technique
This is the most common method used for a browlift. An incision is made across the top of your scalp from ear to ear. The incision is hidden underneath the hair. Through the incision, Dr. Krummen can access the parts of the muscles that cause wrinkling and frown lines. She will tighten the muscles or remove part of them. Sheíll then lift your eyebrows to an appropriate level and remove any excess skin. Expect some numbness in the top of your head. Your hairline could be pushed back a bit as well (Fig. 1,2).
For certain patients, a limited-incision technique is used. This alternative requires several smaller incisions be made. An endoscope (a long, thin tube) with a video camera on the end of it is inserted through those incisions. Dr. Krummen will be able to see the areas that need improving and work on them. There are limits to what this technique can do though, since access to the muscles is limited. Your forehead can be lifted and pulled back, but excess skin is not trimmed off.
Whichever procedure is used, expect a bandage around your forehead. There will likely be bruising, swelling and some numbness. The swelling will begin to subside within the first week and you can resume light activity. Itís important to follow Dr. Krummenís instructions after surgery carefully so you heal properly and can enjoy the full benefits of the procedure.
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