With the discovery that some of his brow lift patients were relieved of their previous migraine headache symptoms, plastic surgeon Dr. Guyuron Bahman who is a mentor of Dr. Lowenstein pioneered peripheral nerve decompression for the treatment of chronic migraine headaches. Further investigation by Dr. Guyuron and other plastic surgeons provided detailed descriptions of specific nerve complexes that contribute to and in many cases cause chronic migraine headaches. Plastic surgeons have detailed knowledge of the courses of these nerves throughout the head and neck as they see and work around these nerves every day during aesthetic and reconstructive surgery. Plastic surgeons interested in headache relief have been able to develop and improve anatomic approaches to these nerve complexes via well-hidden incisions that we often use in routine aesthetic surgery.
In the workup of your particular headache syndrome, Dr. Lowenstein will use temporary nerve blocks to target various nerve complexes, assessing the degree of response and relief that each of these nerve blocks provides. This process is called the Targeted Injection Mapping protocol (TIM). These nerve blocks are common and familiar to experienced plastic surgeons such as Dr. Lowenstein because he utilizes many of them during other types of head and neck surgery. With a plastic surgery-oriented individualization of care, Dr. Lowenstein then uses meticulous techniques to access the nerve complexes that affect your headache.
Dr. Lowenstein has been certified by the American Board of Plastic Surgery and is also a member of the American Society of Plastic Surgery. In fact, Dr. Lowenstein has served on the Board of Directors of the American Society of Plastic Surgery. As with all aspects of surgery, Dr. Lowenstein encourages patients to become educated about the qualifications of their surgery providers. He has extensive experience in the microsurgical techniques needed to provide optimal care to migraine surgery patients.
If you’re interested in learning more about headache surgery please contact us for a consultation at 805.969.9004 or fill out our contact us form here. We will discuss your needs and concerns, and determine your best course of action.
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