You’ve suffered from migraines for years. They have kept you out of school, kept you out of work and complicated if not ruined your relationships. You’ve tried just about everything from massive doses of painkillers to acupuncture to biofeedback to trying to sleep without a pillow on a hard floor. Nothing works for you, and you’re feeling like you’re out of choices. Now, there’s another option: minimally invasive migraine surgery at Brooks Plastic Surgery, the premier South Florida cosmetic surgeon.
First, you’ll have a consultation with Dr. Brooks to make sure that you’re a good candidate for the surgery. Dr. Brooks will take your medical history, study your MRI or CT scans and have you fill out a migraine headache questionnaire. He’ll ask you about the severity and frequency of your migraine headaches, and determine what type of migraine headache you have. This is important because different surgeries are used to treat different headaches.
Theory Behind Migraine
Medical experts believe that migraine headaches are caused when nerves in the face and head become irritated and compressed. Doctors noticed this as far back as the early years of the 20th century. When they performed plastic surgery on the sinus cavities of patients with migraines, the migraines were eased. The same thing was observed in patients who had cosmetic surgery on the brow in the 2000s. When the pressure on the nerves is alleviated, so is the migraine. You might see a reduction in the pain itself or a shortening of the duration of the headache or the frequencies of the headaches. In some cases, the headaches go away completely.
Dr. Brooks is a leading authority on surgical interventions for migraines. Surgery for migraines involves identification of trigger points around the forehead and face. Each trigger point is decompressed in a surgical process that takes us about 45 to 60 minutes for each location. One trigger point is the area just above the eyebrows that involve the suborbital and supratrochlear nerves in the brow. During this migraine headache surgery, the doctor makes tiny cuts in two muscles called the depressor and corrugator supercilii muscles, which are near the inner corner of the eye. We use general anesthesia and aim to provide as painless a procedure as possible.
Occipital headaches have trigger points at the nape of the neck. Doctors believe that the occipital nerve is compressed by a muscle called the semispinalis capitis, which lies right beneath the back of the skull. This migraine headache surgery resects that muscle to free the nerve.
Nasal headaches that start behind the eyes can be treated by straightening a deviated septum, which is the structure of bone and cartilage that separates your nostrils. A deviated septum can impact the nerves in the nose and lead to headaches. The operation, called septoplasty, is a type of surgery that straightens out your septum. While this surgery differs from the minimally invasive migraine headache surgery, it can be an option to ease the pain of migraine headaches caused by deviated septums.
In studies of patients who underwent migraine intervention surgery, between 80% and 92% of them reported a minimum 50% reduction in the number of their migraines and almost 33% noted a complete elimination of the headaches. Though there are no guarantees, migraine headache surgery is an option to explore to relieve your migraine headache pain. Another good thing about migraine surgery is that unlike cosmetic surgery, it can be covered by your health insurance.
To set up a consultation with Brooks Plastic Surgery, call 954-501-0505.