Migraine and Trigeminal Neuralgia

Botox® for Migraines

Botulinum toxin therapy (Botox, Xeomin, Dysport) can be highly effective for migraine sufferers. Patients who have chronic migraines multiple days each month, who have failed oral medicines and still have debilitating symptoms can be candidates for treatment that is covered by health insurance. This treatment is administered to the regions in which the migraine most commonly occurs – the forehead, back of the head, or sides of the head. Time to relief is 3-7 days, and results last up to 3 months at which time the treatment may need to be repeated.

Migraine Surgery

Migraines can be a life-altering, debilitating condition that can wreak havoc on many patients’ personal and professional lives. Until now, treatments were predominantly based on reducing provocative factors, medicines, and nerve blocks.

Recent research has shown that compression or irritation of the delicate nerves in the face and neck may be a significant contributing factor. Surgery to relieve any compression on these nerves by bone, muscles, or blood vessels can significantly reduce the severity and frequency of migraine attacks.

How is migraine surgery performed?

Surgery may last between 1 – 2 hours and is typically performed under twilight or general anesthesia; patients may go home after surgery. Surgery is typically performed via a minimally invasive or endoscopic approach. Incisions are hidden in the hairline or the eyelid, where they will be invisible to the naked eye. Scarring is extremely unlikely in these areas.

After a thorough history and examination of your headache pattern, we will map out the important nerves to identify and decompress for an individualized treatment. These nerves will then be followed from their origin to their terminal branches to ensure that they are not stretched, crushed, irritated, compressed, or otherwise altered in a way that could lead to migraines. The nerves will be released from any such trigger points with very fine microsurgical instruments to ensure that they remain free along their entire course.

Does insurance cover these treatments?

Health insurance may cover surgery for migraines. Please schedule a consultation so that we can perform a comprehensive examination and check what your insurance will cover.

Are there any side effects to surgery?

Most patients have temporary numbness in the operated area that resolves in a matter of days to weeks. Risks to the eye or to the face are rare.

What can I expect afterwards?

Patients can have bruising and swelling around the eyes for 1-2 weeks, with minimal pain. Patients are typically ready for formal social functions within 4-6 weeks. Our goal is to help give you control over your migraines. We look forward to working with you and helping with your condition.

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    The Center for Eye and Facial Plastic Surgery
    35 Clyde Road, #104
    Somerset, NJ 08873
    Monday - Friday: 8:30a - 4:30p
    P: (609) 608-0142
    F: (855) 644-0469