Overview of Migraine Surgery
Two weeks prior to your surgery, you will be asked to stop taking any blood thinning prescriptions or supplements. By doing so, you can reduce the risk of excessive bleeding during the operation. If you are dependent on blood thinning medications due to a severe medical condition, we will need to consult with your managing physician to explore various alternative options. You will be asked to refrain from eating or drinking starting the night before migraine surgery. This will ensure anesthesia can be administered safely and effectively on the day of your surgery.
Depending on the patient and the trigger sites involved, the surgery can be performed after a patient receives local anesthesia. Or, in some instances, migraine surgery will be performed under deep sedation or general anesthesia.
The decision to administer migraine surgery under deep sedation or general anesthesia may vary based on a patient’s trigger points, medical conditions and age. Before migraine surgery, a facial plastic surgeon will conduct an in-depth assessment of a patient and offer anesthesia recommendations. This will ensure anesthesia is administered properly at all times.
Length of Migraine Surgery
Migraine surgery usually takes about one to three hours to complete based on the treatment location and trigger points. A facial plastic surgeon will discuss what to expect before, during and after migraine surgery. By doing so, a migraine surgery patient will know exactly what to expect at all stages of the procedure.
Incisions and Approach
During migraine surgery, a facial plastic surgeon will make incisions within the hair on the scalp or within the upper eyelid creases. These incisions typically heal with no visible scar. During a migraine surgery that involves a nasal trigger point, a facial plastic surgery will make incisions within the nose, completely hidden from view.
Migraine surgery is an outpatient procedure. After the surgery is completed, you will be able to return home immediately.
In one week, all sutures will be removed in the office. Depending on the nature of your work or daily activities, restrictions will be placed on various activities for one to three weeks.
If nasal surgery is involved, stitches may be necessary. However, these stitches will dissolve on their own a few weeks after a procedure is completed.
Surgical Side Effects
After migraine surgery, you may experience swelling and bruising around the eyes. However, these symptoms usually will disappear within one to two weeks. Ice, anti-bruising medication and ointment will be prescribed. There is also commonly itching that occurs near the scalp incisions that very quickly subsides.
Typically, there is minimal pain after surgery, and you will be prescribed pain medications immediately following treatment. You also may receive antibiotics to help minimize the risk of infection.