Not a Brow Lift
While migraine surgery was developed from the brow lift, today’s approach is not a cosmetic procedure, Dr. Janis says.
“These are focused procedures that do not really involve raising the position of the eyebrow, but rather the focus of those procedures is nerve decompression,” he says.
That’s not to say that an aesthetic brow lift procedure won’t work to relieve migraines. It very well might, according to Dr. Janis. The problem with that thinking is migraine surgery is not the same in everybody. Different patients have different nerves that can be compressed.
“So, the cosmetic brow lift may work for some patients who want the brow lift, have migraines and have migraines that occur in the area of the supraorbital or supratrochlear nerve. That’s really the subset of patients that’s most likely to benefit,” he says.
Dr. Janis and colleagues will put on a migraine surgery course at the American Society of Plastic Surgeons (ASPS) annual meeting, in Chicago, September 28 through October 1, 2018.
“We’ll be running an all-day course where we talk about these concepts and have a cadaver lab,” Dr. Janis says. “We also have a position paper about to come out from the American Society of Plastic Surgeons supporting this type of procedure as a legitimate way of treating these patients.”
The position paper should be coming in 2018, according to Dr. Janis.
For more on the research behind migraine surgery:
Janis JE, Barker JC, Javadi C, Ducic I, Hagan R, Guyuron B. A review of current evidence in the surgical treatment of migraine headaches. Plast Reconstr Surg. 2014 Oct;134(4 Suppl 2):131S-41S. doi: 10.1097/PRS.0000000000000661.
Guyuron B, Nahabet E, Khansa I, Reed D, Janis JE. The Current Means for Detection of Migraine Headache Trigger Sites. Plast Reconstr Surg. 2015 Oct;136(4):860-7. doi: 10.1097/PRS.0000000000001572.
Guyuron B, Reed D, Kriegler JS, Davis J, Pashmini N, Amini S. A placebo-controlled surgical trial of the treatment of migraine headaches. Plast Reconstr Surg. 2009 Aug;124(2):461-8. doi: 10.1097/PRS.0b013e3181adcf6a.