Cosmetic Brow Lift Leads to Development of Migraine Surgery

Brow Lift Leads to Development of Migraine SurgeryWhen a cosmetic surgeon noticed that some migraine patients had a reduction in their headaches after undergoing endoscopic brow lift surgery, he developed a migraine surgery technique that involves “surgical deactivation” of “trigger sites” in the muscles or nerves that produce pain. A new study in Plastic and Reconstructive Surgery journal found that after five years, 88 percent of patients had less frequent or severe migraines.

The study also found that five years after surgery 59 percent of patients said their headaches were significantly better and 29 percent said their migraines were eliminated completely.

The researchers followed 69 patients after they had surgery to deactivate muscle and nerve trigger points in places like the forehead, temple and nose. In order to confirm the trigger sites prior to surgery, each patient was tested with Botox, and for most patients the surgery targeted at least two trigger sites.

The study also found that:

  • Average migraine frequency decreased from about eleven to four per month
  • Average migraine duration decreased from 34 to eight hours
  • Migraine surgery led to significant improvements in quality of life, with few serious adverse effects

An additional benefit to the migraine surgery is that patients may end up with fewer wrinkles, as well as fewer headaches. For those patients, commonly the aesthetic outcome is pleasing. They just look like they’re less angry or are less serious, said Bahman Guyuron, MD, who developed the technique.

While more research is needed to refine the surgical techniques and to clarify the reasons for the effectiveness of surgical deactivation of trigger sites, the researchers wrote that â??the findings provide strong evidence that surgical deactivation of one or more trigger sites can successfully eliminate or reduce the frequency, duration and intensity of migraine headache, and the results are enduring.”

However, experts say migraine surgery is probably only a good idea for those who’ve tried less invasive treatments first.

Facelift Patients Report Higher Self Esteem, Better Quality of Life Post Surgery

woman smilingA new study of 93 facelift patients found that 96.7 percent reported a more youthful appearance after surgery, and they felt that they look, on average, 11.9 years younger after the surgery.

The study also found that:

  • 82 percent had an improvement in self-esteem
  • 69.6 percent reported an improved quality of life

The study’s author, plastic surgeon Dr. Eric Swanson, writes that patient satisfaction and the effects of surgery on quality of life are two of the most important factors in determining if a surgery is a success, but they had not been previously prospectively studied in patients undergoing facelifts alone or in combination with other facial procedures.

Swanson conducted interviews with the patients, whose mean age was 56.6 years, one month after surgery. The patients had a deep plane facelift or a facelift along with another surgery, including eyelid surgery, forehead lift and endoscopic forehead lift. Other commonly performed procedures done at the time of the facelift included laser resurfacing, fat injection and chin augmentation.

The author concluded, With proper patient preparation and education, facial rejuvenation effectively meets patient expectations. These findings support the recommendation of surgical facial rejuvenation to patients who wish to look younger.

Despite the substantial recovery time the patients reported for facelifts, the majority of patients (83.9 percent) said they would have the surgery again, and 93.5 percent said they would recommend the surgery to someone else.

The study will appear in the next issue of Plastic & Reconstructive Surgery journal and the abstract is available online.

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