Do you recommend or have any clinical experience with "migraine surgery"?

I do not as well. My understanding is that most of the plastic surgeons who perform this procedure have been trained by Dr. Bahman Guyuron, who developed the procedure. I think the published studies by Dr. Guyuron, showing some efficacy of this procedure, have a flawed methodology, and I do not think based on these trials we can conclude the efficacy of this procedure to recommend to patients with refractory chronic migraine disorder. I would not recommend it outside of a clinical trial. Can rev...

I do not recommend surgery for my migraine patients, except occasionally minimally corrective endoscopic nasal surgery for removal of a bony contact, such as a spina coming off a deviated septum that sticks, very much like a splinter, into a turbinate. The surgery would always be part of comprehensive medical management, however, and the outcome is variable. Medical management consists of:

1. Providing effective abortive treatment of the headaches, which fully relieves them within two hours and do...

I practiced in Cleveland for several years and had patients pursue this route of therapy with mixed results. My patient outcomes didn't match the study results cited above but a few patients did extremely well. It's not a therapy I would routinely recommend.