Migraine Surgery

Do you suffer from migraine headaches? Have you tirelessly tried a variety of treatments that have not worked? It may be time for you to consider new treatments, including Botox and/or a surgical procedure for migraine relief.


Migraine symptoms may involve nausea, vomiting, sensitivity to light along with debilitating headaches. For headache relief, you may find yourself avoiding certain triggers at home and at work, as you search for the right combination of behavioral and pharmacological solutions. Mount Sinai surgeons can help ease your migraines through surgical and non-surgical procedures, getting you back to doing the things you love.

Choosing Migraine Surgery

You may be eligible for surgical deactivation of migraine headache trigger sites only after careful candidate screening. A neurologist must first diagnose you with chronic migraine headaches.

You may be eligible if you are otherwise in good health and the following conditions exist for you:

  • Your migraine headaches persist even with treatment.
  • You have side effects from your current treatments.
  • You have tried various therapies to alleviate or prevent migraine headaches.
  • You have migraine headaches that last two to four hours or longer.
  • You have migraine headaches at least twice a month.
  • Your neurologist has given you a diagnosis of migraine disease.

Trigger Point Diagnosis

We classify and treat your migraine disease based on the trigger point part of your head where the pain starts, as follows:

  • Temporal migraines—originate at your temples and may involve grinding of your teeth and TMJ (temporomandibular joint) discomfort.

    Treatment: Surgical deactivation targets nerves that supply the front part of your head. This surgery requires an upper eyelid or hairline incision.
  • Forehead migraines—originate between the eyes or above the eyebrows.

    Treatment: Surgical deactivation involves a procedure similar to a cosmetic forehead lift and targets muscles and nerves with an upper eyelid or hairline incision.
  • Nasal migraines—originate behind the eyes and nose.

    Treatment: Surgical deactivation involves cosmetic surgery of the septum or sinuses to correct a deviated septum or other causes of pressurized nasal discomfort.
  • Occipital migraines—originate at the back of the neck.

    Treatment: Surgical deactivation targets specific sites of the greater occipital nerve and associated muscles of the back of the neck.

Treatments We Offer


Botox® is a treatment for chronic migraine headaches in adults. Once your migraine is classified by your trigger point, we can treat the site with Botox® injections. Botox® treatments provide only temporary relief, but they also help identify your migraine trigger points.


Mount Sinai plastic and reconstructive surgeons can offer you a permanent solution—surgical deactivation of migraine headache trigger sites. This procedure identifies and treats your migraines. By alleviating the pressure on your trigger points, your plastic and reconstructive surgeon permanently deactivates your migraine trigger points around your face.