Corrugator resection for migraines during Brow Lift- best practices? (photos)

Hi Brisa Del Mar,
I have performed migraine surgery for the past 12 years on hundreds of patients and have noted great success in applying this approach to the correct patient to help cure their migraines. This approach allows you to lift your brows and symmetrize them while also addressing the nerve compression in the corrugators.
The best way would be to do a limited outer brow suspension. A board certified plastic surgeon can do an accurate diagnosis on the relationship of your eyelid and eyebrows and the cause of your migraines. It is extremely important to apply the correct aesthetic proportions to the upper part of the face to get the best aesthetic outcome. Please take a look at our approach to migraine surgery in the link provided

Corrugator muscles can be accessed from an endoscopic approach. Total destruction of the muscle can lead to a splayed brow which gives an unnatural appearance. Facelift surgery can be done at the same time as a browlift.

Thank you for your question. There are a few ways to address this, but my approach would entail an endoscopic corrugator resection, supratrochlear and supraorbital nerve decompression, as well as endotine for a brow lift and grafting for the concave defect (material used would depend on physical exam, depth, surface area, location, etc). A concurrent facelift would be okay to do as well. I hope this information is helpful to you, and all the best to you.