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

Question

I have migraines that are triggered by 2 medial points near my right brow. I currently receive forehead Botox injections -very helpful for my headaches.I also need a brow lift because I have brow asymmetry due to partial weakness over my right brow/face from a previous skullbase surgery. -Best to perform corrugator resection with an open coronal incision or endoscopically? -Best practices for concave defect repair? -Concurrent facelift ok?

Kaveh Alizadeh, MD, MSc, FACS · Answer

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

C. Blake Perry, MD · Answer

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.

Marc Polacco, MD · Answer

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.

William Portuese, MD · Answer

Corrugator resection is common procedure performed during a brow lift procedure. Your right eyebrow can be raised to match the left, and in our practice we do this through a coronal incision. It's also acceptable to undergo a facelift simultaneously.

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

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Answer: Corrugator resection for migraines during brow lift

Answer: Corrugator resection for migraines during brow lift

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

Answers (4)

Answer: Corrugator resection for migraines during brow lift

Answer: Corrugator resection for migraines during brow lift

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Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.