Is Migraine Surgery Painful?

Migraine surgery is designed to relieve pain, not cause it, and most patients experience minimal discomfort during and after the procedure. The surgery is performed under local anesthesia with sedation or general anesthesia, ensuring you remain comfortable throughout. After the procedure, you may have mild soreness, swelling, or bruising in the treated areas, but these symptoms are temporary and can be managed with medication. Many patients report that the post-surgical discomfort is far less severe than the pain of chronic migraines.

How Long Until I See Results?

Many patients experience immediate relief from their migraines. However, results can vary; some individuals may see gradual improvement over weeks to months as inflammation subsides. Studies show that migraine frequency and intensity continue to decrease over time, with long-term success rates of up to 80-90% in properly selected candidates. While some residual headaches may still occur, most patients report a dramatic reduction in their symptoms.

Can I Combine Migraine Surgery With Other Procedures?

Depending on your goals, migraine surgery can be combined with other facial or reconstructive procedures. Many patients choose to pair it with eyelid surgery (blepharoplasty), brow lifts, or facial rejuvenation procedures to enhance both function and aesthetics. Additionally, if migraines stem from nerve compression in the neck or forehead, Dr. Rivera may recommend combining surgery with Botox injections or fat grafting to optimize long-term results. Dr. Rivera will create a customized treatment plan tailored to your medical and cosmetic needs during your consultation.

What Are the Risks Associated With Migraine Surgery?

While migraine surgery is a safe and well-tolerated procedure, it does carry some risks, like any surgical treatment. Potential complications include temporary swelling, bruising, numbness, or mild scarring at the incision sites. In rare cases, nerve sensitivity changes or an incomplete response to the surgery may occur. However, with Dr. Rivera’s expertise in nerve decompression techniques and meticulous surgical approach, risks are minimized, and most patients experience long-lasting relief with little downtime.

Miami, Florida

Migraine Surgery

Introduction

Introduction to Migraine Surgery

For those who suffer from chronic migraines, the pain is more than just an inconvenience; it’s a constant disruption, forcing you to retreat into dark, silent spaces while life continues without you. The unpredictability, the intensity, the way it takes over your day—it’s exhausting, to say the least. But living in fear of the next attack doesn’t have to be your reality. If medications, lifestyle changes, and temporary treatments have failed to provide lasting relief, migraine surgery may be the solution you’ve been searching for. This procedure targets the underlying nerve triggers responsible for your migraines, offering long-term relief so you can reclaim your life without the constant worry of when the next migraine will strike. Dr. Rivera offers this innovative treatment right in Miami.

What is Migraine Surgery?

Migraine surgery, also known as Headache or Migraine Trigger Decompression Surgery, aims to reduce or eliminate headache pain intensity, frequency, and duration.

Migraines can be associated with sensory nerve compression and irritation around your head. When these compression points are released during surgery, the migraine severity, frequency, or duration may decrease, or you may not experience further episodes.

Nerve compression sites are also called trigger points. You may have one or several trigger points, depending on your symptoms. The most common and main trigger sites are frontal (pain above your eyes and/or your forehead), temporal (pain over your temples), and occipital (pain on the back of your head that can radiate across your skull to your eyes or behind your eyes). Another trigger point is called rhinogenic (pain inside your nose that can extend to behind your eyes). You may also experience pain at less common sites around your head.

Close-up of a mature woman with gray hair in a bun, gazing upward with a neutral expression. Her skin shows wrinkles and fine lines, illuminated by soft lighting. She wears a black sleeveless top against a muted beige background. - Migrane Surgery in Miami Beach, FL

What Makes Dr. Rivera a Migraine Surgery Expert?

Dr. Rivera is a true expert in migraine surgery, with a focus on treating migraines at the core of his education and practice. He is one of the few surgeons in the country trained in plastic surgery and head and neck surgery. Dr. Rivera is double board-certified by both the American Board of Plastic Surgery and the American Board of Head and Neck Surgery. Additionally, he has a fellowship in craniofacial surgery, providing advanced training in complex facial and head surgeries.
What sets Dr. Rivera apart from general plastic surgeons is his extensive experience in the deeper anatomy of the head and neck, gained through his work in head and neck surgeries. This has given him a more profound understanding of the intricate structures involved in migraine treatment—areas with which general plastic surgeons may not be as familiar. Dr. Rivera’s specialized training and experience make him a true migraine surgery specialist. He has an in-depth knowledge of head and neck anatomy and the intricacies of both modern and traditional techniques. Dr. Rivera is also an expert in the functional aspects of migraine surgery, offering targeted solutions for those seeking relief from chronic migraines with minimal complications.

What Are the Benefits of Migraine Surgery?

The primary benefit of migraine surgery is the potential for significant, long-term relief from chronic migraines, often reducing both their severity and frequency. Many patients report an improved quality of life, no longer having to plan their days around unpredictable headaches. Unlike temporary treatments such as Botox or prescription medications, migraine surgery targets the root cause by directly addressing nerve compression. Additional benefits include less dependence on medication, improved sleep, and a boost in overall well-being.

Who Are the Best Candidates For Migraine Surgery?

The right candidates for migraine surgery are individuals who suffer from chronic, debilitating migraines that have not responded to traditional treatments. Patients who have experienced temporary relief from Botox, nerve blocks, or certain muscle relaxants may be good candidates, as these treatments often indicate nerve compression as a primary migraine trigger. Those who can pinpoint their migraine pain to specific areas—such as the forehead, temples, or back of the head—are also more likely to benefit from surgical decompression. A specialist should evaluate candidates to determine whether their migraines stem from nerve-related triggers. A consultation with Dr. Rivera in Miami will provide a personalized assessment to determine if migraine surgery is right for you.

What’s the first step?

The first step in exploring migraine surgery is a comprehensive consultation with Dr. Rivera to evaluate your migraine history, symptoms, and previous treatments. During this appointment at his Miami office, he will discuss your triggers, assess whether your migraines stem from nerve compression, and determine if you are a candidate for surgery. In some cases, diagnostic tests such as Botox injections or nerve blocks may be recommended to confirm that specific nerve pathways are responsible for your migraines. If you are a good candidate, Dr. Rivera will create a surgical plan tailored to your unique migraine patterns and anatomy, and then your surgery can be scheduled.

What to Expect on the Day of Migraine Surgery Surgery

On the day of your procedure, you will arrive at our luxury surgical suite, where you will be prepped for surgery under either local anesthesia with sedation or general anesthesia, depending on your treatment plan. Dr. Rivera will make small, discreet incisions to access and release the compressed nerves, relieving pressure and reducing migraine frequency. The procedure typically lasts 1 to 3 hours, depending on the number of trigger points being treated. After surgery, you will be monitored for a short period before being discharged to rest at home.

Migraine Surgery Recovery

Most patients experience mild swelling, bruising, and discomfort around the treated areas for the first few days, though this pain is minimal and can be managed with prescribed or over-the-counter medication. While some patients notice an improvement in migraine symptoms almost immediately, full results develop gradually as nerve inflammation subsides over the following weeks to months. Most individuals can return to non-strenuous activities within a few days, with complete healing expected within 4 to 6 weeks. Dr. Rivera provides detailed post-operative care instructions to ensure a safe, comfortable recovery and long-term success.

How Much Does Migraine Surgery Cost in Miami Beach, FL?

The cost of Migraine Surgery in Miami Beach is based on the number of trigger points being treated, the complexity of the procedure, and anesthesia fees. Because each patient’s migraine pattern is unique, pricing is determined after a thorough consultation with Dr. Rivera. While insurance may cover migraine surgery in some cases, coverage depends on individual policies and medical necessity. Our office provides transparent pricing and financing options to help make treatment accessible. During your consultation, we will review your customized surgical plan and provide a detailed cost estimate so you can make an informed decision.

Why Choose Dr. Rivera? What Sets Us Apart?

We are specialists and have the know-how. Dr. Rivera-Serrano is among the country’s most highly trained plastic surgeons, having completed two separate residencies (plastic surgery & head & neck surgery / ENT) and two clinical fellowships in some of the most prestigious institutions in North America, Asia & Europe. He is double board-certified by accredited bodies recognized by the American Board of Medical Specialties and the Florida Board of Medicine and has vast surgical experience, having performed thousands of successful surgical cases. Dr. Rivera-Serrano has been a University Professor of Surgery, teaching residents how to perform plastic surgery and knowing the intricacies of the field. He is a respected Miami plastic surgery community member, an innovator, and the author of numerous articles in leading peer-reviewed journals and textbooks. Always aiming for natural results, he knows how to combine artistry with safety. All the above sets him apart as a top surgeon with one of the most comprehensive plastic surgery offerings throughout Miami, South Florida, and Colombia.

Migraine Surgery FAQ’S

Migraine surgery is designed to relieve pain, not cause it, and most patients experience minimal discomfort during and after the procedure. The surgery is performed under local anesthesia with sedation or general anesthesia, ensuring you remain comfortable throughout. After the procedure, you may have mild soreness, swelling, or bruising in the treated areas, but these symptoms are temporary and can be managed with medication. Many patients report that the post-surgical discomfort is far less severe than the pain of chronic migraines.
Most patients will need at least three key appointments: the initial consultation, a pre-operative appointment, and the surgical procedure. Dr. Rivera will evaluate your symptoms during your consultation, determine your candidacy, and outline a personalized treatment plan. Additional diagnostic tests, such as Botox injections or nerve blocks, may be scheduled to confirm the best surgical approach. A follow-up appointment after surgery ensures proper healing and long-term success. While most patients only require one procedure, Dr. Rivera monitors your progress and is available for any additional care if necessary.
Many patients experience immediate relief from their migraines. However, results can vary; some individuals may see gradual improvement over weeks to months as inflammation subsides. Studies show that migraine frequency and intensity continue to decrease over time, with long-term success rates of up to 80-90% in properly selected candidates. While some residual headaches may still occur, most patients report a dramatic reduction in their symptoms.
Depending on your goals, migraine surgery can be combined with other facial or reconstructive procedures. Many patients choose to pair it with eyelid surgery (blepharoplasty), brow lifts, or facial rejuvenation procedures to enhance both function and aesthetics. Additionally, if migraines stem from nerve compression in the neck or forehead, Dr. Rivera may recommend combining surgery with Botox injections or fat grafting to optimize long-term results. Dr. Rivera will create a customized treatment plan tailored to your medical and cosmetic needs during your consultation.
While migraine surgery is a safe and well-tolerated procedure, it does carry some risks, like any surgical treatment. Potential complications include temporary swelling, bruising, numbness, or mild scarring at the incision sites. In rare cases, nerve sensitivity changes or an incomplete response to the surgery may occur. However, with Dr. Rivera’s expertise in nerve decompression techniques and meticulous surgical approach, risks are minimized, and most patients experience long-lasting relief with little downtime.

Patient Reviews

4.79 – 103 Reviews

Dr Rivera is an excellent surgeon

Dr Rivera is an excellent surgeon. Very professional and great chair side manner. I was extremely pleased with my experience and procedures and I will recommend Dr Rivera Always!!!!

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J.P., Google
I cannot recommend Dr. Rivera enough

I cannot recommend Dr. Rivera enough. I had such a good experience at his practice and I appreciate how kind and knowledgeable he was.

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L.B., Google
as soon I meet Dr Rivera I knew he was the best

I had a great experience. I visited 4 surgeons between Miami and Ft Lauderdale; some very senior and well known, but as soon I meet Dr Rivera I knew he was the best. Dr Rivera listened, was patient and gave me several options for treatment. He is exceptionally talented and trained, ans has great manners. I was impressed with his resume, superior to pretty much any plastic surgeon I’ve meet. The procedure went very well. I obtained the results I wanted. His staff is top notch. Absolute recommendations. He is a Rockstar!

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Anonymous, RealSelf

Schedule a Consultation

If you’re ready to take control of your migraines and explore long-term relief through surgery, schedule a consultation with Dr. Rivera today. Our team is here to answer your questions, guide you through the process, and ensure you feel confident in your decision. Contact our Miami Beach office to book your consultation and take the first step.