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McNemar Cosmetic Surgery Thomas B. McNemar, MD, FACS

Migraine Surgery in California

If you suffer from recurrent migraine headaches, you need to find permanent relief from the extreme pain and stress. These intense headaches can strike without warning and persist for days. While medication can be effective, it's usually taken after symptoms have begun. Dr. Thomas McNemar, a California migraine headache specialist, is a physician who offers migraine surgery to treat these severe headaches.

For men and women living in Stockton, Modesto, San Ramon, Danville, Walnut Creek, and other California communities, migraine surgery can provide hope and lasting relief. Request your consultation online at Dr. McNemar's San Ramon or Tracy offices to learn more.

Meet Dr. Thomas McNemar

Board-certified plastic surgeon Dr. McNemar
is dedicated to your complete care.

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How Can Surgery Stop Migraines?

The treatment of migraine headaches through surgery was discovered by Cleveland, Ohio plastic surgeon Dr. Bahman Guyuron. He found that many patients who underwent BOTOX® Cosmetic injections or brow lift surgery experienced significant relief from migraines. The headaches returned in the BOTOX patients after their treatments wore off, but not in the brow lift patients. Dr. Guyuron reasoned that both treatments disabled the muscles responsible for triggering migraine headaches; the improvements from BOTOX were temporary and those from surgery were long term.

Am I a Candidate?

When patients visit him for migraine surgery at his cosmetic surgery center in California, Dr. McNemar first determines whether the treatment is likely to be effective. He identifies the migraine trigger sites by systematically testing the 4 known areas, the forehead, temple, back of the neck, and nasal passages. For most patients, 2 to 3 of these areas are trigger sites for their migraines.

All areas except the nasal passages can be tested using BOTOX injections; the nasal passages can be tested with nasal spray, as well as x-rays and physical examination. If BOTOX effectively reduces the frequency and intensity of a patient's migraines or stops them altogether, there is a 90% chance the surgery will provide lasting relief.

BOTOX® Cosmetic helps Dr. McNemar relieve migraines. Learn More

What to Expect

Dr. McNemar usually performs migraine surgery as an outpatient procedure while the patient is under sedation or general anesthesia. The actual surgery, which involves severing a portion of the muscle at each identified trigger site, depends on the location and number of trigger sites. When addressing forehead triggers, the surgery is similar to a cosmetic brow lift. For triggers in back of the neck, Dr. McNemar conceals the incision in the scalp. He targets nasal passages much like surgery for a deviated septum where the small incisions are concealed inside the nose.

Results & Recovery

After migraine surgery, patients commonly experience headaches for the first 2 weeks, which can be managed with pain medication. Depending on the location and number of trigger sites, most migraine surgery patients can return to their normal daily activities, including work, within 1 to 2 weeks.

Most patients notice improvements within 2 to 4 weeks after their migraine surgery. When forehead sites are treated the patient often attains the added benefits of a brow lift including improvement of forehead creases and eyebrow position.

Next Step

If you are interested in learning more about migraine surgery and finding out whether it could help you, request a consultation online with Dr. McNemar or call (925) 967-2804 for our San Ramon office or (209) 834-0626 for our Tracy office to make your appointment.

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