Solutions for Your Migraines

Nearly one in four American households include someone suffering with migraines. Over 10% of the population, including children, suffer from migraines – more than diabetes and asthma combined! About 18% of American women and 6% of men suffer from migraines. Migraines are most common during our peak productive years, between 25 and 55. Migraines also tend to run in families. If one parent suffers from migraine, there is a 40% chance a child will suffer. If both parents suffer, the risk rises to 90%. For most people, migraines can be controlled with medication.

When medication migraine treatment doesn't work

For some people, medications cannot control the headaches. Peripheral nerve compression and overstimulation act as triggers for migraine headaches. The branches of the trigeminal nerve run through strong facial muscles. Muscle contracture irritates the nerve and causes the migraine attack.

Migraine surgery involves the partial or complete release of the muscle compressing the nerve in order to prevent the onset of migraine or decrease its frequency. Dr. Evdokimow may pre-treat using BOTOX. After the surgery, minimal care is required. The patient can shower 24 hours later. No dressings are required. Patients typically feel temporary numbness in the area of distribution of the decompressed nerve. In some cases, the numbness can last months.

The success rate of migraine surgery is high. Ninety percent of surgery patients experience significant relief in the frequency, intensity and duration of migraine attacks. One-third of the patients experience complete relief. Sometimes insurance will cover this surgery after Dr. Evdokimow shows evidence that conservative management has failed to control the migraine headaches.  


Craniofacial surgery

Dr. Evdokimow also corrects complex facial fractures and lacerations, protruding ears, cleft palate/cleft lip, secondary deformities and fractured skulls and jaws. He also performs:

  • Lip reconstructiion
  • Nasal reconstruction
  • All kinds of facial trauma reconstruction, including ear trauma reconstruction and combined procedures.


Please visit our Galleries section to view plastic surgery before and after photos.

To learn more about migraine treatment and craniofacial reconstruction or to schedule an appointment, please call us at 908.221.1136. For your convenience, you can arrange your one-on-one consultation with Dr. Evdokimow by filling out our online Request an Appointment form. Our craniofacial and migraine patients come to us from Chestertown, Far Hills, Madison, Summit and Milburn.

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