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Want to see more? Baptist Health South Florida’s Resource Blog https://baptisthealth.net/news Like us on Facebook / baptisthealthsf Follow Baptist Health on Twitter / baptisthealthsf Follow Baptist Health on Instagram / baptisthealthsf Follow Baptist Health on Pinterest / baptisthealthsf [Transcript] [Treating Migraines With Botox] Miguel A. Medina: There's a plastic surgeon who's really become the modern father of surgical migraine therapy, and that's Dr. Bahman Guyuron, who's in Ohio. And he has a thriving cosmetic practice, and in that practice he started to notice that patients that he was doing a brow lift on, were doing Botox in the front, we're coming back and telling him that they were noticing they were having less headaches. [Director explaining Botox effects and benefits on the body] Miguel A. Medina: There are some migraines that it looks like the nerves coming out of either the forehead or the back of the head gets caught or under pressure for some reason. We have identified that if you treat the compression, you can treat the migraine. So for us, it's very important. Patient selection is probably the most important thing on our end. Botox because it relaxes the muscles around the nerves seems to be a good bellwether of people who will respond to surgery. Miguel A. Medina: The best test is then to give a numbing medicine and anesthetic block to those nerves while they have a headache, and if the headache goes away, then you have very good evidence that this is a nerve that can be treated. People who come in and say, "My headache always starts right above my left eye and it comes across my scalp and it's this throbbing sensation. And it always starts the same way. Happens to me multiple times a week." Miguel A. Medina: Then if you go and you numb that nerve up and the headache goes away, then you have very good evidence that this is a person who would probably benefit from surgery. Miguel A. Medina: If you're careful about the selection of the patients who have these very specific trigger points, their response to Botox, their response to anesthetic blocks, you can go there and free the nerve and release it and they get much better. [Connect BaptistHealthSF] [End Transcript]