The surgical treatment of migraines is based on relieving pressure on different branches of the trigeminal nerve. The corrugator muscles have a purely mimetic function: they exclusively serve to form wrinkles between the eyebrows and have nothing to do with eyelid movement. To remove the corrugator muscle, Dr. Zirak makes a small incision that will no longer be visible later, in the fold of the eyelid. The nerve located in the muscle will neither be removed nor damaged by the operation. The goal is to prevent migraine pain from occurring by eliminating the muscle that excites the nerve in the trigger area above the eyebrows.

Pain points on the temples can be treated surgically using the same principle. Another branch of the nerve is relieved through "keyhole surgery" - the access is through the hairy part of the temple. The third option is exposing a nerve in the neck. It is crucial that the corresponding points are individually determined and that a test is conducted before considering surgery to ensure the effectiveness of the surgical intervention.

The long-term effect of migraine surgery has proven positive in several hundred patients. About 35% of patients had no migraine symptoms even a year after the operation. For another 55% of patients, the frequency of attacks and the intensity of the pain had decreased by more than half.