For many individuals with chronic migraines, the pain begins at the back of the head or upper neck before radiating toward the top of the scalp, temples, or behind the eyes. This pattern is often caused by compression of the greater or lesser occipital nerves as they pass through surrounding muscles, fascia, or blood vessels in the back of the head. When these nerves become irritated, they can trigger debilitating migraine headaches that may not respond to medications alone.
Board-certified plastic surgeon Dr. Ali Totonchi specializes in advanced occipital trigger migraine surgery, a procedure designed to decompress the affected nerves by releasing the surrounding structures that cause chronic irritation. Using proven surgical techniques and a personalized approach, Dr. Totonchi carefully evaluates each patient’s migraine history, trigger points, and anatomy to determine whether occipital nerve decompression is the most appropriate treatment. His goal is to provide long-term migraine relief while helping patients regain their quality of life.
If your migraines consistently begin in the back of your head or upper neck and have not improved with medications, Botox®, or other conservative treatments, occipital trigger migraine surgery may offer a long-term solution. By relieving pressure on the occipital nerves, this procedure addresses the underlying source of pain rather than simply masking the symptoms, helping many patients experience fewer, less severe migraine attacks.
During your consultation, Dr. Totonchi will perform a comprehensive evaluation to identify your migraine trigger points, review your treatment history, and determine whether occipital nerve decompression is right for you. Every treatment plan is customized to your unique symptoms and anatomy, ensuring the most effective approach to achieving meaningful, lasting relief.
Board-certified plastic surgeon Dr. Ali Totonchi specializes in advanced occipital trigger migraine surgery, a procedure designed to decompress the affected nerves by releasing the surrounding structures that cause chronic irritation. Using proven surgical techniques and a personalized approach, Dr. Totonchi carefully evaluates each patient’s migraine history, trigger points, and anatomy to determine whether occipital nerve decompression is the most appropriate treatment. His goal is to provide long-term migraine relief while helping patients regain their quality of life.
