IFAR - Head & Face Pain - Is Head Pain Controlling Your Life_ copy

Is Head Pain Controlling Your Life?

Head pain doesn’t just cause discomfort—it disrupts your ability to focus, sleep, and enjoy daily life. For many patients, the pain becomes constant, spreading from the temples, scalp, or neck into the face and jaw. Advanced surgical solutions may finally address the root cause of headaches and facial nerve pain, rather than simply masking the symptoms.

At The Institute for Advanced Reconstruction, our specialists understand the toll of chronic head and facial pain. Using advanced nerve mapping, reconstructive techniques, and microsurgical precision, we help patients find freedom from pain that once felt permanent.

You do not have to live this way. Here’s who we help:

Patients with chronic facial pain following dental surgery, trauma, or facial fractures.
Patients with chronic facial pain following dental surgery, trauma, or facial fractures.
Patients suffering from occipital neuralgia, with sharp or radiating pain from the back of the head and travelling up the scalp, to the sides of the head and behind the eyes.
Patients suffering from occipital neuralgia, with sharp or radiating pain from the back of the head and travelling up the scalp, to the sides of the head and behind the eyes.
Patients experiencing persistent temple, jaw, or facial pain misdiagnosed as migraines or TMJ.
Patients experiencing persistent temple, jaw, or facial pain misdiagnosed as migraines or TMJ.
Patients with trigeminal neuralgia whose medications are no longer effective—or never worked.
Patients with trigeminal neuralgia whose medications are no longer effective—or never worked.
Patients who have tried multiple treatments for head or facial nerve pain with no lasting relief.
Patients who have tried multiple treatments for head or facial nerve pain with no lasting relief.
"A little over 10 years ago, Dr. Kaufman did a nerve decompression surgery for my unrelenting occipital neuralgia. It was absolutely life-changing. I was in horrible pain for nearly 2 years before my surgery, and I have been almost completely pain-free since. I can count on one hand the number of times I have had neck/head/jaw pain since my surgery. While surgery is a very serious consideration and not a decision to be made lightly, I could not recommend this doctor, facility, and treatment plan more if you have exhausted nonsurgical options."
— Michael, Occipital Neuralgia Patient of Dr. Kaufman
"Dr. Kaufman is a fantastic surgeon and MD. He is highly specialized and I had great outcomes with my procedure for occipital neuralgia. He has a great bedside manner and his staff of nurses and PA’s are top notch. Highly recommend Dr. Kaufman and this practice."
— Maria, Occipital Neuralgia Patient of Dr. Kaufman
"My quality of life was negatively impacted by Occipital Neuralgia and Dr. Kaufman’ s nerve decompression expertise has been a complete blessing for me. I thank Dr. Kaufman for relieving me of the horrid pain I experienced. Because of Dr. Kaufman’ s genius I can now live a normal, pain free life."
— Lisa, Occipital Neuralgia Patient of Dr. Kaufman
"After an accident, I need Botox for facial neuralgia and migraines. I highly recommend Dr. Grover for Botox injections. He's highly skilled - I'm a bleeder and bruiser and never had issues. He cares about his patients and their comfort. I get to choose if I want numbing cream, if I want breaks, etc. Dr. Grover also remembers what's happening in my life appointment to appointment"
— Amie, Occipital Neuralgia Patient of Dr. Kaufman

Conditions We Treat

Our specialists diagnose and treat complex headache and facial pain conditions often missed or misunderstood elsewhere.
Nerve and Neuropathic Causes
Structural and Musculoskeletal Causes
Post-Surgical and Post-Treatment Causes
Reconstructive and Craniofacial Conditions

Nerve and Neuropathic Causes

Chronic head and facial pain often originates from nerve irritation, compression, or post-traumatic injury. Learn more about:

Structural and Musculoskeletal Causes

Pain originating from the skull base, jaw, or surrounding muscles can create chronic tension and headache symptoms. Learn more about:

  • Facial Paralysis
  • Synkinesis (involuntary facial muscle contractions causing discomfort or pressure)
  • Chronic Joint Pain (TMJ or cervical region)
  • Arthritis (shoulder or cervical alignment-related contributing to headaches)

 Post-Surgical and Post-Treatment Causes

Chronic headache or facial pain may persist after prior surgery, trauma, or cancer treatment due to nerve damage or radiation effects. Learn more about:

Reconstructive and Craniofacial Conditions

Our team treats complex craniofacial nerve and soft-tissue injuries that cause chronic head or facial pain. Learn more about:

ground-breaking

Advanced Procedures That Relieve Chronic Pain

Every case of chronic head and facial pain is unique. Our surgical plans are personalized to target the specific nerve or structural issue causing your pain.
Nerve Reconstruction Surgery
Repairs damaged or compressed nerves in the head, face, or neck to relieve chronic pain. Read More
Targeted Muscle Reinnervation (TMR)
Redirects injured or severed nerves into nearby muscles to prevent painful neuromas and reduce chronic post-surgical pain. Read More
Regenerative Peripheral Nerve Interface (RPNI)
Uses small muscle grafts to protect and stabilize injured nerves, reducing sensitivity and improving comfort. Read More
Joint Denervation
Interrupts pain signals from affected joints, such as the jaw or cervical spine, while maintaining normal function and movement. Read More
Decompression Surgery
Releases pressure on compressed nerves, such as the occipital, supraorbital, or trigeminal nerves, to relieve chronic headaches and facial pain. Read More
Nerve Grafts
Replaces or bridges damaged nerve segments to restore function and sensation when direct repair isn’t possible. Read More
Facial Paralysis Surgery
Reestablishes muscle control and symmetry in patients with facial paralysis while alleviating nerve-related discomfort and tightness. Read More
Craniofacial Surgery
Addresses complex structural and nerve-related conditions affecting the skull, face, and jaw to relieve pressure and restore alignment. Read More
Facial Reconstruction
Restores soft tissue and nerve balance after trauma, tumor removal, or previous surgery to improve comfort, appearance, and function. Read More
Orbital Decompression
Reduces pressure around the eye and optic nerve caused by thyroid eye disease or trauma, relieving pain and improving eye mobility. Read More
Pharyngeal Plexus Surgery
Treats nerve dysfunction in the throat and neck region to relieve chronic pain and swallowing discomfort caused by nerve injury. Read More
Recurrent Laryngeal Nerve Surgery
Repairs or decompresses the recurrent laryngeal nerve to relieve vocal cord dysfunction, throat pain, and breathing discomfort.
Read More
Fat Grafting
Restores volume and softens scar tissue to cushion sensitive nerves and reduce chronic pain following trauma or radiation therapy.

Flap Surgery
Transfers healthy tissue to repair areas affected by trauma or prior surgery, improving circulation, comfort, and long-term healing. Read More
Reconstructive Surgeries
Comprehensive restorative procedures that address both structural and nerve issues contributing to chronic head or facial pain.
Wound Debridement / Complex Wound Care
Removes damaged or infected tissue to promote healing, relieve tension on nerves, and prevent long-term discomfort or inflammation.
Read More

Why Patients Choose The Institute When Others Can’t Help

Global Leaders in Surgical Pain Management

Chronic pain care requires more than symptom control. It demands deep diagnostic insight, advanced surgical skill, and a commitment to helping patients reclaim their lives. Whether you’ve been searching for answers for months or years, our team offers a unique blend of science, skill, and compassionate care to help you take back control of your life.

Patients trust The Institute because we provide:

unmatched-icon
Nationally recognized specialists in pain and reconstruction
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Groundbreaking surgical techniques backed by published research
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Expertise in rare and complex nerve conditions
proven-outcome
Collaborative care from multidisciplinary teams
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Personalized treatment plans
proven-outcome
Proven outcomes for patients who’ve exhausted other options
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IFAR - Head&Face Pain -Why Patients Choose The Institute When Others Can’t Help copy
IFAR - Head&Face Pain -Why Patients Choose The Institute When Others Can’t Help (2) copy
35
Nerve Surgeries
Performed
20
Peer-Reviewed
Studies Published
250
Global Patients
Served
12
Years Pioneering
Microsurgical Techniques

Want to know how our breakthroughs translate into better outcomes?

See How We’re Changing Lives

How Fast Does Botox Work for Occipital Neuralgia
Treating Occipital Neuralgia
Non-Invasive Treatments for Occipital Neuralgia
Facial Nerve Reconstruction Recovery-1
Occipital neuralgia migraines headaches

Meet Our Surgeons

Behind every successful surgery is a specialist who understands the impact of chronic pain. Our renowned surgeons bring unmatched skill and a deep commitment to helping patients restore comfort, confidence, and quality of life. 

Michael Rose

Andrew Elkwood

MD, MBA, FACS
Michael Rose

Hamid Abdollahi

MD, FACS
Michael Rose

Peter Andrawes

MD
Michael Rose

Beth Anglin

MD, FACS
Michael Rose

Gary Arishita

MD
Michael Rose

Russell Ashinoff

MD, FACS
Michael Rose

Sean Boutros

MD, FACS
Michael Rose

Anjeanette Brown

MD, FACS
Michael Rose

David Cabiling

MD
Michael Rose

Courtney Carpenter

MD
Michael Rose

Stephen Chagares

MD
Michael Rose

Eric I. Chang

MD, FACS
Michael Rose

Ann Chuang

MD, FACS
Michael Rose

Frank Ciminello

MD, FACS
Michael Rose

Kari L. Colen

MD, FACS
Michael Rose

Ryan Couvillion

MD
Michael Rose

Desiree D'Angelo

DO, FACS
Michael Rose

Joseph Dayan

MD, MBA
Michael Rose

Frank Dellacroce

MD
Michael Rose

George Dreszer

MD
Michael Rose

Stephen Dudick

MD
Michael Rose

Rodion Erenburg

MD
Michael Rose

Berry Fairchild

MD
Michael Rose

Adam Feintisch

MD
Michael Rose

Nicole Ferro

DO
Michael Rose

James Fletcher

MD
Michael Rose

Anton Fries

MD, PhD
Michael Rose

James Frost

MD, FACS
Michael Rose

Amon-Ra Gama

MD
Michael Rose

Andrew Gassman

MD
Michael Rose

Patrick Greaney

MD, FACS
Michael Rose

Ritwik Grover

MD, FACS
Michael Rose

Edward Hahn

MD
Michael Rose

Sanaz Harirchian

MD
Michael Rose

Cassie Hartline

MD
Michael Rose

Sean Herman

MD, FACS
Michael Rose

Zuhaib Ibrahim

MD, FACS
Michael Rose

Lisa Iucci

DO, FACS
Michael Rose

Hari Iyer

MD, FAAOS
Michael Rose

Priya Jadeja

MD, FACS
Michael Rose

Reza Jarrahy

MD, FACS, FAAP
Michael Rose

Santosh Kale

MD, MBA
Michael Rose

Karen Kaplan

MD
Michael Rose

Matthew Kaufman

MD, FACS
Michael Rose

Ergun Kocak

MD
Michael Rose

Arjuna Kuperan

MD
Michael Rose

Chris Lakhiani

MD, FACS
Michael Rose

Peter Ledoux

MD
Michael Rose

Matthew Lynch

MD
Michael Rose

Tyler Merceron

MD
Michael Rose

Ahmed Nasser

MD
Michael Rose

Chet Nastala

MD
Michael Rose

Robert T. Nevitt III

MD
Michael Rose

Oscar Ochoa

MD
Michael Rose

William Ordoyne

MD
Michael Rose

Lauren Otaguro

MD
Michael Rose

Tushar Patel

MD, FACS
Michael Rose

Steven Pisano

MD
Michael Rose

Vaishali Purohit

MD
Michael Rose

Sidney Rabinowitz

MD, FACS
Michael Rose

Deepak Ramesh

MD
Michael Rose

David Rayfield

MD
Michael Rose

Rukmini Rednam

MD
Michael Rose

Michael Rose

MD, FACS
Michael Rose

Adam Saad

MD, FACS
Michael Rose

Nirvana Saraswat

MD
Michael Rose

Ali Seckin

MD, MBA
Michael Rose

Ajul Shah

MD, FACS
Michael Rose

Tzvi Small

MD, FACS
Michael Rose

Mohit Sood

DO
Michael Rose

Scott Sullivan

MD
Michael Rose

Yolanda Tammaro

MD
Michael Rose

Pankaj Tiwari

MD
Michael Rose

Stephen Toran

MD
Michael Rose

Christopher Trahan

MD
Michael Rose

David Tsai

MD, FACS
Michael Rose

Hakan Usal

MD
Michael Rose

Eric Weiss

MD
Michael Rose

Jonathan Weiswasser

MD, FACS
Michael Rose

Lauren Whipple

MD
Michael Rose

Eric Wimmers

MD, FACS
Michael Rose

Whitten Wise

MD
Michael Rose

Mary Jo Wright

MD
Michael Rose

Alex Xu

MD
Michael Rose

Mark Yazid

MD, FACS
Michael Rose

Sarosh Zafar

MD

Your Questions, Answered

Who is a candidate for migraine or occipital neuralgia surgery?

Patients with chronic headaches unresponsive to conservative treatments may be candidates. Our team evaluates even the most complex cases.

→ Learn more about becoming a patient.

Does insurance cover these procedures?

Coverage varies, but many of our surgeries are considered medically necessary. Our financial team will confirm benefits and explore all available options.

→ Visit our Insurance and Billing page to learn more.

Do I need a referral to be seen at The Institute?

No referral is required. You may contact us directly, though we collaborate closely with neurologists and referring physicians.

→ For provider-specific referral information, visit our Referrals page.

What types of headaches respond to nerve surgery?

Nerve decompression and reconstruction can relieve pain caused by occipital neuralgia (which may cause migraines) and post-traumatic or tension-type headaches.

How long does recovery take after surgery?

Most patients experience steady improvement over weeks to months. Full recovery depends on the procedure and individual healing response but may take up to a year.

What if my headaches come from previous surgery or radiation?

We frequently treat patients whose pain developed after prior treatment. Our reconstructive and nerve procedures address both nerve injury and tissue damage.

What makes The Institute different from other centers?
We are one of the few centers worldwide specializing in surgical solutions for chronic headache and facial nerve pain, with techniques pioneered by our team and proven through global patient outcomes. We also have a multidisciplinary team so you will get a comprehensive treatment plan.

→ Learn more about why patients choose us.

What to Expect When You Reach Out

We know reaching this point has likely been a long journey. That’s why we make the next step clear and supportive.

1 Consultation

Share your history and symptoms with our specialized team, either virtually or in-person.

2 Evaluation

Our advanced diagnostic tools and extensive expertise help us understand your condition fully.

3 Personalized Care Plan

You’ll leave with a clear explanation of your options and what recovery could look like.

4 Surgery & Support

If surgery is right for you, our team guides you through every step: before, during, and after.
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Get Relief From Chronic Pain

You don’t have to live with chronic headaches or nerve pain. Our specialists provide advanced care that helps patients finally reclaim their lives.