What to Expect Before, During, and After Microvascular Decompression Surgery

By: Dr. Raymond Sekula

10/15/2025

If you're dealing with hemifacial spasms, facial pain, or other cranial nerve disorders, you may have heard about microvascular decompression surgery (MVD) as a potential treatment option. This specialized brain surgery is designed to relieve pressure on affected nerves and provide long-term relief from debilitating symptoms.  

At the practice of Dr. Raymond Sekula in New York, NY, patients receive expert care and guidance throughout the surgical process. Understanding what happens before, during, and after MVD can help you feel more prepared and confident about moving forward. Call now to learn about the process or book a consultation. 

Preparing for microvascular decompression surgery 

Before your procedure, Dr. Sekula will conduct a thorough evaluation to confirm that MVD is the right option for your hemifacial spasms or other symptoms. This typically includes imaging studies to identify the source of nerve compression. We'll also review your medical history, current medications, and any concerns you may have about brain surgery. 

In the days leading up to your procedure, you may be asked to:  

  • Stop certain medications that could increase your risk of bleeding 
  • Follow specific fasting instructions before surgery 
  • Complete any required pre-operative lab work 

Taking these steps seriously helps ensure the safest possible outcomes and reduces the risk of complications. 

What happens during the procedure 

Microvascular decompression surgery is performed using general anesthesia. During the procedure, a small opening is made to access the affected cranial nerve. Dr. Sekula carefully identifies the blood vessel causing compression and places a cushioning material between the vessel and the nerve to relieve pressure. 

MVD typically takes several hours, depending on the complexity of your case. Throughout the procedure, advanced monitoring equipment is used to protect the brain tissue and ensure precision. Many patients in New York, NY find relief from hemifacial spasms and facial pain once the nerve compression is resolved. 

Recovery and what to expect after surgery 

After microvascular decompression surgery, you'll spend time in a recovery area where medical staff will monitor your vital signs and comfort level. Most patients stay in the hospital for several days following brain surgery. 

Full recovery can take several weeks, and it's important to follow any post-operative instructions provided by Dr. Sekula. This includes attending follow-up appointments, avoiding strenuous activity, and watching for signs of infection or complications. 

Long-term outcomes from MVD 

For many patients, MVD provides significant and lasting relief from symptoms caused by nerve compression. While individual results vary, studies show high success rates for this procedure when it is performed by an experienced professional. 

It's important to have realistic expectations and to communicate openly with our care team about your progress. Some patients notice immediate improvements, while others may experience gradual relief over the course of weeks or months as the nerve heals. 

Take the next step toward relief 

If you're struggling with hemifacial spasms, facial pain, or other cranial nerve disorders and want to explore your treatment options, microvascular decompression surgery may offer the long-term relief you've been seeking. 

At the practice of Dr. Raymond Sekula in New York, NY, patients receive compassionate expertise and care from consultation through recovery. Whether you have questions about brain surgery or want to learn more about what to expect during the process, reach out today to schedule a consultation. Take the first step toward a life virtually free from chronic nerve pain.

*All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.