Botox and Migraines

Arnold W. Klein, M.D. answers: Does Botox treat migraines and wrinkles at the same time?

My doctor said he can treat my migraines at the same time I get my cosmetic Botox injections. Is this true?


Arnold W. Klein, MD
19 months ago

I am one of the first doctors who reported that Botox can be effective in the treatment of migraine headache and I am probably the best known for this in the world. Unfortunately, I am also the first ever to be sued for this (I did win in court).

While many patients who experience migraine headaches have reported improvement following Botox treatment for wrinkles, the specific injection pattern for Botox migraine treatment is quite different than what we use for wrinkle reduction. While you may notice some improvement of your migraine pain and severity following Botox for wrinkle reduction, I would strongly advise that the injection pattern for migraines is very specific and should be followed by your doctor.

Botox is used off-label for migraine treatment with good results.

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A: Botox for wrinkles and migraines works for me

Jonathan Hoenig, MD
19 months ago

I have been treating myself with Botox for many, many years to prevent ocular migraines.

When I get migraines, I get "ocular" migraines. This means I have vision problems, loss of vision, and shooting lights when I get a migraine. I can always tell when the Botox is wearing off because my migraines come back.

I treat many patients for migraines with Botox and in most people, it is beneficial.

There are different places to inject when treating for migraines, as opposed to treating for wrinkles, but you can kill two birds with one stone.

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A: Taking Care of Two Birds with One Stone - Botox for migraines and wrinkles

Michael A. Persky, MD
19 months ago

Hi Jeane,

Studies have found that patients treated with Botox have decreased frequency of their migraine headaches, as well as less severity if they do get the headache. By treating the brow muscles (corrugators) and adding a little Botox to the upper forehead, your wrinkles and headaches can be improved with the same treatment.

Good luck.

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