Botox can help certain migraines and will paralyze the...

Robert W. Kessler, M.D., F.A.C.S. 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?


Robert W. Kessler, MD
18 months ago

Botox can help certain migraines and will paralyze the muscles which cause facial wrinkles.

Migraines which begin in the forehead or around the eyes respond to Botox the best. There is a sensory nerve which runs within a muscle deep to the eyebrow near the bridge of the nose. The theory is that muscle contraction irritates the nerve, which causes the migraines. Paralyzing the muscle prevents the nerve irritation and eliminates the cause of the migraines.

Unfortunately not every person will experience migraine relief as there are multiple causes of migraine but at least you still get the cosmetic benefits. I have many patients in my practice who return for migraine relief, not the cosmetic benefits.

When it works, this is one of the rare cases when you can have your cake and eat it too.

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