Botox for Migraines at 26 Yrs Old?

I've had migraines for 15+ years and I have been on every med with either no luck. My neuro wants to try botox. I will do anything to get rid of these headaches so I am going to get it done. I am nervous though. 1st b/c I HATE needles. 2nd I am 26 and don't really have any wrinkles. I don't want to look "fake" or have anything droop with the lack of noticeable wrinkles. So if any of you have advice or words to calm me down I would appreciate it.

Doctor Answers 10

Botox for migraines - don't worry!

Botox can be a helpful treatment for migraines, although results are inconsistent. I do have many patients that have see reduced frequency, intensity or duration of their migraines, and they are quite happy with the treatments, and the added cosmetic benefit. Botox is a very safe treatment in the hands of a highly trained and experienced physician, and the discomfort is 0-1 out of 10, very very mild.

Toronto Dermatologic Surgeon
4.8 out of 5 stars 53 reviews

Botox for migraine treatment

I agree with Dr. Barankin that Botox can be very effective for treatment of migraines. I would make sure you are informed of all the benefits versus risks and side-effects, and then determine if you think trying Botox is for you.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Botox for Migraines at 26 Yrs Old?

Botox is perfectly safe in someone who is 26 years old. It is also an effective option for people who have not benefited from first line migraine treatments. If your neurologist has alot of experience they should be able to treat you without eliminating your facial expression or making you look "done." If they can't do that seek a Facial Plastic Surgeon with experience in this area. As a side benefit, Botox treatment for migraines will likely delay any development of facial lines and wrinkles for you. I hope this information is helpful.

Stephen Weber MD, FACS

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

Botox for migraines

I'm sorry nothing has worked. It seems that Botox would be a good next option then. I inject many patients with Botox for migraines, and obviously cosmetic benefits. A neurologist will do the injections a bit differently, but they will still be effective and very, very minimal pain. The needle used for Botox is so small, and often times you can have a topical numbing cream applied beforehand. It's really nothing to worry about, so don't stress about it - or you'll cause yourself a migraine or stress headache!

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

Botox for migraines

It sounds as if this is a reasonable next step for controlling your migraines.  I would certainly recommend having a board certified neurologist do this for you as this is a treatment they are trained to do.   Your insurance will probably cover it if they can document this is a reasonable next step after traditional therapies have failed.  Don't be afraid of the needles.  They are very fine so pain is minimal.  Pretreating with a topical anesthetic and placement of an icepack over the injection sites will help as well. 

Steven Swengel, MD
Los Gatos Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

Good respose to Botox for migraines

I have treated patients with migraines using Botox and have had very good results. In my patients, they report decrease in frequency of migraines and the intensity of the migraine attack is significantly diminished after Botox treatments. To decrease injection pain, I pretreat the areas with local anesthetic cream that will diminish the injection pain. Furthermore, the needles used for botox injections are very small. In terms of looking fake, I do not think you will have to worry about that either. If the botox treatment is done right in your age group, you will look more relax and most facial expressions will still be present.


Mytien Goldberg, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 5 reviews

Botox for migraines

Botox can be an effective treatment for certain types of headaches.  Since nothing else has worked so far to treat your migraines, I think it's worth a try to see if the Botox helps.  The needle used for the injection is very tiny, so there should be minimal pain involved.  The Botox can be placed in a manner not to give you any droop.  The results are also temporary, so if for some reason you should not like the effect, it will go away in several months.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

Botox for migraine headaches

Botox is effective for migraine headaches if it originates from muscle spasms in the forehead, temples, occiput, neck and a Board Certified neurologist who has experience with Botox injections can evaluate and treat you AND can seek to get it covered by your medical insurance as it should be covered - this is not a cosmetic proceudre, but rather, therapuetic Botox therapy.

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Botox and migraines

Botox has been pretty successful in treating migraines, but not all migraines respond to the Botox.  Best to go to a neurologist for this.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Botox For Migraines

I have used Botox for those suffering from migraines.  You can avoid brow droop or ptosis by injecting higher above the brow so that the lower frontalis is not paralyzed.  Most of the patients I have treated for migraines are younger and without wrinkles for some reason.  They experience improvement in migraine intensity, duration of symptoms, and number of migraines.  The duration of effect seems variable per patient report.  If the injector is quick with the needle it is a very painless procedure.  Topical anesthetic prior to injection may help as well as cold compress before and after.

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.