Do I keep the botox frozen?

Botox should be kept in a refrigerator at all time, freezing it would not make a difference in pain. 

No you don't have to freeze the botox but it should be kept in the refrigerator, good luck with the mirgraines it is effective for this problem

Freezing the botox will most likely not effect the pain associated with the injections. Botox should be stored in a refrigerator and does not need to be frozen. 

Medical Botox for migraines is a very useful and helpful procedure.Usually, my patients receive their medical Botox directly from my office, at the time of the procedure. Some patients do get it from the pharmacy in our medical building, on the day of their appointment, and bring it in immediately, where it is reconstituted by me.Botox needs to be stored in a refrigerator. 

My first question is why in the world are you keeping your own vial of medication? This is highly unusual. This is a drug that needs to be kept in a physician (or injector's) office. Not taken home by patients!! Botox doesn't need to be kept in the freezer anymore, just a temperature controlled fridge. It will make no difference in the injections. You can ice beforehand and that would be better. But you should not be keeping your own vial, period. "This answer has been solicited without seeing this patient and cannot
be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."