Botox for Migraines and Wrinkles - will having fewer injections mean that my creases will re-emerge? (Photo)

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

The usage of Botox for treating migraine does overlap with the usage of Botox for treating wrinkles, however, the treatments are not identical. When we treat people with botox for migraine, the areas of injection largely depend on where the migraine pain is. Botox treatment for migraines typically requires well over 200 units. For migraine, we typically treat the frown area, forehead, temples, masseters, occipitalis, paraspinal muscles, and trapezius muscles: Dosages to these areas will depend upon where the patient experiences pain.

Perhaps the best way to answer your question is to find out how many units were used by your first neurologist and how many units are used by your current neurologist and where the injections were all performed. I hope this is helpful! Sincerely, Dr Joseph

As you are receiving Botox for migraines and not cosmetic reasons the location of injections will be tailored to that outcome. If you are wanting to also address wrinkles then you can discuss that additional treatment with your injector.

Yes, you may now develop wrinkles in the mid and lower forehead since you are no longer injecting Botox in these areas. Your new injector is following the insurance guidelines for Botox Migraine. Most Botox migraine injectors do not know anything about Botox for cosmetics. The Botox Migraine protocol is for 31 sties to be injected with 5 units each for a total of 155 units. Botox comes in a 200 unit vial. Therefore there are 45 units left that can be injected anywhere the injector deems necessary. Many injectors simply throw these 45 units away as they are uncomfortable injecting it in other areas that can also help with headaches. If you develop wrinkles in the mid and lower forehead, simply ask her to inject a little lower below the hairline. If she injects too low, she will drop your brow.