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Botox to Migraine

I have been getting Botox for migraines every 90 days for approx 15 months. I can say that after trying countless other treatments Botox has been a godsend. I didn’t see results the first two treatments, but soon after the 3rd treatment my migraines substantially decreased. I don’t feel the full effect of the Botox until approximately 10 days after the treatment and I believe that the therapeutic effect wears off 3-4 weeks before my next treatment... but that being said I will continue to get 155 units every 90 days for the foreseeable future because Botox helps me function in ways that prophylactic and abortive medications failed. I have considered getting Botox injected cosmetically in between my treatments for migraines to extend the results. Currently, that is financially prohibitive but I would like to peruse it in the future.

I have not seen any negative side-effects from Botox. I have seen positive side-effects though... of of which is my forehead is smoother. I started receiving Botox at 24 and my forehead is smoother than ever. It does cause my eyebrows to look unusual (to me) because I don’t have movement in the center of my forehead or near my hairline and I do have normal movement of my brows. People who don’t know I have Botox (or even to those that do) don’t notice that it looks unusual... I think I am the only one that is concerned because I used to have lines straight across my forehead.

To those who are concerned about pain, I would say the shots are much less painful than a normal headache — let alone a migraine. To those who are concerned about having a frozen face, that would impossible because of where they inject your face.
And to those who are looking for insurance to cover cosmetic Botox, (aside from being unethical to lie about medical problems) this will not be a treatment to pursue. I have very good insurance and it took me years of trying every treatment in the book before they would consider it. This would most likely rack up more money in co-pays than you would spend on a cosmetic specialist. Also, having a neurologist inject you is not the same as a plastic surgeon or dermatologist because their injection training is different based on their specialty. The only reason I even mention people “scamming” for Botox is because I have met many people who say “I need to get my insurance to pay for Botox” and then point at a insignificant line on their face. Aside from finding those comments offensive, because migraines are terrible to suffer with. Getting insurance on board with Botox is not an easy process. If you are looking at reviews and don’t have intractable migraines, to see if insurance will cover you... it’s certainly not worth the hassle. If you have migraines, Botox is definitely worth it and I cannot see my life without these injections now.

Provider Review

Nojan Valadi, MD
Overall rating