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What is BOTOX® for Migraines?


BOTOX® for Migraines Fast Facts

Dr. Julio Clavijo-Alvarez

Trust your BOTOX® for migraines procedure to the best-reviewed plastic surgeon in Pittsburgh, PA.

  • BOTOX® for migraines is a treatment used to paralyze muscles.
  • For over 10 years BOTOX® for Migraines has been used for the prevention of wrinkles to the forehead and crows feet.
  • More recently the FDA has approved the use of BOTOX® for the treatment of migraines.
  • The principle: the paralysis of the muscle decreases the irritation of nerves that triggers headache.
  • Make an appointment with Dr. Clavijo-Alvarez to design the best options for you.
Before and after images of a Botox patient.
*Results can vary for each individual

What is BOTOX® for Migraines?

Woman rubbing her aching temple from migraine headache. BOTOX® for migraines is the use of botulinum toxin for the prevention or improvement of chronic migraines. This medication is FDA approved for this medical application.

Who is a good candidate?

Good candidates for BOTOX® covered by insurance  are:

-Patients diagnosed of Migraines by board certified Neurologists.

-More than 14 days per month with headaches lasting 4 hours a day or longer

-Migraine headaches in adults who have tried and failed trials of at least 3 medications selected from at least two classes of migraine headache prophylaxis medications of at least 2 months (60 days) duration for each medication:

  1. Angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers (e.g., losartan, valsartan, lisinopril);
  2. Anti-depressants (e.g., amitriptyline, clomipramine, doxepin, mirtazapine, nortryptiline, protriptyline);
  3. Anti-epileptic drugs (e.g., divalproex, gabapentin, topiramate, valproic acid);
  4. Beta blockers (e.g., atenolol, metoprolol, nadolol, propranolol, timolol);
  5. Calcium channel blockers (e.g., diltiazem, nifedipine, nimodipine, verapamil)
Before and after images of a Botox patient.
*Results can vary for each individual

How painful is the procedure?

Not to painful. It feels like a bee sting. It is well tolerated by most patients.

What decisions do I need to make before my procedure?

The most important thing when considering BOTOX®, is to identify the areas of your head are affected by the headache. Please request a log to start recording the specific locations of your headaches. This information is KEY for the adequate treatment with the BOTOX®.

Some of the areas of most concern are:

  • Forehead
  • Within the eyes
  • Beside the eyes
  • Temporal area
  • Neck or back of the head
  • Behind the ears

Is BOTOX® safe?

YES. Botox® is a safe medication. The toxic doses are 2700 units. The maximum units use to address many of the areas of the face is less than 100 units usually.

Am I too young to have BOTOX®?

The original medical indication for BOTOX® was in kids suffering from cross eye vision. Truly the indication for BOTOX® is when the patient starts having the pronounce wrinkles in their face. Preventing the muscle animation, will delay the need for future surgical procedures to correct the problem.

When I will be seeing the results of my Botox?

The average time to see the results of BOTOX® is 4 to 7 days.

What complications could occur?

Some of possible complications after BOTOX® for Migraines treatments are:

  • Bruising
  • Redness
  • Droopy upper eyelid
  • Asymmetry

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