Botox® for Migraine vs Cosmetic Treatment: What’s Different?

Is Botox® used for helping migraine headaches the same as the Botox® used for lines and wrinkles?

Anon, Kumeu

Yes, it is the same medicine.  The difference lies in how it is used, where it is placed and what the treatment is trying to achieve.  In cosmetic treatments, Botox® is injected into specific facial muscles that create lines.  The focus is on softening lines, while keeping your natural expression.

Migraine treatment is completely different.  The goal is not cosmetic.  Botox® is used to interrupt muscle and nerve activity that contributes to migraine attacks, leading to a decrease in severity and/or frequency of headaches.  The injections are tailored to areas of pain and can include the face, temples, back of the head, neck and shoulders.

The beauty of Botox® for migraines is that is also achieves wonderful cosmetic results when used correctly on facial muscles.  Looking and feeling good? Yes please!  A common concern however, is whether migraine Botox® will “freeze” the face.  When the procedure is performed correctly, it usually doesn’t, so it is important to see an injector who understands facial anatomy so you achieve good functional and cosmetic results.

If you are considering this treatment, start with a conversation with your GP and/or Neurologist to see whether it fits into your migraine plan to ensure it is safe for you and that other causes of migraines have been excluded.  Results are often very effective with huge improvements in pain and function, which many describe as life-changing. 

Quick Answers:

Is the Botox® used for migraine the same as the one used for wrinkles?

Yes. It is the same botulinum toxin medicine. The difference is in the injection pattern, dosing and treatment goal.

How is Botox® for migraine different from cosmetic Botox®?

Cosmetic treatment targets specific facial muscles to soften expression lines. Migraine treatment follows a medical injection protocol across the head and neck to reduce headache frequency and severity.

Where is Botox® injected for migraine treatment?

It is typically placed across the forehead, temples, back of the head, neck and shoulders. The pattern is designed around common migraine trigger zones.

Will migraine Botox® freeze my face?

When performed correctly, it usually does not. An experienced injector adjusts placement and dose to preserve natural expression while still delivering therapeutic benefit.

Who should consider Botox® for migraine?

It is generally considered for people with chronic migraine, defined as 15 or more headache days per month. Assessment by a GP or neurologist is recommended first.

How long does it take to see results?

Improvement often begins within several weeks, though full benefit may take two treatment cycles given approximately 12 weeks apart.

Botox®, Prescription Medicine For the treatment of frown lines and crow’s feet around the eyes.  Botox® has risks and benefits. Ask your doctor if Botox is right for you. Botulinum toxin type A 50, 100, 200 Units. For product information check with your doctor or Consumer Medicine Information on www.medsafe.govt.nz. Click for further details. Allergan, Auckland.