What is chronic migraine?
Chronic migraine is defined as headaches on 15 or more days a month for more than three months, with migraine features on at least eight of those days. It is different from occasional migraine and from tension-type headache.
Botox is approved as a preventive treatment for chronic migraine in adults. It is not used to stop a migraine once it has started. If you have not been diagnosed, or your headaches have recently changed, please see your physician first.
How it may help
Botox is thought to reduce the release of pain-signalling chemicals from nerve endings.
Working with your doctor
Treatment fits alongside the care plan from your physician or neurologist.
Who Botox for migraine may suit
Diagnosed chronic migraine
15 or more headache days a month
Botox protocol
Tried other preventives
Other medications not effective or tolerated
Discuss at consultation
Occasional migraine
Fewer than 15 headache days
Not an approved use
Tension or jaw headaches
Linked to clenching
See TMJ and teeth grinding
How Botox for chronic migraine works
| Step | What happens |
|---|---|
| Injection sites | Small injections across the forehead, temples, back of the head, neck and shoulders |
| Treatment time | About twenty minutes |
| Schedule | Repeated about every twelve weeks |
| Assessment | Response is usually reviewed after the first two treatment cycles |
Treatment for chronic migraine
How much does Botox for migraine cost?
Because dosing follows the medical protocol, your price is confirmed at your consultation. Some insurance plans cover Botox for chronic migraine, so it is worth checking with your insurer.
| Item | Details |
|---|---|
| Botox for chronic migraine | Quoted at your consultation |
| Consultation | Complimentary |
What to expect
- Consultation
Review
We review your diagnosis, headache history and current treatment.
- Same visit
Treatment
About twenty minutes following the approved injection pattern.
- Weeks 2 to 4
Early change
Some patients notice fewer headache days within weeks.
- Every 12 weeks
Repeat
Benefit often builds over the first two cycles.
Tracking your progress
- Keep a headache diary so you and your physician can see how treatment is working.
- Keep your 12-week schedule to maintain the preventive effect.
- Tell us about any new symptoms and continue regular care with your physician.
Who treats you
Every treatment at KORA Aesthetics is performed by one of our board-certified nurse practitioners. Our founder, Katie Manhardt, MSN, FNP-C, is a national clinical trainer for Galderma and Prollenium, and every plan begins with a complimentary consultation.
Chronic migraine FAQs
Is Botox FDA-approved for migraine?
Yes. Botox is FDA-approved as a preventive treatment for chronic migraine in adults: headaches on 15 or more days a month.
How often is Botox for migraine given?
About every twelve weeks.
How long until it works?
Some patients notice fewer headache days within a few weeks, and the benefit often builds over the first two treatment cycles.
Does Botox for migraine change how my face looks?
Some forehead injection sites can soften lines, but the protocol is designed for migraine prevention rather than cosmetic results.
Will insurance cover it?
Some plans cover Botox for chronic migraine. Please check your coverage with your insurer before your appointment.