BOTOX® for Migraines

Botox® is one of the most popular non-surgical cosmetic treatments. It helps reduce fine lines and wrinkles in the face and improve the facial appearance. Additionally, Botox treatments have been shown to help chronic migraine sufferers reduce or eliminate migraine symptoms.

At The Migraine Institute, we specialize in helping patients find relief with these cutting edge treatment options. If you are suffering from migraines, contact The Migraine Institute today to find out if you are a candidate for ground-breaking migraine surgery!

What Is Botox?

Botox is a neurotoxin derived from Clostridium botulinum bacteria. Small amounts of Botox can be injected into the skin and temporarily prevent nerve cell signals from reaching the muscles. When this happens, Botox paralyzes the muscles and reduces abnormal muscle contraction.

Although Botox injections are commonly associated with non-invasive facial rejuvenation procedures, Botox has been used in other medical applications, including migraine treatments. The Migraine Institute offers Botox injections to individuals who have received a chronic migraine diagnosis from a neurologist and find that migraine medications cause intolerable side effects or fail to alleviate migraine pain.

Dr. Jonathan Cabin of The Migraine Institute is a board-certified head and neck surgeon with dual-subspecialty training in facial plastic and reconstructive surgery. This unique expertise enables Dr. Cabin to determine if Botox injections can help chronic migraine patients address their migraine symptoms.

BOTOX® for Migraine Treatment: What You Need to Know

Before the application of Botox, Dr. Cabin conducts an in-depth patient assessment. First, Dr. Cabin requests a patient’s medical history and performs a physical examination. He learns about a patient’s migraine symptoms and uses specialized tests to determine the underlying causes of an individual’s migraines. If Dr. Cabin determines a patient is a candidate for Botox injections, he then crafts a custom treatment plan. Dr. Cabin also reviews all aspects of a Botox treatment plan to ensure that a patient understands the treatment protocol and long-term benefits.

Treatment Overview

How Does Botox® Treat Migraines?

Botox® injections have been shown to help reduce the frequency, duration and intensity of migraines in a certain population of patients. Although proven to work well, it is still not entirely clear how Botox® actually helps migraines. One leading theory is that, by weakening certain muscles, Botox® can reduce muscular pressure on certain trigger nerves. Botox® may also work on the actual nerves, themselves.

Benefits of BOTOX® for Migraines

The benefits of using Botox® to treat migraine headaches include:

  • Minimally Invasive: At The Migraine Institute, Botox® is administered using the smallest needles in the smallest number of locations. Aside from occasional minor discomfort right after treatment, patients experience no long-term pain or discomfort
  • Fast Migraine Relief: With Botox®, individuals typically experience reduction in migraine frequency, duration and intensity within five to seven days of treatment.
  • Long-Lasting: Most patients reap the benefits of a single Botox® treatment for about three months, sometimes longer.

Can Botox® “CURE”   migraines?

With routine administration, Botox® has helped many patients significantly reduce migraine symptom, usually decreasing the duration, frequency and intensity of migraine headaches. Some patients will experience zero migraines while the Botox® is active. Regardless, Botox® frequently leads to the reduction or elimination of need for migraine medications.

Results with Botox® treatments may vary. It is important to consult with The Migraine Institute before treatment, to determine whether Botox® is the right choice for you.

Schedule a Botox® Consultation with The Migraine Institute Today

Dr. Cabin and The Migraine Institute team are happy to teach chronic migraine patients about Botox treatments.

To find out more about Botox® treatment for migraines, please contact The Migraine Institute at 310.461.0303 or fill out our online form to schedule a consultation.

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BOTOX® for migraines Work Up

How frequently are Botox injections administered?

Botox provides temporary migraine relief, and injections are administered every 12 weeks. A Botox migraine treatment plan usually requires two treatments, and these treatment take place about 12 weeks apart. Dr. Cabin monitors Botox treatments closely to ensure patients can achieve the best-possible results.

How long does it take to perform a Botox treatment?

In most instances, a Botox for migraine treatment can be completed in about 15 minutes. Botox injections are performed at The Migraine Institute, and patients can return home and perform everyday activities immediately after a Botox treatment.

Are Botox for migraine treatments effective?

Research indicates Botox helps prevent an average of eight to nine headache or migraine days per month at 24 weeks. However, Botox treatment results vary from patient to patient. Botox injections have been shown to help many patients address migraine symptoms, but some patients may require other treatments to achieve long-term migraine relief.

What are areas treated?

There are several eligible sites for BOTOX® treatment in migraine patients, including the forehead, brow, temples, back of the scalp, and neck. Depending on the individual patient’s perceived trigger points, one or more of these sites will be treated. Some patients will require treatment of all sites. At The Migraine Institute, we take a very customized approach to helping our migraine patients find relief. During your consultation with Dr. Cabin, he will evaluate your trigger points and determine the exact BOTOX® treatment plan that is best for you.

how long does the BOTOX® last?

After BOTOX® injections, patients can expect to experience relief within one week, with a peak effect around six weeks and waning effect over the following six weeks. This gives an active window of about three months. Some patients require injections every three months, while others will require more frequent injections.

will the migraine BOTOX® treatments also smooth wrinkles?

Yes! Depending on the sites injected, you can have the secondary positive effect of decreased wrinkles in the face, as this is the same BOTOX® used cosmetically. In addition to his expertise in migraine treatments, Dr. Cabin is a facial plastic surgeon and can provide his patient not only with migraine relief, but also beautiful aesthetic results from BOTOX® treatments.

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What is recovery like after BOTOX® injections?

There is no downtime after BOTOX® injections! You can return to work or your daily activities immediately after your BOTOX® treatment. Some patients may experience some mild swelling and/or redness around the injections sites, but this usually subsides in less than an hour. The only limitations are that we ask you to keep your head up (do not layi down) for about 4 hours following the treatment and not to exercise for the rest of the day.

what are the side effects of BOTOX® for migraines?

The most common side effects of  BOTOX® are:

  • Decreased facial expression
  • Temporary pain, redness and swelling at the injection site

In some cases, patients can develop a “droopy” eyelid, which typically lasts one to two weeks and can be treated with prescription eye drops. To decrease your risk of side effects, a migraine specialist, like Dr. Cabin who treats migraine patients regularly, should perform your BOTOX® injections.

Serious side effects from BOTOX® are extremely rare.


Depending on the trigger sites, patients may notice improvement immediately, but it may take weeks or months until the full effect is felt. The majority of patients notice improvement two to four weeks.

Although uncommon, there is a chance your migraines will not significantly improve. This is usually related to additional trigger sites that are now noticeable after the removable of the primary sites, and can usually be treated with an additional procedure.

Why Choose The Migraine Institute For Your Surgery?

Committed to helping patients find relief, The Migraine Institute is the first center in Los Angeles solely dedicated to alleviating pain from the dreaded migraine. Our team of migraine specialists are pioneers in the field of migraine surgery, and are highly respected by surgeons from around the world. From the first moment you step into The Migraine Institute, our top priority is to take care of you so you can start enjoying life again!

Find out if you are a candidate for migraine surgery.

Put an end to sitting inside while your friends and family are out enjoying life! Contact The Migraine Institute today to learn more about life-changing results migraine treatment can provide.

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