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While many of us get migraines from time to time, occasionally the condition is chronic, plaguing sufferers with up to 15 headache days a month, with 8 of those days featuring migraine symptoms (such as aura).

Thankfully, we offer a solution here in Inverness. Using Botox (Botulinum Toxin A), attacks — and their severity — can be reduced. This is because the treatment helps to weaken ‘pain signals’ carried from neurotransmitters in the brain. The treatment can be used in a similar way for other health conditions (such as stroke).

Left untreated, migraines can have a huge detrimental effect on a person’s quality of life. The condition can affect how much a person can work; their overall health; their relationships and social life; and even their mental health. That’s why it’s so important to get chronic migraines under control and treated as effectively as possible.


  • Botox is offered every 12 weeks to help prevent migraines and reduce their symptoms if they do develop. It’s a highly effective preventative treatment and is widely used for this reason on the NHS.

  • It can take a couple of weeks for the treatment to start to work. According to The Migraine Trust, a couple of treatment cycles are usually needed for best results, and a good outcome would be a 30-50% reduction in the frequency of your headaches.

  • Anyone who has Botox for this reason could have up to 39 injections in areas like the forehead, around the ears and into the neck.

  • It’s possible to develop neck pain, weakness in the injected areas and potential drooping. But, these aren’t that common and won’t be permanent as the active ingredient does wear off over time. Issues like dropping may also be possible to correct with further treatment.

  • If this happens, we wouldn’t recommend continuing the treatment. In most cases, symptoms improve and treatment can be stopped once the migraine has become episodic for more than 3 months in a row.

  • Botox is only recommended for chronic migraines. That’s defined as 15 days of headaches per month, with 8 days featuring migraine symptoms.

  • We’ll book a consultation with Dr John Elder at our Inverness skin clinic to determine whether Botox treatment is right for you.

  • No, because we use very fine needles to administer the Botox and can also use a topical numbing agent if needed. This helps reduce any sensation in the treated area during the procedure, before safely wearing off.

  • Yes. You must be over 18 to have Botox at our skin clinic. There may be other criteria to take into account, for example if you have a history of neurological conditions it might not be recommended.

  • Doctors recommend:

    • Hot packs and heating pads, which help to ease muscle tension
    • Caffeinated drinks, which can relieve the pain of the migraine
    • Over-the-counter pain relief (though take care how often this is used)
    • Resting in a dark room and keeping hydrated

“Feel so reassured that both practitioners are both medical and that this is a regulated clinic! Delighted with my treatment!”

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You can book your consultation by contacting the booking team on 01463830149 or by using our booking online option.

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