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C A S E S T U D Y

MIGRAINE TREATMENT aestheticmed.co.uk

great success and was incredibly keen to help Hayley. Her • Corrugators: 20 units divided into four sites
experience was more on the extreme end of the migraine • Procerus: five units in one site
spectrum as she had sensitivity to light during her attacks, • Occipitalis: 30 units divided in six sites
but I was confident that treatment would be successful. • Temporalis: 30-40 units in six to eight sites as this can vary.
BoTX A injections do not affect any other I tend to do more here if there are vision issues
medications the patient may be on for migraine, • Trapezius: 30 units divided in six sites
but this would need to be approved by their • Cervical muscle group: 20 units divided into
GP. If they suffer from other conditions “...This aspect of four sites
such as myasthenia gravis for example, • About 155 units in 31 sites and more if I
this treatment is contraindicated. Botox toxin might help with carry out more in the temporalis muscle.
has not been proven to work for the neck muscle stiffness,
treatment of migraine headaches that Within two days Hayley had noticed
occur 14 days or less per month or for commonly seen with a difference. She told me: “Before I
other forms of headache. Results can chronic pain such as was treated I used to have a permanent
vary and may require a couple of rounds migraine” heavy-feeling head, even when I wasn’t
of treatment to see if it works. There are experiencing a migraine. It’s now three
some patients that will get a headache after months since I had treatment and I’ve not had
treatment and potentially neck pain, but this a migraine since. I feel like I have my life back –
subsides after a few days. I’m so much happier, I’m not fighting a permanent
discomfort and I am loving that I can enjoy my time with my
Treatment plan kids so much more.
I have tailored my treatment plans following the PREEMPT “Before, when I was experiencing a migraine, even simple
(evaluating migraine prophylaxis therapy) for the last five things like reading a story with them took so much out of me,
years in which I have been treating patients with migraine. and now I read with them all the time. I have a new lease of
There are 31 sites with 5U injections, but this can sometimes life, an increase in energy and my migraines have gone. I will
vary. I have only treated one patient with more than 31 sites. definitely keep up the treatment.”
I use Onabotulinumtoxin-A ( Botox ®) and dose the I have treated patients with this method and so far, have
following way: had a 100% success rate. Their lives are so debilitating with
• Frontalis: 20 units divided into four sites, but 30 units in this condition and they have had relief for up to six months
men for six sites or so. AM

Dr Pradnya Apte qualified as a dental surgeon in 1993, but since 2007 she has focused on her passion,
facial aesthetics. She opened her first clinic in Exeter in 2015 and her second clinic in London in 2019.
She is best known for her ability to achieve a natural-looking rejuvenation of the face based on her
knowledge of the jawline and facial muscles.

46 Aesthetic Medicine • June 2020