Hi Marisa, I am replying because I don’t see any other replies on here and would like to start getting on here regularly for my own benefit and that of others. I have heard that if a patient receives ‘fillers’ then the body can reabsorb that material and break it down which would shorten the life of that product. I am not sure how this concept applies to Botox though. Have you done any google search or contacted a provider who performs these injections?

Hi Marisa,
I have treated Migraines for a long time and have worked with patients getting Botox for various reasons- I assume based on your question your patient is getting botox for aesthetics _ which still may help with migraine triggers is she is getting in in the forehead (ophthalmic) region. The answer is no- DN does not negatively affect Botox and in fact helps patients that get botox for medical reasons. I had an institute with neurologists that we would use botox for migraine and other issues - they would get the injection then come back a few days later for me to evaluate and clean up the tone with DN- botox works in a small area so they can not always put some much in to completely address the issue and certainly does not address other/opposite side issues that may arise so DN is an additive and not a negative.
Hope that helps

Thanks for that answer Dr. Gargano, I was interested in that answer as well. I love all the posts, I’ll be going through them all!

Jason Creek

Thank you for that information it was really helpful!! I'll be sure to let my client know that as well. Thanks again!