Botox treatment, 31-36 injections in my forehead, sides of head, back of head, neck and jaw every 3 months, has been the most successful migraine preventative I have ever been on. It reduces my migraine’s legths and severity and makes them easier to treat with medication. I estimate it improves my quality of life by 40%. When Botox is “running out” in my head by week 8-10, I usually have a significant worsening of migraines. Some rounds of treatment are better than others. But I feel I would be lost without the therapy. It is performed by my neurologist (not ever a cosmetic procedure) and is not the first line of preventative treatment for Chronic Migraine. Usually one cannot get insuramce approval for Botox without first failing multiple oral preventative medications.