Chronic Migraine Botox
FDA‑Approved Treatment for Chronic Migraine
Botox is an FDA‑approved preventive treatment for chronic migraine, defined clinically as 15 or more headache days per month for at least three months, with at least eight days meeting criteria for migraine. Treatment is performed every 12 weeks using established protocols that target pain pathways involving peripheral nerve signaling and muscle activation.
Bare Face RVA provides physician‑led migraine Botox care in a focused, boutique medical setting — combining clinical precision with continuity of care.
Who May Benefit From Migraine Botox
Botox may be appropriate for patients who:
Experience 15 or more headaches days per month
Have tried oral preventative medications without adequate relief or due to intolerance
Prefer a non-daily preventive option
Wish to reduce headache frequency, severity, or associated disability
If you are unsure whether you qualify, a consultation can help determine candidacy.
What to Expect From Treatment
Consultation & Evaluation
Each patient begins with a focused clinical consultation to confirm diagnosis, determine candidacy, and review treatment goals.
Treatment Visits
Botox injections are performed every 12 weeks using FDA‑approved patterns and dosing. The procedure typically takes 10–15 minutes.
Ongoing Follow-up
Migraine Botox requires consistent repeat treatment to maintain benefit. Most patients begin to notice improvement after the second treatment cycle.
Treatment Benefits
Many patients receiving Botox for chronic migraine experience:
Fewer headache days
Reduced migraine severity
Shorter duration of attacks
Decreased reliance on rescue medication
Improved function and quality of life
Clinical studies support meaningful reductions when treatment is continued on schedule.
Insurance & Access
Chronic migraine Botox is typically covered by insurance for qualifying patients. Insurance plans may require:
Diagnosis confirmation
Trial of oral preventive medications
Documentation of headache frequency
Prior authorization
At Bare Face RVA, insurance credentialing for chronic migraine Botox is currently in progress. Patients may join the migraine waitlist to be contacted once insurance‑based appointments are available.
How Prior Authorization Works
For covered patients, prior authorization may involve:
Submission of clinical documentation
Medical history review
Insurance determination
Approval for recurring treatment
Patients will be guided through each step to streamline access.
Common Questions
Is Botox a cure for migraine?
No. Botox is a preventive therapy that can reduce frequency and severity over time.
How long does it take to see improvement?
Many patients notice benefit after the second 12‑week cycle.
How long does treatment take?
Injection visits typically take 10–15 minutes.
Will I still need other medications?
Some patients continue to use rescue or preventive medications; this varies by individual.
Does it hurt?
Patients typically describe brief, mild discomfort that resolves quickly.
Eligibility & Qualification
Patients may qualify if they:
Have chronic migraine as defined above
Have tried at least two preventive medications or cannot tolerate them
Do not have contraindications to Botox therapy.
If you are unsure whether you qualify, a consultation can determine next steps.
A Physician-Led Approach
At Bare Face RVA, all migraine Botox treatments are performed by Sherita Chapman, MD, a double board‑certified neurologist with specialized experience in Botox‑based treatment for chronic migraine.
This model ensures continuity, clinical accuracy, and thoughtful follow‑up over time.
Not Ready to Schedule?
Join the Waitlist
Insurance‑based migraine Botox appointments will open as credentialing completes. Patients may join the waitlist to be contacted when scheduling becomes available.
Ready to Explore Treatment
The next step is a consultation.
Insurance credentialing for chronic migraine Botox is currently in progress. Patients may join the waitlist to be notified when insurance scheduling opens.