Anyone else get different botox results with different doctors?

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centrd
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Date Joined Jul 2013
Total Posts : 4
   Posted 7/29/2013 7:51 PM (GMT -6)   
Hi, I'm new here but have been a long time migraine sufferer.

To make a really long story short, I've had botox injections for migraines from both a Neurologist and from a Cosmetic Specialist MD. With entirely different results!

When I got it from the Cosmetic MD, who also treats for migraine, I had 99% relief of migraines. Over 15 migraines a month down to one a month. It's an understatement to say I was ecstatic!

Once I got my insurance company on board, I switched to my neurologist for my second treatment and the results have been negligible. I'm not sure it helped at all.

The injection pattern I received from the two doctors was clearly different. Unfortunately, the neurologist says they are constrained by FDA regulations to follow a set procedure in the placement of the injections, so she is unable to imitate what the cosmetic specialist did.

So, has anyone else had this happen? Do your doctors adapt by making adjustments in your injection sites or are they limited like mine is?

It really makes me wonder about these studies that show botox being only marginally effective. Perhaps it's the method being used by headache doctors that's not effective? I certainly wouldn't have known it worked for me if I hadn't gone to the cosmetic specialist first. If I could, I'd just go back to her, but I'm certain my insurance company is not going to go for it. I may have no choice though if I can't get the same relief from the neurologist's FDA approved procedure that I got from her!

I don't understand why the FDA has to meddle and force a change from a procedure which was successfully developed by cosmetic specialists to begin with. Clearly it was working or we wouldn't be using botox for migraines today.

jewels2
New Member


Date Joined Jul 2013
Total Posts : 1
   Posted 7/30/2013 9:06 PM (GMT -6)   
they are wanting my son (age 9) to start botox. I am told by his doctor each treatment is $3,000. The doctor said he would have to have this every 3 months for a total of $12,000 per year. The insurance company will not help at all. Could you please give me an idea of what the costs were? We were also told that you cant tell wether or not botox will help until after 3 treatments (9 months). Any info you know would be helpful.

centrd
New Member


Date Joined Jul 2013
Total Posts : 4
   Posted 7/30/2013 10:03 PM (GMT -6)   
You should be able to get botox for around $10 per unit. I had miraculous results from my very first treatment with the Cosmetic MD, and it cost me around $600-$700 after some promotions they were running. She used 80 units of botox concentrated primarily around my forehead and a little bit in the head. I don't remember the exact locations, only that it was completely different when my neurologist did it, who used 300 units.

The reason I went to the cosmetic doctor in the first place was because after getting approval from my insurance company, they called me and told me I'd have to pay $1,000 out of pocket. I was upset by the news and being just before Christmas, cancelled my appointment. But then a friend told me about this Cosmetic MD who also treats for migraines who's a lot cheaper. I didn't realize that it was mainly cheaper because she uses fewer units. I'm so glad it worked out that way though, because as I said before, if I'd gone to my neurologist for my first treatment, I would have assumed it didn't work.

I'm surprised your insurance company isn't on board. Mine wasn't either but then the law forced them to be once botox became an FDA approved medical treatment, so perhaps yours will change as well. Strangely enough, once I went to the neurologist, I wasn't actually charged anything, insurance covered it all, so the first person gave me entirely incorrect information about the portion I'd have to pay. Probably just trying to scare me off (which they did).

It sounds to me like your son's doctor is planning on using the 300 units as my neurologist did, which at $10 per unit would come out to the $3,000. My suggestion would be to do what I did and go to a Cosmetic MD who treats for migraines, assuming they can treat a 9 year old. The 80 units clearly was more than enough for me, actually much more effective than the 300 unit treatment. And if there's a choice who wouldn't rather be injected with fewer toxins? And even if you pay the full $800 every 3 months, that's only $3200 compared to $12,000.

I really hope it works out for your son as it did for me. It's terrible that someone so young is suffering such pain. It must be severe if his doctor's suggesting botox.

Oh, one last thing. I did quite a bit of research and it's important that the doctor open and prepare the botox immediately before injecting it. Apparently, some places use older product and it loses its effectiveness. You can actually ask to watch them prepare it in front of you to be certain you're getting a fresh batch. Another thing I liked about the Cosmetic MD...she does botox all day long and always has a fresh product.

Best of luck!

centrd
New Member


Date Joined Jul 2013
Total Posts : 4
   Posted 7/30/2013 10:13 PM (GMT -6)   
P.S. It takes anywhere from a week to two weeks for the botox injections to kick in. Also, the cosmetic MD spent a lot of time having me tensing my jaw before giving me each injection. She seemed to be very particular about placement. She also instructed me to make facial movements for some hours after the injections, raising my eyebrows, etc. to make sure the botox dispersed throughout the tissue. My neurologist said that studies show that's unnecessary. Again, I think I have more confidence in the Cosmetic Md, considering how much more successful her procedure was for me, and I will most likely continue following her instructions, regardless of who administers future injections.

purplecat
New Member


Date Joined Aug 2013
Total Posts : 1
   Posted 8/8/2013 2:30 AM (GMT -6)   
I have received Botox twice from my neurologist. He used a machine that measured damaged nerve endings, aurally, in my neck. Once they were located, the medication was injected. As far as insurance goes, I was told that it will be covered after two types of other treatments aka medication has been attempted and has failed. You should ask your dr, personally, to write a letter to the insurance company. They will do it usually, if you ask. Good luck and all the best!

Post Edited (purplecat) : 8/8/2013 1:34:03 AM (GMT-6)


centrd
New Member


Date Joined Jul 2013
Total Posts : 4
   Posted 8/8/2013 11:07 AM (GMT -6)   
That's interesting about the damaged nerve ending diagnostics.

Writing a letter is definitely the way to go...most neurologists will do that automatically. My insurance is covering 100% at this point. For me, the issue wasn't approval, it was already approved, but they claimed I'd have to pay a "deductible" of $1000 because it was a "medical procedure". But that turned out to be wrong because I've had two treatments from my neurologist's office now, and have had to pay nothing but my regular co-pay. Either someone was misinformed, or they were just trying to scare me off, which doesn't surprise me when it comes to insurance companies.

But yes, jewels should have her neuro write to the insurance company if he hasn't already. If she's got standard insurance, they can't just deny it out of hand...but they will often try, knowing that many people won't pursue it any further.

My next battle is going to be trying to get insurance to cover the cosmetics doctor at this point. The second time with the neurologist has been a little better than the first, but still not nearly as successful as the first time with the cosmetic specialist.
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