Symptoms · Neurological condition
Frequent migraine can severely affect everyday life. OnabotulinumtoxinA is a preventive treatment option for certain adults with chronic migraine. A confirmed diagnosis and a suitable treatment plan are essential. I discuss your existing medical findings with you and how treatment could fit into your neurological care.
Your clinical findings and the extent of treatment determine your individual treatment journey.
Treatment at a glance
Key information about chronic migraine. Together, we clarify what applies to you based on your clinical findings.
Not every type of frequent headache is migraine.
At least eight of these must have migraine features, over more than three months; the diagnosis is made by a doctor.
Different botulinum toxin products and doses are not freely interchangeable.
This does not cure the condition.
A medical treatment protocol differs from an aesthetic forehead treatment.
Continuation and adjustments depend on medical assessment.
A headache diary helps to assess the effects and side effects.
Medical treatment plan and individual billing
Timings are a guide. An individual examination will clarify what applies to you.
Understanding what changes
Migraine is a neurological condition. It is not simply caused by tense muscles or a reduced supply of oxygen to the brain. In chronic migraine, OnabotulinumtoxinA can influence the processing or transmission of pain signals and is used as a preventive treatment.
Review your diary, symptoms, existing medical findings and previous treatments.
Place the treatment within your overall migraine care.
Together, record headache days, acute medication use and the impact on everyday life.
Before treatment, the type and frequency of headaches and previous preventive therapies must be clarified. Use of painkillers and migraine medication is also taken into account: medication overuse can further worsen headaches and requires its own treatment plan.
Cosmetic wrinkle treatment and medical migraine prevention are not the same. The injection areas and treatment reviews follow a specific protocol. If there is no diagnosis, or symptoms are new or different, neurological assessment takes priority.
Relief rather than a promise of a cure The aim is to have fewer headache days, or headache days that are less burdensome. Not everyone responds sufficiently. Whether it makes sense to continue is decided on the basis of documented changes and side effects; rapid, complete relief from symptoms cannot be promised.
Having fewer than 15 headache days a month does not automatically mean the same treatment indication applies. OnabotulinumtoxinA is not a general remedy for occasional migraine or tension headaches. Other preventive and acute treatments are selected as part of neurological care.
A headache diary, neurological reports and a list of previous medications, including their effects and how well you tolerated them, are helpful. Please also mention any previous aesthetic botulinum toxin treatments, including the date and product used.
Is this right for me?
Your clinical findings, health and desired outcome need to be considered together.
Adults with confirmed chronic migraine and an appropriate medical indication
Unexplained headaches or new types of headache without a confirmed diagnosis
Different causes need different solutions. Sometimes choosing not to have a procedure is the right decision.
Compare alternativesSpecifically assess another possible cause of symptoms.
Find out moreDiscuss the requirements and your existing neurological findings.
Find out moreLearn about my specialist qualification and professional background.
Find out moreYour treatment journey
Together, we review your neurological diagnosis, headache diary and previous treatments.
Suitable treatment follows a medical protocol and takes place after a full explanation of what it involves.
Your diary accompanies treatment over several cycles; the impact of symptoms and how well you tolerate treatment determine the next step.
Before you leave, we agree on a direct way to contact me for aftercare. General enquiries: team@dottore.caletti.de.
Your return to everyday life
Pain at the injection sites, bruising or neck pain may occur. Your personal aftercare advice takes your daily life and any other medical conditions into account.
Treatment effects can only be distinguished from spontaneous fluctuations with sufficient observation. Do not change your acute medication on your own.
Treatment intervals and continuation are determined by a doctor. Regular sleep, exercise and other agreed measures remain part of the overall approach.
These timeframes are a guide, not a firm promise. Your individual progress may differ.
Speaking openly about risks
Both the potential benefits and the risks should inform your decision. The following points supplement the discussion during your consultation.
A sudden, unusually severe headache, new paralysis, speech difficulties or impaired consciousness are an emergency: call 112. Difficulties with swallowing, speaking or breathing, or marked muscle weakness, require immediate medical help; call 112 for acute, severe symptoms. Have new visual disturbances, persistent symptoms or noticeable asymmetries assessed promptly.
Understand the costs and take your time to decide
The costs depend on the diagnostic assessment, the product used, its administration and follow-up reviews. Any potential reimbursement and treatment in a private practice must be clarified separately before treatment begins.
Starting price
from €600
per treatment, depending on its extent
The agreed scope of services is set out in your personal cost plan.
Previous diagnostic assessments and any further investigations needed.
The medical protocol, product used and clinical time and work involved.
Several cycles and documented assessments of your response.
Your individual quotation sets out which services are included in the total amount.
Your personal quotation states which services are included and which are charged separately. Further sessions, additional procedures or later corrections are not automatically included. Please clarify any potential reimbursement with your insurer before treatment begins.
An examination and shared planning help you understand the costs. You will receive your personal cost plan before deciding whether to proceed with treatment.
The specialist personally responsible for your care
Specialist in Plastic and Aesthetic Surgery
Get to know meGood to know
A website can offer guidance. We will discuss your personal situation during your medical consultation.
Ask your questionNo. The treatment described here is for a specific indication in chronic migraine. Episodic migraine and other types of headache require different treatment decisions.
Migraine is a neurological condition involving complex mechanisms. Neck symptoms may be part of it, but they do not explain the condition on their own. Treatment therefore involves more than general muscle relaxation.
Intervals of around twelve weeks are usual. Whether treatment continues, and for how long, depends on its effect, how well it is tolerated and the doctor's assessment of progress.
No. An aesthetic forehead treatment is no substitute for either a migraine assessment or the specific medical injection protocol used for migraine.
Please do not change your medication on your own. Acute treatment, prevention and any possible medication overuse are addressed in coordination with your treating doctor.
Yes. The type of headache and the indication for treatment must be confirmed before this therapy. If you have not yet had the relevant assessment, that is the appropriate next step.
The costs depend on the diagnostic assessment, the product used, its administration and follow-up reviews. Any potential reimbursement and treatment in a private practice must be clarified separately before treatment begins. Costs are based on the medical treatment plan and individual billing. You will receive a clear cost plan before making your decision.
Further clinical information on the procedures described, their limitations and risks.
The role of OnabotulinumtoxinA for chronic migraine within a neurological treatment plan; neither an acute treatment nor a cosmetic wrinkle treatment.
Contact & directions
My team will be happy to help with questions about your appointment and how to get here.
Let's start with a conversation
Tell me what matters to you.
I will take the time to answer your questions.
