Medical Botox in Alpharetta
Medical Botox at GENEVA Med in Alpharetta treats the muscle and gland activity behind chronic migraine, jaw clenching and grinding, and excessive sweating. A physician reviews your history, confirms what is actually driving your symptoms, and builds a therapeutic dosing plan around it.
Neuromodulator:
One hour appointment
Standard starting at
$12 / unit
New patient starting at
$9/unit
Members save
10% to 15% off
- Treats the cause rather than masking it. The injection quiets the muscle or gland producing the symptom.
- BOTOX is FDA approved for chronic migraine, severe underarm sweating, and cervical dystonia in adults.
- Relief is measured in months rather than hours, so you are not reaching for something daily.
- Dosing is planned by a physician against your history, not applied as a fixed template.
Before & After
Results last 3 to 4 months
What Medical Botox Is and How It Works

BOTOX IS AN FDA APPROVED INJECTABLE USED TO TREAT MEDICAL CONDITIONS, INCLUDING CHRONIC MIGRAINE, SEVERE UNDERARM SWEATING, AND CERVICAL DYSTONIA. Medical Botox works by interrupting the signal a nerve sends to a muscle or a sweat gland. Where the problem is a muscle that will not switch off, such as a clenched jaw or a spasming neck, the muscle relaxes. In chronic migraine, the injections also reduce release of the pain signalling chemicals that help sustain an attack.
At GENEVA Med, a physician takes the history first. We look at headache frequency and pattern, jaw pain and tooth wear, sweating triggers, prior medications, and what has already been tried, then decide whether medical Botox is the right tool and where the dosing should go. For chronic migraine we follow the established injection protocol across the head, neck, and shoulders rather than treating a single spot.
Medical Botox is not the same treatment as cosmetic Botox, even though the product is the same. The doses are higher, the injection sites are chosen for symptom relief rather than appearance, and the result is judged by how you feel rather than how a line looks. Many patients notice a cosmetic benefit too, but that is a side effect, not the purpose.
Why Choose GENEVA for Medical Botox?
Physician Led Diagnosis
Complete Care, One Roof
Personal Attention
Is medical Botox right for you?
Medical Botox may be appropriate for adults whose symptoms come from an overactive muscle or overactive sweat glands, and who have not had enough relief from first line treatment. Your physician will review your history, medications, and prior treatments to determine whether it is a fit.
Medical Botox vs. Cosmetic Botox
Medical and cosmetic Botox use the same product, but they are planned differently. Medical treatment targets the muscle or gland producing a symptom, usually at higher doses, and is judged by whether the symptom eases. Cosmetic treatment targets expression lines at lower doses and is judged by how the face looks and moves.
Doses and intervals vary by condition. Chronic migraine follows a fixed protocol of 155 to 195 units every 12 weeks, while jaw and underarm treatment uses considerably less. Your physician confirms dosing at your consultation.
Medical Botox
- Goal
- Symptom relief
- Dosing
- Higher, 40 to 195 units
- Onset
- 2 to 4 weeks for migraine
- Duration
- About 3 months
- Sites
- Head, neck, jaw or underarms
- Measured by
- How you feel
Cosmetic Botox
- Goal
- Softer expression lines
- Dosing
- Lower, 20 to 70 units
- Onset
- 3 to 5 days
- Duration
- Up to about 4 months
- Sites
- Forehead, frown lines, crow's feet
- Measured by
- How you look
What to Expect
A medical Botox appointment at GENEVA takes 20 to 40 minutes depending on the condition being treated. Here is what to expect from consultation and mapping through treatment, results, and maintenance.
- 1
The consultation
Before anything is injected, a physician reviews your symptom history, prior treatments, medications, and any neurological or neuromuscular conditions. For headache we ask you to bring or start a headache diary, because frequency is what determines whether you meet criteria.
- 2
Mapping the treatment
Your physician identifies the muscles or glands driving your symptoms and plans injection sites and dosing. Chronic migraine follows the established protocol across seven muscle areas. Jaw and underarm treatment is mapped to your own anatomy.
- 3
The injections
Botox is injected with a fine needle. Migraine treatment involves around 31 small injections across the head, neck, and shoulders and takes about 15 minutes. Jaw or underarm treatment involves considerably fewer.
- 4
Walking out
There is minimal downtime and most patients return to their normal routine the same day. Temporary tenderness, redness, or bruising can occur at injection sites, and some patients notice brief neck soreness after migraine treatment. Follow the aftercare instructions your provider gives you.
- 5
Weeks one to four
Jaw and sweating results usually appear within one to two weeks. Migraine benefit builds more slowly, and the guidance is to complete two rounds before judging whether it is working, because the second round is often better than the first.
- 6
Coming back
Medical Botox is temporary. Chronic migraine is retreated about every 12 weeks. Jaw, neck, and underarm treatment is usually repeated every three to four months. Your physician sets the interval from your response, not from the calendar alone.
Medical Botox Cost in Alpharetta
You pay per unit, and the number of units depends entirely on what is being treated. A jaw treatment and a full migraine protocol are very different sizes, so we price the treatment you actually need rather than a flat fee per condition.
Medical Botox Standard Rate
$12 / unit
New patients start at $9 per unit. Members save 10% to 15% depending on tier on every visit. A jaw or grinding treatment usually falls between 40 and 60 units, while the full chronic migraine protocol is 155 to 195 units.
How many units you need depends on the condition, the size and strength of the muscle, and how you responded to previous rounds. Two people with the same diagnosis often need very different dosing. Your physician sets the count against your history, then adjusts it at the next round based on how long the last one held.
Condition
Avg. Units
Chronic Migraine
155 to 195 units
TMJ and Jaw Clenching
50 units
Teeth Grinding
50 units
Underarm Sweating
100 units
Neck and Shoulder Spasm
60 units
Masseter Slimming
40 units
Membership
Aesthetics
Minimum of 3 months membership required. Anniversary allowance only valid within anniversary month. Membership auto-renews monthly.
Meet Your Provider & Team

Morgan Pruitt, NP & Injector
She takes time to educate at every visit, walking you through product choices, dosing, and what to expect as results settle in. Whether it is your first appointment or your fifteenth, Morgan’s goal is the same: subtle, consistent results you can trust.
- NP & Injector

Aylin Sanchez, PA & Injector
Patients describe her as warm, unhurried, and honest about what will (and will not) make a difference. She begins every treatment with an assessment of your whole face and builds a plan around your features and your goals, so results stay balanced and unmistakably you.
- PA & Injector

Kimia Kosari, Lead Medical Aesthetician & Laser
Known for her calming presence and perfectionist streak, Kimia pairs every treatment with honest skincare guidance you can actually follow at home. Her focus is long term skin health: clearer, smoother, more radiant skin that keeps improving between visits.
- Lead Medical Aesthetician & Laser

Dr. Jerath, Physician & Medical Director
Trained at the Andrew Weil Center for Integrative Medicine, she leads a personal and unhurried model of care. She is also a certified transcendental meditation practitioner and Reiki master, and has completed executive education through Harvard University.
- Physician & Medical Director
Treatment Frequency
Finding Your Rhythm
12 wk
Chronic migraine
The approved protocol repeats every 12 weeks. Plan on completing two rounds before judging the result, because the benefit builds between them.
3 to 4 mo
Jaw and sweating
Jaw, neck, and underarm treatment is usually repeated every three to four months, and the gap often lengthens as the muscle gets used less.
Long term
Compounding benefits
A muscle treated regularly slowly loses some of its pull. A year or two into a consistent schedule, most patients need fewer units than at their first visit.
Combine Treatments
Your Journey, Continued
Medical Botox quiets an overactive muscle or gland. It does not change the surface of your skin or restore lost volume. These are the treatments our patients most often plan alongside it.
Frequently asked questions
Medical Botox Questions
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