NEW Patient Special: $9/unit. Located 1 mile from Avalon.
NEW Patient Special: $9/unit. Located 1 mile from Avalon.
NEW Patient Special: $9/unit. Located 1 mile from Avalon.
NEW Patient Special: $9/unit. Located 1 mile from Avalon.
NEW Patient Special: $9/unit. Located 1 mile from Avalon.
NEW Patient Special: $9/unit. Located 1 mile from Avalon.

Medical Botox in Alpharetta

145+ 5-star reviewsand

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:

BotoxDysportXeomin

One hour appointment

Standard starting at

$12 / unit

Book now

New patient starting at

$9/unit

Book now

Members save

10% to 15% off

Memberships
  • 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.
  • Adults with 15 or more headache days a month who have not had enough relief from preventive medication
  • Patients who clench or grind, wake with jaw soreness, or have a night guard that is not enough on its own
  • Adults whose underarm sweating soaks through clothing despite prescription strength antiperspirant
  • Your physician reviews your health history, medications, and prior treatments to determine whether medical Botox is appropriate for you
  • Chronic migraine
  • TMJ pain, jaw clenching and teeth grinding
  • Severe underarm sweating
  • Tension type headache
  • Neck and shoulder muscle spasm
  • Masseter hypertrophy

Botox, Dysport, Xeomin and Daxxify are the four neuromodulators we inject. For medical treatment the choice is narrower than it is for cosmetic work, because they do not carry the same approvals.

  • Botox. The only one of the four FDA approved for chronic migraine and for severe underarm sweating, and the most studied in medical use.
  • Dysport. FDA approved for cervical dystonia and for spasticity, but not for migraine or underarm sweating.
  • Xeomin. FDA approved for cervical dystonia, chronic drooling and blepharospasm. Its purified formula matters most for patients on long term repeat dosing.
  • Daxxify. FDA approved for cervical dystonia and for frown lines. It is not approved for migraine or underarm sweating, so its role in medical treatment is narrower.

Before & After

Before
After

Results last 3 to 4 months

What Medical Botox Is and How It Works

A GENEVA Med provider injects Botox into a reclined patient forehead lines

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.

Treatment in progress. One precise injection at the frown line.
Your provider walks you through how dosing is planned. Turn the sound on.

Why Choose GENEVA for Medical Botox?

Physician Led Diagnosis

A board certified physician confirms what is driving your symptoms before anyone reaches for a syringe.

Complete Care, One Roof

Primary care and aesthetics in one place, so your history, medications, and treatment plan live in one chart.

Personal Attention

Providers who track your response between rounds and adjust the plan rather than repeating it unchanged.

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.

BOTOX is FDA approved for chronic migraine in adults with 15 or more headache days a month, each lasting four hours or longer. Treatment follows a set protocol of injections across the forehead, temples, back of the head, neck, and shoulders, repeated about every 12 weeks.
Bruxism grinds through enamel and dental work while you sleep. Reducing the force the jaw can generate protects the teeth in a way a guard alone often cannot, because a guard changes what the force lands on rather than how hard you bite.
Chronically tight muscles across the neck and shoulders can drive headache and limit how far you can turn your head. Targeted injections quiet the muscles that keep pulling, which is often what breaks the cycle.
When the masseter never fully switches off, the result is jaw soreness, morning headaches, worn teeth, and a night guard that keeps cracking. Relaxing that muscle lets the joint rest. This use is not FDA approved, but it is well established in practice and your physician will explain that distinction.
BOTOX is FDA approved for severe underarm sweating that has not responded to prescription strength antiperspirant. The injections block the nerve signal reaching the sweat glands, and results commonly last several months.
A chewing muscle enlarged by years of clenching widens the lower face and adds to jaw pain. Treatment reduces the bulk over successive rounds, with both a clinical and a cosmetic effect.

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. 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. 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. 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.

  1. 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.

  2. 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.

  3. 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

Pricing

What Treatment Usually Looks Like

Medical Botox is priced by the units your condition actually needs. These are the treatments we plan most often, with typical unit ranges at the new patient rate.

TMJ and Jaw Relief

From $450*

  • Jaw clenching, grinding and soreness
  • Roughly 50 units total
  • Slims the lower face over time
  • Two week follow up included

Most Popular · Chronic Migraine Protocol

From $1,395*

  • The FDA approved 155 unit protocol
  • 31 injection sites across head, neck and shoulders
  • Repeated every 12 weeks
  • Headache diary reviewed each round

Underarm Sweating

From $900*

  • Both underarms treated
  • Roughly 100 units total
  • Results commonly last several months
  • Mapped to where you actually sweat

Every plan includes

  • New patient rate of $9 per unit on your first visit
  • Members save 10% to 15% depending on tier on every treatment
  • A two week follow up so we can assess and fine tune

*Estimates use our $9 per unit new patient rate, not the $12 per unit standard rate, and typical unit counts for each condition. Your physician confirms exact dosing at your consultation.

Membership

Aesthetics

Essential
Reserve
pricing
$125/month
$250/month
welcome gift
skincare products
10% off
15% off
skin treatments
10% off
15% off
injectables
10% off
15% off
monthly facial
Petite Luxe Facial ($175 value)
Balance & Sculpt Facial ($225 value)
monthly IV
Hydra Luxe IV ($125 value)
birthday gift
anniversary gift
priority booking
exclusive VIP events

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 at GENEVA Med

Morgan Pruitt, NP & Injector

Morgan is a nurse practitioner and aesthetic injector at GENEVA, known for a gentle technique and a natural approach to injectables. Her background in clinical medicine shapes the way she works. Safety first, anatomy always, and a result that looks refreshed rather than done.

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 at GENEVA Med

Aylin Sanchez, PA & Injector

Aylin is a physician assistant and aesthetic injector at GENEVA, focused on precise, natural looking results with neurotoxins and dermal fillers. She has a reputation for a meticulous eye and a less is more philosophy, enhancing what is already there rather than changing the way you look.

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 at GENEVA Med

Kimia Kosari, Lead Medical Aesthetician & Laser

Kimia is GENEVA’s lead medical aesthetician, specializing in advanced skin treatments and laser therapies tailored to every skin type. From corrective chemical peels to collagen stimulating microneedling, she designs treatment series that transform skin over time, not just for a day.

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 at GENEVA Med

Dr. Jerath, Physician & Medical Director

Dr. Jerath is a board certified primary care physician with more than 13 years of experience and recognition as one of the Top Doctors in Atlanta. She specializes in evidence based ADHD diagnosis and treatment, supported by a strong foundation in preventive care and longevity medicine.

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

need personalized help?

call or text with us

Monday to Friday, 9am to 5pm ET. Saturday, 9am to 4pm ET. Call or text (470) 704-9687. After hours, the same number reaches a provider on call.

prefer email?

Write to careteam@geneva-med.com and we will get back to you as soon as possible.
Skin Rejuvenation & Anti-Aging at Geneva Exosome Therapy in Alpharetta

Medical Botox is the therapeutic use of the same injectable used cosmetically, but aimed at a symptom rather than an expression line. It works by interrupting the nerve signal that tells a muscle to contract or a sweat gland to produce. BOTOX is FDA approved for chronic migraine, severe underarm sweating, and cervical dystonia in adults, among other medical uses.

At GENEVA we most often treat chronic migraine, TMJ pain and jaw clenching, teeth grinding, severe underarm sweating, tension type headache, neck and shoulder muscle spasm, and masseter hypertrophy. Chronic migraine, severe underarm sweating, and cervical dystonia are FDA approved indications. Jaw clenching, grinding, and masseter treatment are not FDA approved uses, though they are well established in practice, and your physician will make that clear before you decide.

Yes. BOTOX is FDA approved to prevent headaches in adults with chronic migraine, defined as 15 or more headache days a month with each headache lasting four hours or longer. It is not approved for migraine that occurs less often than that. Your physician will confirm whether your headache pattern meets the criteria.

It depends on the condition. The chronic migraine protocol uses 155 to 195 units across 31 injection sites. Jaw clenching or grinding usually takes around 50 units, and underarm sweating around 100 units for both sides. Your physician confirms the count at your consultation.

Jaw and sweating results usually appear within one to two weeks. Migraine relief builds more gradually, and the standard guidance is to complete two rounds, about 12 weeks apart, before deciding whether it is working. The second round is often noticeably better than the first.

Chronic migraine is retreated about every 12 weeks. Jaw, neck, and underarm treatment is usually repeated every three to four months. Your physician sets your interval from how long the last round actually held, not from a fixed schedule.

Our services are self pay, so we do not bill insurance. You will know the cost before treatment, with no surprise billing. If you plan to seek reimbursement yourself, ask our team for an itemised receipt with the relevant documentation.

It can, and for some treatments that is expected. Relaxing an enlarged masseter gradually narrows the lower face, and migraine injections in the forehead can soften lines there. We plan dosing so the change is proportional, and we will tell you in advance what visible effect to expect from your specific plan.

Botox has a long record of therapeutic use and is generally well tolerated when administered by a trained physician. The most common effects are temporary: tenderness or bruising at injection sites, brief neck soreness after migraine treatment, and occasionally a temporary weakness in a nearby muscle. Your physician will review your full history, including any neuromuscular condition, before treating.

Patient Reviews

In Their Words

The relief came first. The 5 stars followed.
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Barry W.

I first went about six weeks ago for Botox to address some deep forehead and eyebrow wrinkles, and I've since been back for two follow up appointments. The results are fantastic. Natural, smooth, and exactly what I was hoping for.
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Ramesh K.

I had a wonderful experience at GENEVA Med Spa during my first visit for Botox. Morgan was highly professional and clearly experienced with Botox injections. She performed a thorough assessment and treated several areas of my face with great care.
Google reviewer profile photo

Sahithya D.

I decided to get lip filler for the first time to add some volume and definition, and I'm blown away by how natural and beautiful they look. The treatment was surprisingly comfortable with minimal discomfort.
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Ryleigh K.

Morgan did amazing natural lip filler on me!! And Ashley was so welcoming when I came in from practice, got my pictures, got me settled!! I felt so welcome and got a lot of information!!
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Litzy C.

Aylin, the PA, did my Botox and was very informative. She made me feel so comfortable since it was my first time! I'll definitely be coming back!
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Neha S.

Great place for Botox and fillers! Morgan is such a sweet heart, highly recommend.
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Julianna C.

I made an appointment for Dysport, and was met with genuine care. I have received Dysport before, but had new questions and concerns since the last time I had injections. Morgan was my injector. She was so patient while listening to all of my concerns.
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Katie B.

Morgan did my filler and Botox and she was so gentle! She took her time explaining everything and made sure I was fully informed. I will definitely be back!
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Brittany

I came in for Botox and a chemical peel and couldn't be happier. The whole experience felt relaxing and elevated, and my skin already looks more radiant.
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Kethryn C.

Aylin is amazing! She is so sweet and kind and really listens to what you're trying to achieve. I've seen her for Botox and peels numerous times and I've always loved it. I recently got filler in my lips and THEY ARE PERFECT AND GORGEOUS!
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Berenice G.

I recently visited this Medspa for botox in Alpharetta, and I couldn't be happier with the results. The provider took the time to explain the process, answer all my questions, and create a treatment plan tailored to my needs.
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Shelleyanne S.

My forehead lines are basically gone and it looks so natural. People keep asking if I've been using a new skincare routine! Definitely recommend if you're thinking about Botox!
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Everret L.

I moved to the Alpharetta area recently so I was looking for an injector who could do my Botox. I decided to give it a try and this Botox kicks in fast and it lasts longer. Highly recommend to see Morgan for Botox.
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Risa B.

Fantastic visit today with Ashley and Aylin for Botox. Love my results!
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Candace M.

When I was unsure of how many units I needed, they walked me through the process and were so skilled on how they injected! As a long time baby botox user, I will be back here again and again!
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Linda G.

Great experience! The office is beautiful and the staff is very friendly. I had Dysport injections and they are amazing.
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Leslie L.

Filler with Morgan gave my features a more sculpted and refined look. She is amazing.

Come in and we will work out what is actually driving your headaches, your jaw pain, or your sweating, then tell you what we would recommend, including when the answer is not Botox.

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