Zone Four · Medical Botox · Calgary

Botox is medicine,
too.

Health Canada approved for chronic migraine, TMJ, hyperhidrosis, and more. Often covered by extended health insurance when administered by a physician at our Calgary dermatology practice.

Before it was cosmetic, Botox was medicine.

Botox was approved for strabismus and blepharospasm in 1989, eight years before its first cosmetic approval. Forty years of medical use has produced one of the most well-understood drugs in dermatology.

At Rejuvenation Dermatology, we administer Botox for chronic migraine, TMJ disorder, hyperhidrosis, and other approved indications under the direct oversight of board-certified dermatologists. Many of these indications qualify for partial or full coverage under your extended health insurance plan. Our team helps you navigate insurance pre-authorization and submit claims.

What 12 weeks of treatment looks like.

Chronic migraine patients average 15 headache days per month before treatment. With proper Botox protocol, that number typically falls to 4 within 12 weeks. The trajectory is consistent across most patients who tolerate treatment.

15 DAYS 0 DAYS WEEK 0 baseline WEEK 4 first response WEEK 8 strengthening WEEK 12 peak relief RE-TX MIGRAINE DAYS PER MONTH · TYPICAL TRAJECTORY

Why Calgary chooses Rejuvenation Dermatology for medical botox Botox.

01

Forty years of medical use

Botox was a medicine before it was a cosmetic. The safety record across millions of medical doses is unmatched in modern dermatology.

02

Often insurance-covered

Chronic migraine, hyperhidrosis, and several other indications qualify for extended health coverage. We help with pre-authorization and claims submission.

03

Physician-administered

Every medical Botox treatment is performed under direct oversight of a board-certified physician with full medical evaluation before administration.

04

Calgary dermatology depth

Our team treats hundreds of medical Botox patients annually. Our dosing protocols, anatomical mapping, and follow-up cadence are deeply refined.

Six medical indications.

The medical Botox indications treated at Rejuvenation Dermatology Calgary, with typical protocols and coverage notes.

Chronic Migraine Prevention

For patients with 15+ headache days per month, Botox is Health Canada approved and clinically proven. Protocol involves 31 injections across head and neck every 12 weeks.

Units

155 units (standard)

Duration

12 weeks (regular maintenance)

Best for

Chronic migraine (15+ days/month), failed oral preventives

TMJ Disorder / Bruxism

Off-label but extensively used. Masseter Botox relieves jaw clenching, grinding, and TMJ pain. Often paired with night guards and physiotherapy.

Units

25–50 per side

Duration

4–6 months

Best for

Jaw pain, clenching, grinding, TMJ-related headaches

Hyperhidrosis (Excessive Sweating)

Health Canada approved for severe primary axillary hyperhidrosis. Treatment lasts 6 to 12 months. Often eligible for extended health coverage.

Units

50–100 per axilla

Duration

6–12 months

Best for

Diagnosed hyperhidrosis, significant QoL impact

Cervical Dystonia

Botox is a first-line treatment for cervical dystonia, an involuntary neck muscle contraction disorder. Treatment is tailored to each patient's affected muscle pattern.

Units

Highly variable

Duration

3–4 months

Best for

Diagnosed cervical dystonia (often referred from neurology)

Blepharospasm / Eyelid Spasm

One of the original Botox indications. Treats involuntary eyelid closure and twitching.

Units

25–50 total

Duration

3–4 months

Best for

Diagnosed blepharospasm or benign eyelid myokymia

Overactive Bladder (Referral)

We do not administer bladder Botox at Rejuvenation Dermatology but can refer to a urology specialist who does.

Units

Referral only

Duration

6–12 months

Best for

Diagnosed overactive bladder unresponsive to oral therapy

Five steps from consultation to maintenance.

20–30 minutes · Calgary North · Calgary South · Okotoks

1

Consultation
Goals, anatomy, plan

2

Customization
Units, areas, products

3

Treatment
10–20 minute appointment

4

Settling
Results over 3–14 days

5

Maintenance
Every 3–4 months

1. Consultation

You meet one-on-one with a dermatology team member to discuss your goals, review your facial anatomy in repose and animation, and build a personalized plan. We map the muscles that drive each line, identify which fall under cosmetic versus medical indication, and walk you through expected onset, longevity, and cost before anything is decided.

How medical Botox differs from cosmetic.

The molecule is identical. The protocols, dosing, anatomy, and follow-up cadence are different. Medical Botox requires physician oversight, careful patient selection, and (often) coordination with your insurance provider.

15→4Migraine days/month typical reduction
40Years of Botox medical use globally
12Weeks between migraine maintenance treatments
OftenCovered by extended health plans

Begin your medical botox Botox with Rejuvenation Dermatology.

Book a consultation at any of our three Calgary-area dermatology clinics. We will map your anatomy, discuss your goals, and build a plan, before any treatment is scheduled.

Calgary South

10201 Southport Rd SW #102
Calgary, AB T2W 4X9

Directions Call

Calgary North

130 Country Village Rd NE #405
Calgary, AB T3K 6B8

Directions Call

Okotoks

10 D'Arcy Ranch Dr. #102
Okotoks, AB T1S 5V9

Directions Call

Medical Botox Botox in Calgary, answered.

Does extended health insurance cover Botox?

For medical indications (chronic migraine, hyperhidrosis, cervical dystonia, etc.), most Canadian extended health plans provide partial or full coverage when treatment is administered by a physician. Coverage details vary by plan; we recommend confirming benefits before treatment and our team helps with pre-authorization.

How do I know if I qualify for chronic migraine Botox?

The Health Canada criteria is 15 or more headache days per month, at least 8 of which are migraine-type, and history of inadequate response to at least two oral preventive medications. We do a full headache history at consultation and document for insurance pre-authorization.

What's the difference between cosmetic and medical Botox?

The molecule is identical. The difference is the indication, the injection map, the dosing, and the billing. Cosmetic Botox is private-pay. Medical Botox is typically insurance-billable. The same medication, used for different anatomical and clinical purposes.

Will I need a referral?

For most medical indications, no. You can book a consultation directly. For cervical dystonia, we typically coordinate with neurology. For overactive bladder, we refer to urology. Chronic migraine, TMJ, hyperhidrosis, and blepharospasm can be assessed and treated directly at our practice.

How is medical Botox billed?

We submit the claim directly to your extended health provider for approved indications. You pay any uncovered portion at the time of service. Our admin team handles documentation, pre-authorization letters, and follow-up with insurance.

How many injections does migraine Botox require?

The standard chronic migraine protocol uses 31 injections across the forehead, temples, back of head, neck, and shoulders. Total dose is 155 units. The protocol is delivered every 12 weeks. Most patients tolerate it well.

How quickly does medical Botox start working?

It depends on the indication. Hyperhidrosis: 5 to 7 days. TMJ relief: 2 to 4 weeks. Chronic migraine: typically by treatment two (week 12 onwards). Cervical dystonia: 1 to 2 weeks. We track your response and adjust dosing at follow-up.

Can I combine medical and cosmetic Botox in the same appointment?

Yes, and many patients do. We bill the medical portion to insurance and the cosmetic portion privately. The treatments are coordinated to use the same vial when possible to minimize cost.

What if my insurance denies coverage?

We help submit appeals with additional clinical documentation. If coverage is ultimately denied, we provide transparent self-pay pricing. Some patients qualify for manufacturer patient support programs that can reduce out-of-pocket costs.

Are medical Botox results as predictable as cosmetic?

Yes. The pharmacology is identical. Chronic migraine response rates are well-documented in clinical trials (around 50 to 60% of patients see significant reduction). Hyperhidrosis response is near-universal. TMJ relief is highly consistent. We track outcomes across visits.