Therapeutic Botox®, Xeomin®, and Dysport® in Fort Worth, TX

The standard migraine protocol typically uses approximately 155 units, following established injection patterns across the forehead, temples, back of the head, neck, and shoulders. In some cases, dosing may be adjusted slightly based on individual anatomy and symptom patterns, bringing the total closer to 150 to 170 units.

At Bougie Aesthetics® in Fort Worth, migraine treatments are customized to each patient’s pain distribution and muscle activity while following medically recognized dosing guidelines.

Treatments are generally repeated every 12 weeks to maintain consistent migraine prevention.

Because migraine therapy requires higher dosing than cosmetic treatments, therapeutic neurotoxin is priced at $12 per unit.

If you are unsure whether you are a candidate for migraine treatment, a consultation can help determine if therapeutic neurotoxin is appropriate for you.

Therapeutic neurotoxin treatment for TMJ and bruxism at Bougie Aesthetics® is $12 per unit.

Most TMJ treatments require between 40 and 100 units, depending on jaw strength, muscle size, severity of clenching or grinding, and whether both sides are treated equally.

Mild cases may require closer to 40–60 units, while stronger masseter muscles or more advanced symptoms may require higher dosing to achieve adequate relief.

Because TMJ treatment involves larger dosing than cosmetic injections, therapeutic neurotoxin is priced lower per unit than cosmetic treatments.

During your consultation, we evaluate muscle thickness, bite pattern, and symptom severity to determine the appropriate dosage and total cost.

Therapeutic neurotoxin treatment for hyperhidrosis at Bougie Aesthetics® is $12 per unit.

Underarm treatment typically requires approximately 50 units per side, or about 100 units total for both underarms. This places the average cost around $600 per side.

Exact dosing may vary slightly depending on the size of the treatment area and the severity of sweating.

Results usually last three to four months with some claiming up to six months. Many patients choose to repeat treatment seasonally to maintain dryness and comfort.

During your consultation, we will evaluate the treatment area and provide an exact unit estimate before proceeding.

Therapeutic neurotoxin treatment at Bougie Aesthetics® is $12 per unit.

When used for inflammatory skin conditions such as rosacea, melasma, or active acne, dosing is typically calculated at approximately one unit per square centimeter of treated area. The total number of units depends on the size of the area being addressed.

Because these uses are considered advanced applications and not FDA-approved indications, treatment plans are individualized based on skin condition, severity, and overall goals.

During your consultation, we will evaluate the treatment area and provide an estimated unit range and total cost before proceeding.

Therapeutic neurotoxin treatments do not produce instant results. The medication needs time to affect the targeted muscles or glands before you begin to notice improvement.

Most patients start to feel subtle changes within a few days, with more noticeable improvement around one to two weeks after treatment. This timeline is typical when treating jaw tension, TMJ discomfort, bruxism, and muscle tightness.

For chronic migraine prevention, improvement can build more gradually. Some patients begin noticing changes within the first couple of weeks, but meaningful relief often develops over several weeks as the treatment continues to modulate muscle activity and nerve signaling.

When treating excessive sweating, reduced sweat production commonly becomes noticeable within one to two weeks.

Every patient responds differently, and timing can vary depending on the condition being treated, dosage, and individual physiology. In general, you can expect early changes within several days and full therapeutic benefit within two to four weeks.

For most therapeutic uses, the effects of Botox® or Xeomin® typically last about three to four months.

When treating TMJ discomfort, bruxism, muscle tension, or neck tightness, relief generally lasts several months before muscle activity gradually returns. For chronic migraine prevention, treatments are commonly repeated every three months to maintain consistent benefit. When treating excessive sweating, results may last three to four months and sometimes longer depending on the individual.

Over time, some patients notice that symptoms return more gradually with consistent treatment, as the targeted muscles remain better regulated.

The exact duration varies based on the condition being treated, dosage, muscle strength, and individual metabolism. Your provider will help determine an appropriate maintenance schedule to keep symptoms controlled.

Like any medical treatment, therapeutic Botox® or Xeomin® can have potential side effects, though most are mild and temporary.

Common side effects may include minor swelling, redness, tenderness, or bruising at the injection sites. Some patients may experience temporary muscle soreness or mild headache after treatment.

Because therapeutic neurotoxins work by relaxing targeted muscles, there is also a possibility of temporary weakness in nearby muscles. When treatments are performed with careful anatomical planning and precise dosing, this risk is minimized.

More serious complications are rare. Your provider will review your medical history, current medications, and treatment goals to ensure you are an appropriate candidate and to reduce risk.

If you ever notice unexpected or concerning symptoms after treatment, you should contact our office so we can evaluate and guide you appropriately.

In some medical settings, insurance may cover therapeutic neurotoxin treatments for conditions such as chronic migraine or severe hyperhidrosis.

However, Bougie Aesthetics® does not accept insurance. All therapeutic neurotoxin treatments are self-pay.

If you are seeking insurance-based treatment, we recommend contacting your insurance provider directly to inquire about coverage requirements and approved medical providers. Our team is happy to answer questions about treatment options and pricing so you can make an informed decision.

Yes, in many cases they can.

Therapeutic neurotoxin treatments are primarily designed to address functional concerns such as migraines, jaw tension, bruxism, muscle tightness, or excessive sweating. However, because these treatments influence muscle activity, nerve signaling, and sometimes glandular function, patients often notice aesthetic improvements as well.

For example, treating TMJ or bruxism can gradually soften a square or bulky jawline. Relaxing certain facial muscles may reduce the appearance of deep expression lines. Treatments that reduce sweating can also improve overall confidence and comfort.

There is also emerging research suggesting that neurotoxins may play a role in improving certain inflammatory skin conditions, including rosacea, melasma, and active acne, when used strategically. While these uses are considered advanced and not first-line treatments, some patients may notice improvements in skin texture, redness, or oil production depending on the treatment approach.

If your goals include both symptom relief and aesthetic improvement, your provider can design a treatment plan that safely addresses both.

The standard migraine protocol typically uses approximately 155 units, following established injection patterns across the forehead, temples, back of the head, neck, and shoulders. In some cases, dosing may be adjusted slightly based on individual anatomy and symptom patterns, bringing the total closer to 150 to 170 units.

At Bougie Aesthetics® in Fort Worth, migraine treatments are customized to each patient’s pain distribution and muscle activity while following medically recognized dosing guidelines.

Treatments are generally repeated every 12 weeks to maintain consistent migraine prevention.

Because migraine therapy requires higher dosing than cosmetic treatments, therapeutic neurotoxin is priced at $12 per unit.

If you are unsure whether you are a candidate for migraine treatment, a consultation can help determine if therapeutic neurotoxin is appropriate for you.

Therapeutic neurotoxin treatment is fundamentally different from cosmetic wrinkle treatment.

Cosmetic Botox® focuses on softening expression lines by relaxing small facial muscles that create wrinkles. The goal is aesthetic refinement.

Therapeutic neurotoxin treatment, on the other hand, is designed to address functional medical concerns such as migraines, TMJ discomfort, bruxism, muscle tension, hyperhidrosis, and certain inflammatory skin conditions. These treatments often require higher dosing, different injection patterns, and a deeper understanding of anatomy and muscle function.

The focus is not appearance first. It is symptom relief, muscle regulation, and improved quality of life.

While aesthetic improvements may occur as a secondary benefit, therapeutic dosing is guided by medical protocols and individualized assessment, not simply by wrinkle patterns.

At Bougie Aesthetics®, therapeutic neurotoxin treatments are performed with a medical approach rooted in anatomy, muscle dynamics, and long-term treatment planning.

Injection placement for therapeutic neurotoxin is based on anatomy, muscle function, and symptom pattern, not just a standard template.

For chronic migraines, there are established medical protocols that guide injection locations across the forehead, temples, back of the head, neck, and shoulders. However, we also evaluate where your pain begins, how it radiates, and which muscles are contributing most to your symptoms. Treatment is adjusted to your individual trigger patterns and muscle activity.

For TMJ and bruxism, we assess jaw strength, masseter thickness, bite pattern, clenching habits, and areas of tenderness. Some patients require treatment primarily in the masseter muscles, while others may benefit from additional support in the temporalis or accessory muscles depending on how their jaw functions.

Therapeutic dosing is not one-size-fits-all. It requires understanding how the muscles interact and how overactivity is contributing to pain or dysfunction.

At Bougie Aesthetics®, placement is determined by clinical evaluation and anatomical planning, not simply by injecting the same points on every patient.

Therapeutic neurotoxin treatment often involves higher total units than cosmetic treatment, but that does not mean it is “stronger” in a harmful way.

The medication itself is the same. The difference is how much is used and which muscles are being treated.

Cosmetic treatments typically use smaller amounts to soften specific facial expression lines. Therapeutic treatments, such as those for migraines, TMJ, or hyperhidrosis, often require larger doses because they are targeting larger muscle groups or broader treatment areas.

The goal is not to weaken the face. It is to regulate overactive muscles or glands that are contributing to pain, tension, or excessive sweating.

Dosing is carefully calculated based on muscle size, strength, and the condition being treated. When performed with proper anatomical understanding, therapeutic dosing is both safe and effective.

At Bougie Aesthetics®, our preferred neurotoxin for most therapeutic treatments is Xeomin®.

Xeomin® is often referred to as a “naked” neurotoxin because it contains the active botulinum toxin without additional accessory proteins. For therapeutic applications that require higher dosing, such as migraines, TMJ, hyperhidrosis, or inflammatory skin treatments, this purified formulation is often preferred.

Because therapeutic treatments frequently involve larger unit amounts and repeated dosing over time, we value a product that is highly purified and consistent. Xeomin® allows us to deliver precise dosing while minimizing unnecessary protein exposure.

That said, treatment selection is always individualized. In certain cases, Botox® or Dysport® may also be appropriate depending on the patient’s history and response.

Our goal is to select the neurotoxin that best fits the medical indication, anatomy, and long-term treatment plan.