Migraine treatment in Vienna
In brief
In migraine treatment, Dr. Handl injects botulinum at defined points on the forehead, temples and neck to reduce the frequency and severity of attacks. The treatment takes 10 to 20 minutes and requires no anaesthesia. You can go out in public again straight away, and sport is possible after 24 hours. Prices start at €390.
- Medical review
- This text was medically reviewed by our team on 6 October 2026
- Specialist for this treatment:
-
Dr. Markus-Johannes Handl
- Cost:
- from €390
At a glance
- Location
- Practice
- Outpatient or inpatient
- outpatient
- Duration of the treatment
- 10-20 minutes
- Type of anaesthesia
- not necessary
- Recovery phase
- 24 hours
- Scars
- no visible scars or puncture marks
- Desk work / office work
- immediately
- Sport
- after 24 hours
- Check-ups
- free check-up within the first 14 days
- Special notes
- sun protection, avoid saunas and steam baths for 24 hours
Migraine treatment and migraine surgery
Migraine surgery offers lasting relief
Migraine is a condition that affects many people and often causes great distress. The symptoms are severe, throbbing headaches, often accompanied by nausea, vomiting, visual disturbances, sensitivity to light and sometimes numbness or tingling in the arms or legs. The frequency and duration of headache attacks can vary from person to person, but for many sufferers they are chronic and have a considerable impact on their quality of life.
Although many medications are used to treat migraine, they are often associated with unwanted side effects or do not help every patient. An alternative to conventional painkillers is treatment with specific injections. This therapy aims to relax tense muscles in the face, head or neck in a targeted way and thus relieve migraine attacks.
Injection therapy is carried out by an experienced doctor and is a minimally invasive procedure in which specific muscles are treated precisely with a thin needle. Different techniques are used depending on the area of complaint. For example, injections into the forehead muscles can help with migraine associated with tension headaches, while injections into the neck muscles can be effective for migraine accompanied by tension in the neck area.
Before injection therapy is carried out, a specialist such as a neurologist should always be consulted to rule out other causes of headache. Although the therapy is safe overall, unwanted side effects can occur in rare cases, so careful medical assessment beforehand is essential.
In most patients, the effect of the treatment lasts about 3–6 months, after which the therapy should be repeated to achieve a lasting effect. Carrying out the treatment regularly can help to reduce the frequency and intensity of migraine attacks and thus improve the quality of life of those affected.
In summary, injection therapy is a promising alternative for treating migraine, especially for patients who do not respond to or cannot tolerate conventional medication. By relaxing the tense muscles in a targeted way, migraine attacks can be relieved and the quality of life of those affected improved.
Migraine treatment & surgery in Vienna
Scientific studies have shown that there are different triggers for migraine, and in many patients a tension headache precedes the migraine attack. With this tension, patients feel pressure between the eyes and the forehead, as the muscles cramp and press on the nerves. This mechanism can trigger the subsequent migraine.
Through interdisciplinary cooperation, plastic surgery has found a new way of reducing or even completely deactivating this trigger pathway. A targeted botulinum injection weakens the muscle responsible for this feeling of tension. In up to 70% of cases, patients become pain-free or their symptoms improve markedly. The effect of the botulinum treatment lasts about 3 months. If this treatment was successful, a permanent solution through surgery is possible.
Surgery to treat migraine is a complex procedure that should be performed by experienced plastic surgeons. In this operation, the nerves responsible for the migraine symptoms are surgically removed or blocked. The operation can be very effective and lead to a considerable improvement in patients' quality of life. However, the operation also has risks and complications that must be carefully weighed up beforehand.
Our team of experts looks forward to helping you choose the right treatment for your migraine. In a no-obligation consultation, Dr. Handl responds to you individually and clarifies whether you are suitable for this form of therapy. We are aware of how distressing migraine can be, and we will do everything we can to help you relieve your symptoms and improve your quality of life.
Preparation, risks and aftercare
Preparation
Before the treatment, your migraine should have been assessed by a neurologist. Bring any existing findings and, if possible, a headache diary. In the consultation, Dr. Handl discusses the injection points on the forehead, temples and neck. After consulting us, avoid blood-thinning medication for a few days beforehand. No anaesthesia is needed.
Risks
Small bruises, pain at the injection sites and temporary headaches or neck pain are possible. Rarely, the active substance can spread to neighbouring muscles and, for example, cause an eyelid to droop temporarily or tire the neck. Not every migraine responds equally well; the full effect often only shows after several treatments.
In the informed-consent consultation, Dr. Handl discusses all risks in detail and in relation to your personal situation.
Aftercare
You can go out in public again straight away. Stay upright for the first few hours, do not massage the treated areas and avoid sport, saunas and steam baths for 24 hours. Keep up your headache diary so that the effect can be assessed. We offer a free check-up within the first 14 days.
Frequently asked questions
Who is this treatment method suitable for?
For patients who regularly suffer from migraine and in whom other causes of the headaches have been ruled out.
Which areas are treated?
The pain often radiates from the forehead and/or the temple, for example. In the consultation, the individual pain points are first identified precisely, and the injections are then placed there.
When does the treatment take effect?
The full effect sets in after about 5–7 days.
How long does the effect last?
The effect lasts about 3–6 months.
What are the risks of the treatment?
In rare cases, the treatment can briefly trigger a pain attack. This is normal and shows that exactly the right pain points have been reached. In the consultation, Dr. Handl informs you in detail about all the risks of the treatment method.
Personal consultation
Tell us what you would like to discuss. We will get back to you within two working days to arrange a personal consultation with Dr. Handl.
Prefer to call? +43 1 877 20 20
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