Botox has actually been FDA-approved for several medical uses beyond cosmetics — chronic migraine is one of the well-known ones, and it's also used for things like excessive sweating (hyperhidrosis) and jaw clenching (bruxism). In a cosmetic med spa setting, the focus is usually on aesthetic applications like reducing wrinkles and softening facial lines, but some locations do offer certain therapeutic uses. If you're interested in medical uses specifically, it's worth asking during the consultation whether they offer those services or can refer you.