Painless Radiesse injections

Jordana S. Gilman, MD answers: Best approach to prevent pain from Radiesse injections?

I am considering Radiesse for the nose to mouth lines but I am scared to death of the pain. My dermatologist told me they put numbing cream on your face and then inject a numbing solution before injecting the Radiesse. Is this the best way to do it? Also will I have considerable swelling?


Jordana S. Gilman, MD
2 months ago

You should be able to have a comfortable experience with Radiesse.  The doctor should apply a numbing cream first.  There are many different kinds of numbing creams.  Some are commercially available and contain one type of anesthetic, and some are made of more than one type of anesthetic and mixed according to that particular doctor's specifications.  Some work faster than others, but most require that you apply the cream for at least 15 minutes before starting the procedure.  I also mix a little bit of anesthetic into the Radiesse.  Between the numbing cream and the anesthetic in the Radiesse you should not be uncomfortable.

However, if you are worried or if you are very sensitive to pain, your doctor can perform what is called a dental block.  With a dental block the doctor injects anesthesia inside your mouth (it sounds worse than it is) to numb the nerve.  I very rarely need to use a dental block.  My patients tell me that the procedure is comfortable-- no one has said that it hurts, no one hasn't wanted to to it again because of the pain, and no one has asked for a dental block at their next treatment.

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A: Ask your physician about mixing it with anesthetic

Ronald Shelton, MD
2 months ago

The best way is for the doctor to mix the Radiesse with the anesthetic and this makes the injection so much more comfortable. Most doctors are doing this now.

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