Lip Augmentation with facial fillers such as Juvederm and Restylane is a very common procedure. Although pain tolerance between patients varies considerably, there are many topical, injection technique related, and infiltrative anesthetic treatments that can minimize pain.
A reasonable approach to anesthesia for lip augmentation should focus on the following techniques:
- Local anesthetic block of the infraorbital nerve and mental nerves
- Topical anesthesia of the inner lip mucosa and the outer lip skin
- Bolus injections of lidocaine into the upper sulcus and lower sulcus to reduce any ancillary nerve fibers
- Use of a smaller needle.
If you are still having pain after the first injection, have your practitioner apply more topical anesthetic and injection. Be aware that anesthetics have toxic doses and only an experienced medical physician should be injecting these medicines.



