No need to have any pain

Dr. Payman Simoni answers: Is Juvederm painful?

I went a couple days ago to get my lips plumped up with Juvederm. The MD applied a topical anesthetic and then proceded to give a local one like you get in your gums at the dentist. It was so painful that I fainted. I didn't even get to have my lips done. I'm too scared to go back and finish the procedure but I paid a lot of money. Is there any way this can be completed with out me having to pass out from the pain? Should lip injections hurt this bad?


Payman Simoni, MD
15 months ago

Juvederm to the lips are painful if you do not get adequate anesthesia.

I usually do nerve block (like the dentists use) to numb the lips. Once the lip is completely numb, I do the injection.

Next time, ask for nerve block.

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More answers to Is Juvederm painful?

A: I Use Only Topical Anesthesia For Numbing The Skin Before Fillers to the Lips

Ilya Reyter, MD
5 months ago

Having experimented with all possible combinations of topical numbing, local aneshetic shots, dental blocks, etc., I have found a truly remarkable system for performing fillers to the lips.  I no longer use any lidocaine injections before fillers.

In my practice, we have worked with a chemist to develop a special topical anesthetic mix, that works so incredibly well, that we no longer use any additional injections to numb the lips before using fillers.  Additionally, I worked closely with Dr. Arnold Klein to develop a lip injection technique that results in almost pain-free filler placement, with hardly any bruising.

This has resulted in a very different experience for our patients.  There are no more painful injections into the mouth to deliver dental blocks.  Dental blocks always caused anxiety for patients my patients, and I was happy to be rid of them. 

Most of all, however, by avoiding the dental block, I am able to maintain the lips in their normal anatomical posistion during filler injections, to create a perfectly subtle volume enhancement.  Dental blocks typically cause temporary muscle paralysis (example - slurring of speech and drooling after visiting the dentist).  This muscle paralysis creates a distortion in the lips, and increases the potential for improper filler placement.

My goal for lip enhancement is to restore lost volume in a way that looks completely natural.  It is not unusual for my patients to tell me that they are thrilled because their own mother could not tell that they had their lips injected.  This is the type of subtle enhancement that can be achieved using our special anesthetic paste and injection technique.

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