Nerve block for juvederm in nose crease or smile lines?

 Hello, Yes, you can have a nerve block.  However, injection of the local anesthetic is also painful.  So, most patients with a plan to inject only a limited area will choose not to have local anesthesia / nerve blocks.  If a large area is to be treated then nerve blocks may make sense.

Different practitioners may vary on this point.  We tend to make it as nice an experience as possible.  We routinely do a nerve block.  We also apply topical numbing medicine.  We also have the patient apply a cold pack after the injections.  In our experience, this tends to work out... more

Nerve blocks are important in minimizing pain during injections of the lip and cheek area.  In the area near the nose, there are several overlapping nerves that supply the anatomic area, and a single nerve block may not completely block the pain during injections. In these areas, I would recommend... more

Patients differ in their tolerances to injectables. Some patients need no anesthesia, some use ice to cool the area, others want topical anesthesia, and some want nerve blocks. I usually start with the topical, and if the patient is uncomfortable, I use a nerve block. If I see I patient who required a nerve... more

No. This is a sensitive area and you could have your doctor inject local anesthetic first, but you can have it done with just a topical anesthetic. It does hurt, but many patients tolerate it without the injection of anesthetic.

Good anesthesia allows for better, more even placement of fillers in the naso-labial folds.  The two most common techniques that I use for anesthesia in this area: 1. Nerve block or lidocaine injection into the superior sulcus along the naso-labial folds. 2. Small injections of lidocaine directly ... more

As you can tell form the many responses, doctors vary on this point.  In my experience, there are patients who have regular filler injections with or without nerve blocks. They choose, typically after experiencing the alternatives with me or prior physicians. You can have it your way.

You do not need to have a nerve block to receive Juvederm or any dermal filler. In most cases I use an anesthetic ointment which helps considerably. You need to apply it about 20 to 30 minutes before your injection and it will numb up the skin. Some places prefer nerve blocks because they are faster. ... more

I use nerve blocks only for lip augmentation. Quite simply, topical anesthetic, or mixing lidocaine with the Restylane, ice, vibration therapy, and injecting slowly are all better options. Nerve blocks increase the duration of swelling and the numbing prevents good assesment of the correction. It is also a... more

I appreciate that some patients do not like the odd sensation of nerve blocks. Injection of fillers into the areas you mentioned can be associated with considerable discomfort, depending on your individual pain tolerance.  Alternatives to nerve blocks include pre-applying ice to the injection... more