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?

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8 answers to “Is Juvederm painful?”

A: Juvederm placed in the lips can be painful if no local...

Steven Wallach, MD

Juvederm placed in the lips can be painful if no local or topical is used. Some of my patients take it "cold" - no anesthetics. Most take at least a topical. For the more sensitive patients, I will often place a topical on the skin for 30 minutes, and add a viscous lidocaine solution to be placed... more

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

Ilya Reyter, MD

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... more

A: There are many techniques which can be used to lessen...

D.J. Verret, MD

There are many techniques which can be used to lessen the discomfort associated with Juvederm injections in any part of the face. Ice, topical numbing creams, and distractors (such as vibrating devices or pinching) can often help to minimize the discomfort. In my practice, I have started placing numbing... more

A: No need to have any pain

Payman Simoni, MD

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.

A: Anesthesia with Lip Augmentation: Juvederm, Restylane. Towards painless lip augmentation

Raffy Karamanoukian, MD

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... more

A: Have your doctor mix Lidocaine with Juvederm

Arnold R. Oppenheim, MD

That must have been really painful to faint like that. Make sure the physician leaves the topical anesthetic on 30-40 minutes. Perhaps, after your experience, the doctor has found another pharmacy to mix up his anesthetic formulation. We have found our topical to be wonderful, after trying two others (one... more

A: Lip augmentation does not have to be painful

Scott Trimas, MD

Lip augmentation does not have to be painful especially if a dental block is performed first. Typically, we apply a topical anesthetic to the inside of the upper lips like Hurricaine or benzocaine jelly. After a few moments, we inject lidocaine with a very small needle into the upper and lower lip regions near... more

A: Lip Injections with no discomfort

Michael Law, MD

Juvederm injections require just a few minutes to perform. Most injections of Juvederm Ultra or Juvederm Ultra Plus, Restylane or Perlane can be performed with little or no pain by administration of local anesthesia just prior to the injection. Injection of the lips is usually completely painless, using... more

Comments

Liplocked
10 posts
20 Jan 2009

Isn't there a few new products on the market that are supposed to address injection pain? I've heard that Juvederm Ultra and Juvederm Ultra Plus contain the numbing agent Lidocaine which can help to make the experience much more comfortable.

tracyface
unregistered guest

7 Feb 2009

WOW! I am sorry to hear you had a bad experience. Today I had my lips injected with Juvederm and it was almost painless. The Dr. added the numbing medication in the syringe with the Juvederm. He used one syringe and I have next to no swelling after 30 minutes. I wanted natural but FULLER lips... I love them! I would recommend seeing a different Dr. and let him know of your bad experience. Good luck!

dhk12300
1 post
12 Feb 2009

Any doctor who administers injectable fillers around the mouth area without doing a nerve block (ie, Novocaine, like at your dentist) is a barbarian. Ask your doctor to do the block (nominal fee). If you feel anything stop and have it redone until there is no pain. If your doctor refuses or doesn't think it's necessary, find a new doctor. In this day and age, there is no reason to be close to fainting or go through a procedure with tears streaming down your face. Refer to the comment left by Dr. Raffy Karamanoukian. His answer should be routine operating procedure for any responsible doctor doing fillers. Good show doc !

lhaney
156 posts
6 Aug 2008

Needless to say, this was a very negative experience for you. I certainly hope that you choose a different practitioner and give this very rewarding cosmetic procedure a second chance. Rest assured, this is not a typical experience or else this procedure would not be so popular. You may want to ask about comfort measures when calling to find a good injector. In our practice, we optimize comfort and minimize added expenses for the patient by using a triple compounded numbing cream, ice packs, combined with a gentle (ex: slow and patient) technique. Also, we all know that pressure goes a long ways in distracting pain receptors. There are many helpful and practical techniques. If your injector is not concerned with pain and comfort... find one that is. L. Haney, RN

Michael Sinclair MD
134 posts
6 Aug 2008

I know this may be hard for you to believe, but in our office, we have developed a combination of techniques which make dermal filler injections almost painless, even in the lips. Most of our patients grade the pain as a 1-2 out of 10, where 1 is they have minimal discomfort and 10 is unbearable. I have not had to do a dental block in over a year. There is not enough space in this column to describe all the parts of the technique, but in short, we use a custom-made topical anesthetic, a custom-made needle. we mix anesthetic into the fillers and we inject very slowly. It takes a little more time and money to peform the injections, but my patients think it is worth it. Michael J. Sinclair, MD

Shayna
unregistered guest

20 Mar 2009

I received Juvederm today. One syringe per lip, and it was very painful, but 100% worth it. She did about 6 to 8 injections in each lip and I was tearing up because of the pain. She did put a topical pain reliever on my lips, but it still hurt. The outcome was awesome. I am very pleased. I just hope it lasts awhile. Each syringe was $550. Pricey, but well worth it.

JoJo
94 posts
3 Apr 2009

there is no need to suffer with lip injections, a dental block & ONLY a dental block will make the expeirance virtually painless!

berykute1
77 posts
25 Apr 2009

pain! oh yes! Ow Ow Ow!

JoJo
94 posts
26 Apr 2009

Again no need for pain, a dental block makes it virtually painless!!!

ashleylina
unregistered guest

10 Jul 2009

I just got my upper lip filled with juvederm. I barely used half a syringe because I was going for a subtle look. I requested the dental block because I'm a big baby when it comes to pain. I literally had a mini panic-attack the injection hurt so BAD. I started sweating and shaking, my heart rate went through the roof. I tried to play it cool because I didnt want to freak the Dr. out. He said that the injections cause an adrenaline reaction. I asked for some water and a moment to be by myself. After about 5 min. I was ok. He did the procedure and I felt NOTHING. I dont think Ive ever felt pain like that from the numbing injection.

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