Having performed over 200 Active FX treatments, I realize it is not without pain. In fact, it can be quite painful, especially if an aggressive approach is required for deeper lines.
In addition to anxiolytics like xanax, and pain meds like vicodin, I find it very useful to use nerve blocks like the dentists use. I do supraorbital for forehead, infraorbital for lower lids and upper lips, mental for lower lip and chin. I also use a small amount of tumescent anesthesia around crows feet and forehead.
Hope this helped.
Dr. Malouf



