Lip Augmentation Pain - Anesthesia Options?

asked 3 years ago by Bobbi-39 in VA
Latest answer by George J. Beraka, MD
Question viewed 1,185 times
Tags: anesthesia, dental block, pain

Are there other anesthesia options for lip augmentation when topical dental blocks and ice are not enough?

5 answers to Lip Augmentation Pain - Anesthesia Options?

Why Suffer for Beauty? You Have A Lot of Nerve!

The vast majority of surgical and non-surgical procedures performed by Plastic Surgeons would not be possible without proper anesthesia medications and techniques. This is particularly true for the highly-sensitive areas of the lips and face, where the concentration of sensory nerves is the greatest. For all lip augmentation procedures, and for most filler injections to the nasolabial folds, I employ local anesthetic nerve blocks of the infra-orbital and mental nerves. The small amounts... more

Athleo Louis Cambre, MD
Los Angeles Plastic Surgeon

A nerve block usually works quite well

This is a great question and one worth talking about. I think performing good lip augmentation can be challenging and requires a tremendous amount of precision. If there is even a small amount of imbalance or asymmetry of the the lips, it can be noticed from a few feet away, so I try to avoid anything that could alter the anatomy of the lips before the procedure. I think if a topical works, that is wonderful, but often it is not enough, in particular if we are going to mold the injected... more

Shahram Salemy, MD
Seattle Plastic Surgeon

Dental blocks eliminate pain in lip augmentation.

Hi! 1) If a dental block "was not enough", it just wasn't done right. 2) For lip augmentation, we use upper and lower infraorbital and mental nerve blocks through the mouth, and the patient feels absolutely nothing for about 30 minutes. No pain at all.

George J. Beraka, MD
Manhattan Plastic Surgeon

Lip Augmentation with no Dental Block

When patients are comfortable during a lip injection procedure, it not only makes for a more pleasant procedure for the patient, but if a patient is comfortable, the physician can take more time and generally can perform the best procedure possible. In my experience, a dental block can be administered in a way so that even people with fear of the dentist can be very comfortable during and after the block. A relatively new material, Prevelle Silk requires a tiny needle and... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Options for lip anesthesia

Greetings Bobbi There are several options for lip anesthesia: 1) Topical medication such as lidocaine. Most concentrations used for topical application need at least 30 minutes to work. If a topical application does not seem to be working, be sure to talk with your physician about the concentration being used and how long it is applied before the procedure is performed. 2) Local injection. As mentioned by other contributors this can distort the anatomy and make things more difficult to get... more

D.J. Verret, MD
Dallas Facial Plastic Surgeon

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