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Tips for Avoiding Radiesse Pain

I am thinking about getting for my marionette lines, but after reading a , I'm not sure.  She described the Radiesse injections as being so painful that I am scared to try it.  Why do injections hurt so much for some people, but not others?  How can I avoid being one of the people who has "excruciating" pain?

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+4

Minimizing pain with facial fillers: Radiesse, Juvederm, Restylane; Raffy Karamanoukian

Facial fillers are useful to correct areas of facial atrophy, including the lips, nasolabial folds, and face. Injection is usually performed using small gauge needles that are prepackaged with the sterile syringe. Minimizing pain is an important part of your overall experience. There are many ways to minimize the pain associated with facial fillers, including the topical application of lidocaine creams, local anesthetic blocks, and local injection of anesthetic prior to injection. The most... more
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
+3

Radiesse is not painful for my patients

I routinely add lidocaine to all my Radiesse injections. This significantly decreases my patient's pain. Also, by applying Pliaglis, a new topical anesthetic, there is virtually no pain. Applying ice before also helps. The lidocaine added will give short term pain relief as well, while the patient is driving home. After it wears off, the painful time period has usually lapsed.
Steven F. Weiner, MD
Pensacola Facial Plastic Surgeon
+3

Radiesse doesn't contain anesthetic

Radiesse does not contain anesthetic (lidocaine) in it, and patients say that it continues to hurt for a few minutes after its injected. I routinely use: A potent topical anesthetic (numbing cream) A nerve block before the treatment Ice compresses afterwards Fortunately, the results last for several years and my patients are thrilled.
Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon
+2

How to avoid radiesse pain

I usually inject the area with minute amounts of local anesthetic with epinephrine that will numb the area and shrink the blood vessels so that it is less likely that the Radiesse could be injected in them. Some people mix the Radiesse with a local anesthetic bot this doesn't totally eliminate the pain.
Farhad Rafizadeh, MD
Morristown Plastic Surgeon
+1

Radiesse injection pain

I prefer to use nerve blocks to numb the areas to be injected or local anesthesia. After that, the patient is totally numb. Topical creams take the edge off the injections but don't significantly reduce pain below the skin surface. Some patients who are anxious about the injections take Xanax before treatment.
Robert L. Kraft, MD
New York Plastic Surgeon
+1

Minimizing Pain with Radiesse

There are several steps to minimize pain with Radiesse: Pre and post injection icing can help numb the sensation to the area Proper injection technique can eliminate most of the discomfort associated with it Dental blocks and topical anesthetics are not necessary in my practice for Radiesse (see point above) "Tricks of the trade", in which each injector employs including various distraction techniques and others to minimize discomofort Radiesse... more
Anil R. Shah, MD
Chicago Facial Plastic Surgeon
+1

Injectable Filler Anesthesia to Avoid Pain

Injectable fillers such as Radiesse, Restylane, Juvederm, and Sculptra are good options for various cosmetic enhancements for facial aging, such as nasolabial / smile lines or lip enhancement. Some local anesthesia is generally required, since each filler is injected via a small needle. However, cosmetic treatment should not be very painful. Most dermatologists or plastic surgeons use a combination of anesthesia techniques to minimize discomfort. topical anesthesia cream on treated... more
Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
+1

Radiesse should be a smooth experience

Radiesse usually in my experience is not painful for multiple reasons. 1. Use numbing cream. Have the cream massaged in 1 hour before and again 1/2 hour before injection. 2. Mix Radiesse with local anesthetic. (ask your plastic surgeon/derm injector to do this if you have to) 3. Tiny shots for a nerve block before hand can give complete numbness and a pain FREE experience once the blocks are done. (again, you can request this from your experienced injectors.) It should be a relatively... more
Vineet Mehan, MD
Washington DC Plastic Surgeon
+1

Pain with Radiesse

Pain with Radiesse can be diminished by first numbing with a topical anesthetic. Now, Radiesse can also be pre-mixed with lidocaine to ease the pain as well. I find that after to topical anesthesia for 15 minutes and the lidocaine mixed into the syringe, the pain is definitely less. Icing throughout the injection process can also be very helpful in not only reducing pain, but also bruising and swelling that can frequently occur with Radiesse. Hope this helps!
Ritu Saini, MD
New York Dermatologic Surgeon
+1

Radiesse does not have to be painful

Radiesse is a filler which typically hurts more when injected than the hyaluronic acids such as juvederm and restylane. For this reason, a variety of anesthetic techniques should be employed by your physician, including: local anesthetic added to radiesse or injected into the skin 30 seconds before-hand, nerve block, topical anesthetic cream, ice packs, talkesthesia or vibration of the skin. The radiesse should then be injected slowly and through the smallest needle possible. Tell your... more
Benjamin Barankin, MD
Toronto Dermatologist
+1

Radiesse injections

Radiesse injections do not have to be painful. Topical anesthetic can be applied to the skin, even injected lidocaine can be used. I prefer to mix the radiesse with lidocaine before injecting to ease the procedure.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Radiesse does not have to be painful

There is no filler procedure which "has to be painful". There are many tools in the analgesia armamentarium which can minimize or eliminate pain from the technique. The first step is to apply topical numbing cream for about 15 minutes. The second step is to give small pinpoint injections of lidocaine in the spots where the Radiesse needle will enter the skin. The third step is to mix the Radiesse with a little bit of lidocaine. This approach has been very helpful to my... more
Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
+1

Avoiding painful filler injections

My advice is to have your physician use numbing cream which needs to be applied 1 hour before the procedure and rubbed into the skin. I also recommend mixing the Radiesse with a small amount of lipocaine with epinephrine (adrenaline) to decrease the pain and to prevent bruising. I also apply ice or cold compresses to the skin immediately before and after injections.
John Burns, MD
Dallas Plastic Surgeon
+1

Dental blocks before fillers eliminate pain.

Hi. 1)  Radiesse is not good for marionette lines. 2)  We use either Juvederm or Restylane, depending on your anatomy. 3)  With dental blocks just before the filler injections, you are totally numb for 30 minutes, and there is no pain at all.
George J. Beraka, MD
Manhattan Plastic Surgeon
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