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Can Radiesse Be Injected Without Xylocaine?

asked 2 years ago by dbcc in boulder co
Latest answer by Ritu Saini, MD
Question viewed 1,344 times
Tags: face, allergy, injection, pain, swelling

Hi. I have gotten Radiesse and want to get some more. My provider mixes the product w/ 4cc of numbing agent, which causes me to blow up!

Can Radiesse be injected into my face w/o the Xylocaine in the mix? I have a HIGH threshold for pain and would prefer not having that blown up look for a week after injection. Thanx

14 answers to Can Radiesse Be Injected Without Xylocaine?

Radiesse mixed with Lidocaine

Radiesse can be very painful, so mixing it beforehand with lidocaine definitely takes the edge off. However, it does not have to be mixed with lidocaine depending on your pain threshold. I find that using a really good compounded triple anesthetic cream and allowing the patient to numb for 30 minutes or so prior really helps, but it is not as effective as combining this with Radiesse that is mixed with lidocaine. I typically mix 0.3 cc of 2% xylocaine with a 1.5 cc syringe of Radiesse and... more

Ritu Saini, MD
New York Dermatologic Surgeon

Radiesse can be injected without Xylocaine

All depends on your pain tolerance. For our patients we usually use only a topical numbing creme (which we obtain freshly prepared from our pharmacy for greater effectiveness). Like some of the other doctors, I will mix the radiesse with a small volume of lidocaine to lessen the discomfort. I would say only about 10% of my patients end up receiving a lidocaine numbing shot before the procedure.

David W. Kim, MD
Bay Area Facial Plastic Surgeon

Painease spray can make Radiesse injections painless without lidocaine

I offer my patients Painease for their Radiesse, Juvederm, Artefill other filler injections, with or without mixing lidocaine/xylocaine with the product. Painease is a cold spray that briefly numbs the skin by freezing it. Most patients prefer having the lidocaine also but if you are sensitive to it the Painease by itself can make your treatment much more comfortable than going "cold turkey".

Lorrie Klein, MD
Laguna Niguel Dermatologic Surgeon

www.ocdermatology.com

Radiesse and Xylocaine

Radiesse when injected without anesthetic would be very uncomfortable. A small amount of Xylocaine, .2 ml, mixed with Radiesse would not cause facial swelling. I wonder if the blown up look you describe might have been tissue trauma from the injection and not related to the Xylocaine at all. Swelling from Xylocaine will absorb away very quickly and not create lasting fullness.

Pamela Carr, MD
Sugar Land Dermatologist

Yes, Radiesse can be injected withour Lidocaine

Radiesse can be injected without Lidocaine. However, as others have noted on this topic, Radiesse is frequently pre-mixed with 0.1-0.2 mL of Lidocaine to decrease the viscosity of the product and to make the procedure more comfortable. In addition to this, I use a specially compounded local anesthetic cream for topical anesthesia and 0.5-1 mL of Lidocaine pinpoint injections at the sites of anticipated needle entry to facilitate the procedure.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

Radiesse can be injected without lidocaine, but it hurts

There is no technical reason to mix lidocaine into Radiesse, but it makes the injection much more comfortable. I don't use 4cc of lidocaine though, so I wonder how many cc's of Radiesse you had. In general, I use enough lidocaine to thin the Radiesse and provide pain control, but by the time the patient has iced for 10 minutes after the injection, there is minimal volume increase from the amount of local anesthesia I mixed in. Remember too that some patients swell just from having the... more

Elizabeth Lee, MD
Bay Area Plastic Surgeon

Radiesse without xylocaine

Certainly Radiesse can be injected without adding local anesthetic. I find, however, that adding a mere 0.1 cc volume of lidocaine (which does not significantly increase the total volume of the syringe) to the filler prior to injection significantly reduces the discomfort of the procedure. Good luck.

Bryan K. Chen, MD
San Diego Dermatologist

Radiesse without anesthetic

Yes, Radiesse can be injected without having mixed it with anesthetic. When we did that years ago, we found patients often had significant burning type of pain one or two minutes after the procedure...a delayed onset. It is so much more comfortable with the anesthetic mixed in, but if you allergic to it, which is very very rare, then yes, you can have it plain.

Ronald Shelton, MD
Manhattan Dermatologist

Radiesse without lidocaine can hurt

Radiesse can be injected without lidocaine, however using even a little bit 0.5 cc 0r 0.25 cc of 1 or 2 % lidocaine can make the experience more comfortable. Radiesse like any other filler will cause some immediate swelling. You could try another product such as Juvederm or Restylane as well.

Charles Perry, MD
Sacramento Plastic Surgeon

4 cc's is excessive

I wonder if there was some miscommunication. Radiesse can be injected without first mixing with anesthetic, but it hurts so much more that few doctors do it that way anymore. Most doctors use as little as 0.1cc to 0.5 cc for the face, and often up to 1cc for hand injection. I know of no doctor who dilutes with 4 cc of anesthetic.

Mary Lupo, MD
New Orleans Dermatologist

Radiesse

Yes, Radiesse can be injected without adding a local anesthetic such as lidocaine. In fact, that is how most people inject it. However, about a year ago, I started mixing Radiesse with lidocaine and epinephrine and it significantly improved patient comfort and virtually eliminated any bruising. However, if you do not want the mixture, it is perfectly fine to inject it without. Good luck.

David Shafer, MD
New York Plastic Surgeon

Many options for anesthesia with injectable fillers.

Clearly, there are different practices. I offer my paitents several diffferent options depending on the areas treated. Some I treat with topical anesthetic cream only while others with high anxiety even require oral sedation (rare). However, the vast majority of my paitents do prefer when the anesthetic is mixed with the product. I frequently do mix my Radiesse with local but use considerably smaller volumes than 4cc (more in the range of 0.5 cc). However, I do have a few patients who prefer... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Painless Radiesse Injections

There is NO REASON to bite on a bullet or a leather strap while having fillers (Juvederm, Restylane, Radiesse etc). The practice of having to suffer to look better is barbaric and outdated. Any Plastic Surgeon / ENT / Dermatologist who is comfortable with facial blocks can quickly numb selected areas of your face WITHOUT "blowing them up" and allow you to actually NOT feel the needles and equally participate in how the products are placed. The reason why some injectors mix fillers... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Radiesse without lidocaine

I never combine Radiesse with local anesthetics. This would make it hard to tell whether the volume I was seeing while I was injecting was temporary local anesthetic or real filler.