Real Pain with Juvederm Injections Around Mouth. Can This Be Avoided?

Question

Rate it right up there with getting a Tat! Hesitant to do it again tho I like the results. What can help me. Thanks!

Michael A. Persky, MD · Answer

Hi Samlyn,

	Numbing cream, ice, local nerve blocks, and juvederm with local anesthetic in it all can be used to make your lip injection experience much less painful than either getting tatoos or being married for 20 years.  Pucker up and enjoy your lips. 

	Dr. P

Jerome Edelstein, MD · Answer

Generally, topical anesthetic and ice applied
prior to the treatment is enough to help minimize discomfort.

David Shafer, MD, FACS · Answer

Some people are more sensitive than others to injections.  The next time, you may want to ask for a nerve block.  This is like at the dentist when they give you a few shots and then your whole mouth goes numb.  Most people do not want this though since it leaves them with a numb mouth for hours after the injections.

	 

	Good Luck.

Edward J. Bednar, MD · Answer

Your PS can administer a dental block or apply a topical anesthetic about 45 min prior to your procedure-that will definitely take the edge off

Grant Stevens, MD · Answer

Greetings~

	Having Juvederm injected does not need to be as bad as a tattoo.  We apply topical anesthetic for patients prior to injections to minimize discomfort.  For the lip area, nerve blocks are an option as well (though most patients do fine without them).  And last, but certainly not least, good old fashioned ice works great as well.  You can also request that the provider injecting you use Juvederm (or one of the HA fillers) with lidocaine in it for extra anesthetic effect.

	Good luck!

	Dr. Grant Stevens

Alison Stallings, MD · Answer

There are many options for decreasing the pain of filler (Juvederm) injections. A topical numbing agent can be applied prior to the procedure, a nerve block can be performed numbing the lips and area around the mouth, and many of the fillers including Juvederm have an anesthetic mixed in with the product to make the injections more comfortable.

Joel L. Cohen, MD · Answer

Fillers, like JuveDerm, can cause some discomfort upon injection. Certain areas may be more painful, such as injections around the mouth or specifically in the lips. Nerve blocks (like a dental block) can take away much of this discomfort. There are a couple of ways to do this; an infraorbital plus mental block for injections around the mouth, or a sulcus-mucosal block for lip augmention. Sometimes the blocks themselves can cause a bit of distortion of the area, so some injectors try to get patients comfortable with a combination of topical anesthetics as well as using the formulations of fillers that already contain pre-packaged lidocaine (JuveDerm XC or Restylane-L) before going right to a block. But, patients can certainly ask for a nerve block right from the outset.

Steven F. Weiner, MD · Answer

Using this new innovative technique, you can get your Juvederm around the mouth with very minimal discomfort. I just use topical and have very comfortable clients. Even injecting the lips is relatively easy with blunt cannulas. Bruising is also significantly reduced or eliminated with blunt cannulas. I now inject exclusively with this technique and have been for the past 4 months. It's the way to go!!!

Emily Altman, MD · Answer

There are several ways to approach this around the mouth:

1. Topical numbing creams applied 30-45 minutes prior to injection
2. Dental blocks - injecting lidocaine inside the mouth to block nerves that sense pain the the lower half of the face.

Juvederm and most other temporary fillers now come in versions containing lidocaine, so that helps as well.

I usually use a combination of nerve blocks and topical creams.

Elan B. Singer, MD · Answer

Hi Samlyn-

	There are many ways to decrease pain/discomfort with facial fillers around the face and lips.  Like most facial fillers, Juvederm now comes with anesthesia medicine (lidocaine) directly mixed in with the product.  This helps to decrease pain considerably.  In the lips, however, as you have discovered this may be inadequate.  A dental block is the next rung on the ladder in the fight against pain.  This works very well and can nearly if not totally eliminate pain from the procedure.  The only downside is that your mouth will stay numb for about 90 minutes to 2 hrs afterwards.  I wouldn't give up just yet if you enjoy the results!

	 

	Dr. Singer

Real Pain with Juvederm Injections Around Mouth. Can This Be Avoided?

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