Wanting Lip Injections, Pain Tolerance is Super Low, Suggestions?

asked 9 months ago by Jennifer Los Angeles in Chatsworth, CA
Latest answer by Philip Young, MD
Question viewed 188 times
Tags: pain, sensitive skin

Hi doctors! My name is Jennifer and my pain tolerance is extremely low! I'm super sensitive to needles and I tend to get really nervous and scared! I live in Los Angeles and I'm looking for a doctor who can make me feel really comfortable about getting my lips done and someone who can literally numb everything, whether I have to use a numbing cream, and a topical anesthetic.... Please let me know what I can do and who I can see.

10 answers to Wanting Lip Injections, Pain Tolerance is Super Low, Suggestions?

Lip injections are totally painless when done with numbing cream and nerve blocks.

My patients are so happy with lip injections because I do the nerve blocks to numb up the lips painlessly. You don't have to worry about being scared and in any pain at all. It is very easy and comfortable to get done. Sincerely, David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon

www.DrDavidHansen.com

Sensitive to needles and wanting lip injections

The two main ways to anesthetize the lips are to put topicals or carry out some regional nerve blocks. You can also inject locally but this can obscure the anatomy and may get in the way with the results. Prior to doing the injections for the regional block you can use topicals and ice to further make it more comfortable. Also using something that can create some vibrations can also make the regional blocks even more tolerable. Below is a video on lip injections for your learning and... more

Philip Young, MD
Bellevue Facial Plastic Surgeon

Lip enlargement with injections

Lip injections really hurt. I use Prevelle which is the only filler that I can inject through a very tiny/small caliber, needle. I can also apply a topical anesthetic and numb the lip but the latter sometimes hurts as much as the injections!

Edward J. Domanskis, MD
Orange County Plastic Surgeon

Decreasing pain for lip augmentation

I have found that many patients in my practice are not excited about getting nerve blocks for pain control in lip augmentation because they are still injections. My technique now consists of topical lidocaine around the mouth before injection and then using a small blunt tip, microcannula to inject the entire lip (vermillion lip border, lip body, etc.). An entrance to the lip is created in at the corners (oral commissures) and the entire lip is able to be enhanced though 2 small... more

Jason D. Bloom, MD
Philadelphia Facial Plastic Surgeon

Wanting Lip Injections, Pain Tolerance is Super Low, Suggestions?

We have been injecting fillers, in the lips, for over 20 years and IMHO topical numbing creams won't do the trick. You would need a full dental block that can be done by your dentist before your visit or here at our office. This is the only way, you'd be comfortable during the lip injections IMO.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Numb the lips before injecting

For patients who do not tolerate injections well, it is best to numb the lips before augmentation with injections as they are about the most tender area to treat. Unfortunately, things like ice and topical anesthetics are not generally adequate. Many of the injectables have a local anesthetic in them now, but even this is not usually adequate for the lips. It is relatively easy to numb the lips with a 'dental block' but it does require the use of fine needles.

James McMahan, MD
Columbus Plastic Surgeon

How to inject lips relatively painlessly

I have been injecting lips for the purpose of cosmetic enhancement for over 25 years, beginning with collagen derived from cows and now with hyaluronic acid products such as Juvederm and Restylane. Over the years, I have used many methods of anesthesia to reduce the pain of lip injections which include topical numbing agents, ice application, and regional nerve blocks. In my opinion, nothing compares with a technique known as a "dental block". The initial injections are done using... more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

Blocks for Lip Injections

This is a common concern actually. Some offices do not use pre numbing blocks, but I do it for every injection I do. First, it makes the patient more comfortable, and second, lidocaine with epi (which is what I use) can actually lead to less swelling and bruising. It's a win-win. Several of the physicians who posted responses to you are located close to you, but additionally, you can just call around and find board-certified physicians who will pre numb the area with a block. I think... more

F. Victor Rueckl, MD
Las Vegas Dermatologist

Lip Augmentation

Hi Jennifer! You are not alone! There are many advanced ways to address the pain with lip injections. In my office, we use a custom topical anesthetic to numb your lips. Combined with fillers that have additional local anesthetic in it already, this seems to be well tolerated without the need for local blocks. Occasionally, a local block may be needed, but the combination of topical and local anesthetic in the filler seems to do the trick. Of course, the... more

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon

Local Blocks for Lip Augmentation

Hi Jennifer, Lip injections can be done painlessly with a series of nerve blocks to numb both the upper and lower lip completely. The blocks are done after application of a topical anesthetic to the inside of the lip. Then a small injection of local anesthetic is used in specific locations to get your lips numb, and within a few minutes you are ready to have fuller lips! This is very well tolerated and is usually very surprizing to the first-timer. more