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Xanax for Juvederm Lip Injection with out a Nerve Block?

asked 1 year ago by blondie mom in tx in TX
Latest answer by James M. Pearson, MD
Question viewed 569 times
Tags: fainting, nerve block, pain, Xanax

I went to have a juvederm lip injection and they did not numb me or give a nerve block, it was so painful I passed out than threw up. The doctor could not even finish. So He said he would cap it and try the following week and told me to take a xanax which he gave me a RX for. Will this keep me from feeling so much pain and from passing out? Scared to go through this kind of pain again.

21 answers to Xanax for Juvederm Lip Injection with out a Nerve Block?

Juvederm XC for More Comfortable Injections

The new Juvederm XC or Juvederm Ultra XC formulation could be the best bet for you. It is enhanced for patient comfort with 0.3% lidocaine. The effects of the lidocaine usually take place in seconds, and I've found that most of my patients greatly prefer it over the older, non-numbing version.

Steven Svehlak, MD
Los Angeles Plastic Surgeon

www.sunsetcosmeticsurgery.com

Dental block works great for lip filler injection

No, if the lip augmentation hurt you that much, call around and find a dentist that will give you a dental nerve block. You won't feel a thing when your lips are injected. Most our lip augmentation patients do their filler injection fine with topical numbing cream but we do have some that get dental blocks.

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

drfrancispalmer.com

Xanax and Juvederm

It is uncommon to experience so much discomfort during an lip augmentation injection. Xanax may alleviate your anxiety, but is unlikely to have much effect on your perception of pain. Consider discussing with your doctor other available options such as topical or local anesthesia. Good luck.

James M. Pearson, MD
Los Angeles Facial Plastic Surgeon

Treatment prior to lip injections

Greetings~ Sorry to hear you had such a strong reaction to having your lips injected. Xanax may take a bit of the edge off and reduce your anxiety prior to injections but I don't think it's your best bet for pain control. (If you take the Xanax you should have someone drive you to your appointment...we don't want you driving around impaired) There are a great number of things that can be done to help with the discomfort: topical anesthetic prior to... more

Grant Stevens, MD
Los Angeles Plastic Surgeon

Lip filler with Juvederm and anesthetic

If you are having that much pain, the Xanax may make you feel less anxious but you'll still have pain. Topical anesthetic gel helps significantly. If that is not enough, ask the doctor to do a nerve block and that will make it so much less painful. Granted, it will feel for an hour or so as if you were at the dentist, but that's the price to pay for comfort.

Ronald Shelton, MD
Manhattan Dermatologist

Experienced injectors will use nerve blocks

Experienced injectors will use nerve blocks for filler injections - especially to a particularly sensitive area such as the lips. The newest form of Juvederm also comes with lidocaine (a numbing medicine) incorporated into the product. If used correctly, Juvederm injections to the lips should not cause very much discomfort at all. Don't assume that just because your provider is a PS that he/she has extensive experience using injectables. Always ask how many... more

Sam Naficy, MD
Seattle Facial Plastic Surgeon

Painful Juvederm

That is a great question. The xanax will help to relax you before the procedure but will not dull the pain. I would recommend a nerve block for your next appointment or at the very least a topical lidocaine. Discuss your concerns with the plastic surgeon and I am sure he will be accommodating. I hope this help. Kindest regards, Neil J. Zemmel

Neil J. Zemmel, MD
Richmond Plastic Surgeon

Does xanax help pain relief during lip injections?

I am not sure xanax will eliminate your pain while being injected in your lips. It will relax you a bit but you still may perceive pain during injections. There are many ways to help decrease discomfort during injections. I have found that using a good topical anesthesia and ice works the best and is the least traumatic for my patients. It seems to be well tolerated and doesn't leave the patient with the perception that this was a bad experience for them. Giving medicines such as xanax... more

Jeffrey Kenkel, MD
Dallas Plastic Surgeon

Juvederm and nerve block

I am a huge fan of nerve blocks with lip injections, but more importantly, so are my patients! I perform a nerve block on most of my lip injections. On rare occasions, patients refuse the nerve block. Even with topical numbing, cooling, and a gentle injection technique, it is still a painful procedure. This is my recommendation: if your physician absolutely refuses to perform a nerve block, I would consider going elsewhere for the procedure. It actually pains me to think about a patient... more

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon

Severe pain with Juvederm injections a rarity

After thousands of lip injections I have never had a patient faint and throw up. We always offer a topical anesthetic and the product is now available with an anesthetic in the syringe. With gentle, slow injection the procedure is quite tolerable although granted it is uncomfortable for some. Anti anxiety medications like Xanax are rarely indicated.

Susan Van Dyke, MD
Paradise Valley Dermatologist

Juvederm in the Lips: Nerve Block Please

Although there is a subset of my patients who prefer not to have a nerve block a Juvederm/ Restylane injection in the lip, the vast majority of my patients prefer it. The lip is extremely sensitive and repetitive injections in the area without a nerve block can be exquisitely painful. At the same time, a nerve block affects sensation and motion of the lips for several hours which is considered undesirable by some of my patients.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

www.drprendiville.com

Pain with juvadern

I would recommend a nerve block prior to juvaderm in the lips. I use a local anesthetic with vasoconstrictor. This controls the discomfort and decreases the incidence of intravascular injection and bruising. Donald R. Nunn MD.

Donald Nunn, MD, DDS
Atlanta Plastic Surgeon

Xanax will "take the edge off" prior to Juvederm lip augmentation but local anesthetic more effective to reduce pain

Xanax will "take the edge off" prior to lip augmentation with Juvederm but local anesthetic is more effective to reduce pain. Xanax does not reduce pain but rather reduces procedure-related anxiety. This typically involves infraorbital and mental nerve blocks supplemented with topical ice treatment to minimze bruising. This tends to eliminate most discomfort associatied with hyaluronic acid filler lip treatments. Stephen Weber, M.D., Ph.D. Facial Plastic Surgeon more

Stephen Weber, MD
Lone Tree Facial Plastic Surgeon

Xanax for Juvederm Lip Injection with out a Nerve Block?

Great idea, also recommend icing area during injections. Or a coolant spray to area, lidocaine creams topically used.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Pain with Juvederm Lip Injections

Topical anesthetics, local infiltration, and nerve blocks are all techniques used to numb the lips prior to injection of fillers in the lips. I suggest you ask your physician for this in addition to the Xanax.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Don't need xanax

Dear Blondie, I assume that the juvederm that was being used had lidocaine in it but make sure that it did. When injecting lips we use a topical anesthetic and peas(instead of hard ice) prior to injection. It is not painless but it is very tolerable. If this does not suit you, I would rather see you have a dental block than take xanax. A good dental block will make this painless . Most of my patients rather have a few minutes of discomfort than be numb for long period. more

Jo Herzog, MD
Birmingham Dermatologist

Xanax for Juvederm injections

Injections of Juvederm in the lips are extremely painful without a nerve block. I usually inject Xylocaine to do an infraorbital nerve block and a mental nerve block through the skin or through the mouth prior to injecting the Juvederm. After the experience that you describe, I think a little Xanax would be helpful IN ADDITION TO the nerve blocks, as long as you have someone drive you back home. There is now a "New and Improved" Juvederm... more

Eugene Mandrea, MD
Chicago Dermatologist

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

dorsetstreetdermatology.com

Xanax is a bad idea

Benzodiazepines like Xanax® reduce an individual's self control, and may also interfere with your ability to drive to and from your appointment. Proper anesthesia with a nerve block or with ice [as detailed in Dermatological Surgery Spring 2010] should be perfectly adequate. If anxiety is the problem, the combination of propranolol 40 mg and L-theanine 200 mg, 1-2 hours before treatment, is generally very effective, safe and well tolerated -- and will not interfere with your... more

Kevin C. Smith, MD
Niagara Falls Dermatologic Surgeon

Xanax and Juvederm

Xanax without a block is a bad idea. I have found that whita proper nerve block Juvederm can be pain free. Xanax will not achieve this. Michel Siegel, MD

Michel Siegel, MD
Houston Facial Plastic Surgeon

houstonfaces.com

Topical anesthetic or a nerve-block may be used for Injectable Filler, Lip Augmentation.

I read your concern. Hyaluronic acid fillers like Juvederm burn when they're injected. You should consider using topical anesthetic for around 20 minutes before your procedure. In my practice, the topical anesthetic is lidocaine / prilocaine / phenylepherine, and lip procedures are well tolerated by nearly all of my patients. Or you could ask for a nerve block which would render your procedure painless. Juvederm with no anesthetic is painful for everyone. Most patients that... more