I had Botox done on my forehead 3 months ago and that was painful and I didn't like the way it felt. But the results were extrememly noticable and I will do it again, just not as much. So I was really looking forward to having the Jevederm injections to help with the lines around my mouth. I did not have any numbing cream and the pain was nothing compared with the Botox. You feel the needle but that's it! I made sure that I massaged the area where the Juvederm was injected to help distribute the gel and smooth out any of the lumbs. I have a small bruise at one injection site where I had the deepest line..no big deal! I think I'm hooked!