Can a 27 gauge needle be used to administer azzalure?

Question

I had botox injections slightly more painful than usual a 27 gauge needle used instead of 32. Is this ok ? Both same length and 32 looked slightly thicker

Elham Jafari, MD · Answer

Hi and thank you for your question! While the gauge of needle has little bearing on the results of the Botox treatment, going with lower gauge (i.e. thinker needle) causes unnecessary discomfort and increased risk of bruising, so Botox injection should be done with the finest needle possible. I hope it helps and good luck!

Kenneth D. Steinsapir, MD · Answer

A 27 gauge needle is a bigger needle than a 32 gauge needle. The 27 gauge needle is unnecessarily large. It will be more painful than a sharp 32 gauge needle and more likely to cause bruising. The larger gauge number corresponds to the thinner needle.  Provided the needle is sharp, the thinner needle will be more comfortable than the larger needle.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  In general any material can be injected with a smaller gauge (large diameter) needle, but the reverse is not always the case.  Liquids like Azzalure are best injected with higher gauge needles to reduce the chance of bruising and pain.  Hope this helps.

Sean Doherty, MD, FACS · Answer

A 32 is actually finer than a 27. I am not surprised that the 27 was more painful.... The size of the needle will not affect the results, however. Hope this helps

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question.  The higher the gauge of the needle, the thinner it is.  While needle size has no impact on the final results of your Azzalure treatment, a 27G needle is unnecessarily large.  Larger needles are more uncomfortable for patients and have a higher risk of causing bruising.  I typically inject Botox with a 31G needle to minimize discomfort.  I hope this helps!

Adam Goodwin, MBBS, FRCS(Plast) · Answer

so a 32 gauge needle is the finest we have and likely to cause the least pain for botox. 27 is quite large. Pain perception is down to many thanks, mostly in my experience anxiety and tension. If you were more relaxed the second time that could easily be the cause. 
Hope that helps, Adam Goodwin

Shaun Patel, MD · Answer

Thanks for the question. The size of the needle has no bearing on the results of the treatment. The higher the gauge of the needle, the smaller the needle. I inject Botox using a 31 gauge needle to minimize discomfort. A larger 27 gauge needle is not needed for Botox injection and may cause unnecessary discomfort.

Martie Gidon, MD, FRCPC, FAAD · Answer

The gauge of the needle does not affect the Botox, Dysport or Xeomin treatment.  The higher the gauge of the needle, the more comfortable it is for the patient.

Jo Herzog, MD · Answer

Azzalure, is the same as Dysport and I am unaware that this is available and  FDA approved in USA. A 27 G needle might be used to draw this up out of the bottle but this product is best injected with a 30 G or smaller to better control injection size, pain and bruising. However, if properly injected by an experienced physician the results should be the same. Be sure that you are using an experienced physician who is using fresh approved products when having things injected into your face.

Melvin Elson, MD · Answer

Botox can be injected with any size needle as it is mostly saline The smaller the needle the less discomfort. I use 32 gauge

Can a 27 gauge needle be used to administer azzalure?

Answers (12)

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