Is Botox Painful?

i hate needles more than anything becs of  pain.  irrational, i know. i heard botox cosmetic can be really painful to get injected. if thats true, i'll have to live with the forhead wrinkles!

Doctor Answers 32

Botox pain, not really

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I am amazed how many women refuse any sort of pain relief measures. Men are a different story. Most of my Botox veterans deign any pain relief at all, but it is certainly available.

Patients can be pre-treated with a topical anesthetic to the areas that we intend to inject. Properly formulated, these can do an amazing job. After trying a number of pharmacies, we have found one here in Virginia Beach which provides amazing pain relief.

We can also use a Zimmer cool air device if needed, which further nullifies the prick from the needle.

Injections are done with a 31 gauge needle which is smaller than a TB test or diabetes injection needle.

Finally, ice or cool packs can further blunt the mild pain. These should be used prior to and just after the injections.

Incidentally, as the physicians and patients on this site can attest, injections into the crow's feet and forehead regions are barely perceived. Most "newbies" are surprised about the former. Injections into the glabellar area are a bit more painful but certainly are well tolerated.

Virginia Beach Dermatologist

Is treatment painful?

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The treatment involves using a small number of extremely fine needles to inject a very small volume of product. The discomfort experienced is minimal and a cold pack can be used to reduce discomfort if necessary.

Eddy Dona, MBBS, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 96 reviews

Is Botox Painful?

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Thank you for your question. This really depends on the person. Also, some areas are more painful than others. Usually botox is quick compared to fillers. Best of luck!Dhaval M. PatelDouble board certified Plastic surgeonHoffman EstatesBarringtonOakbrookChicago 

Dhaval M. Patel, MD
Hoffman Estates Plastic Surgeon
4.8 out of 5 stars 100 reviews

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Botox pain

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Some areas may be more sensitive than others but most of my patients don't use the topical numbing cream that we offer for such treatments.

Dennis Gross, MD
New York Dermatologist
4.7 out of 5 stars 11 reviews

No, No, No...Botox injections are not painful...

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and most of us use a topical numbing cream and maybe some ice on top of no, botox is not fact in the forehead you can hardly feel it...and remember it's the same needle diabetics use to give themselves insulin injections with several times a day and you never hear about pain in these instances...but some people have panic attacks at the thought of any that's a different totally unrelated to pain...

Ken Landow, MD
Las Vegas Dermatologist

Botox Injections Are Mostly Painless

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A very tiny needle is all that is needed for the procedure. Some patients report minor and temporary discomfort from the injection.  Ice packs maybe used to help minimize the discomfort and any swelling in the injection site. “Dr. D”

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 127 reviews

BOTOX is mostly painless!

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Very rarely, do I come across someone who requires topical numbing cream before BOTOX. Most people tolerate it very well indeed!

But if you feel that you will need some pain relief, topical numbing cream is a very good option, your doctor will be able to provide you.

Botox is generlally not deemed painful

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Almost everyone agrees that botox is not painful.  For a select few, pain relief measures of topical anesthethic or a cooling device.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

Don't fear botox pain!

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Botox injections are typically done with such a tiny needle that they are virtually painless. If you fear needles and the pain of even a small needle, then ask your provider to apply some topical numbing cream prior to injection to numb the skin. You will be pleasantly surprised how easy botox injections are with a consciencious and experienced injector.

Reducing the pain of Botox injection

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As injections go, Botox isn't too bad. However, no matter how tiny the needle, no one really enjoys getting injected. Although I have many patients who are unfazed by Botox, I usually recommend:

1. Ice: This helps numb the areas prior to injection.

2. Topical anesthetic ointment (numbing cream): To be effective, this should be placed at least 15 to 20 minutes prior to the injection.

3. Nitrous oxide (laughing gas): This makes you feel as if you've had a couple martinis before the injection, and it wears off about 5 minutes after the injection.

Using one or more of these measures, the pain of Botox injections can be well-controlled and is minimal in most patients.

Ronald Friedman, MD
Plano Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.