Sedatives Before Dermal Fillers and Botox?

Doing good nerve blocks and using the Zimmer Chiller makes the injections for botox and fillers almost painless and so easy to go through that you don't need any sedatives.  Sincerely,

David Hansen,MD

I have never prescribed sedatives to these patients. I have also had the procedures myself and did not find the pain to be that unbearable. For filler injection though I usually place nerve blocks to make the patient more comfortable especially for the nasolabial folds and when injecting sculptra for general cheek filling. After the first few injections in a session the first time patients are usually no longer anxious.

In my practice this is rare and is only prescribed when patients have severe anxiety about the procedure. Typically, this is one out of 80 or 90 patients. Most patients tolerate the procedure with minor injection pain which is blunted by the topical anesthetic.