I like adding additional lidocaine
Additional lidocaine can be helpful for reducing pain.
More is usually better and the additional liquid lidocaine helps the Juvederm absorb the water it is lookking for.
You will still receive the same amount of Juvederm.
Other helpful things include pre-medication (don't drive and do your consent beforehand), topical anesthetics, frozen needles, thinner needles, ice, distraction techniques, and the use of blunt needles can help.
Lidocaine and Filler Injections
I frequently add a little more lidocaine to the fillers to give my patients more pain relief and I find it helps limit bruising. Although most fillers now do come with some numbing in the product and you can use topical numbing, "squeez-ie" balls, and ice packs. Best, Dr. Emer.
Adding More Lidocaine To Juvederm Voluma
We've never had to do this, but it can be done. Other options would be to use a topical numbing cream, performing a nerve block, or using a microcannula instead of needles. Experienced injectors will know of the best steps to take to make sure your injection process is as comfortable as possible. Best wishes.
Adding Lidocaine to Voluma
There is no reason to add more lidocaine to Voluma. We ice and numb patients with a topical numbing cream which makes the procedure very tolerable. Best, Dr. Green
I have never had to add more lidocaine to Voluma in my practice but that's not to say it isn't possible. There are other options that can ease discomfort including: dental block, topical numbing cream, distraction techniques, and ice. I would find a highly qualified (and highly recommended) injector to perform your injections to ensure your comfort and safety.
I have added lidocaine to filler in the past and it is probably ok to do. Topicals can helps as well or blocks.
You could add topical numbing creams or nerve blocks to make injections more tolerable. Discuss this with your injector, but we should be able to make it as tolerable as possible.
Tolerating the pain of getting juvederm voluma
For patients wity low pain tolerance, i offer a nerve block. I theory Voluma con also be mixed with more lidocaine but it may dilute the volumizing effect.
Voluma Pain Control / Adding More Lidocaine
While your physician can safely add more lidocaine to the #Juvederm #Voluma, the rheologic properties will not be the same. The product will not have the same cohesive #Vycross linking. As a result, you may not achieve the same amount of lifting with a single vial.
Other options for for pain control include local and regional nerve blocks. I find our patients are incredibly comfortable when utilizing #nerveblocks.
Research and extensive clinical experience have shown injection with a serial puncture technique is superior to #cannula injections for Voluma along the cheek. You will typically need less product to achieve the same results when using a needle for #serialpuntures.
Best of luck,
Suneel Chilukuri, M.D.
It can be done, but possibly a nerve block will be better, or different technique
In short, yes, it can be diluted with more lidocaine. There are however many other methods to reduce the pain of the procedure. Fillers IMHO are much less painful than Botox , as I personally have had both over the years. The lidocaine in Juvederm really does help.
Technique is also important, slow injections, slow procedure. Using a cannula is also less painful than multiple injection points ( my preferred filling technique for cheeks).
A nerve block, much like a dental block can also numb some areas around the cheek.
Also, for nervous patients, I often use some laughing gas- Penthrox to help with the pain.
Never problems, always solutions.
All the best
Dr Davin Lim
Laser and aesthetic dermatologist