Juvederm with a Dental Block Cause More Swelling?

Dental blocks do not cause significant swelling in the locations they are injected. They can make the procedure of filling the smile folds and marionette lines painless.  If the lips are to be injected, then a local block can be done in the lips under the mucosal lining which blocks the middle of the lip which sometimes is not numbed by the dental blocks.

There are many patients though, that do not want dental blocks because they don't like the feeling of the droopy lips as if they were just at the dentist. Without these blocks, the following can be used: Ice before hand, a good numbing cream, mixing the filler with an anesthetic (which is becoming very common) and a slow delivery of the injeciton all make the procedure very tolerable.

Injection of fillers like Juvederm can be done in the office under local anesthesia such as topical, direct injections and/or blocks. These all are combined with ice to limit swelling and bruising. Juvederm does have a new filler called Juvederm XC with powdered lidocaine in it and in both forms: Juvederm XC Ultra and Ultra plus. Dental blocks are great for injection in and around the lips and will make things very comfortable. They should limit the swelling and bruising in the area secondary to the lack of pre-injection trauma and the increased comfort level. Since you had such a bad experience last time I would try the injections with a block and then graduate to the XC for the nasolabial folds. Still use ice, but this will be a better and more accurate placement of the filler.

Nerve blocks should not increase your swelling.  They might increase the risk of bruising however, as each nerve block injection has the potential for causing a bruise.  Your physician will advise you on how long he/she would like you to apply ice after your treatment, but usually intermittently for several hours or throughout that first day is sufficient.