Is Juvederm for Lips Painful?

I went a couple days ago to get my lips plumped up with Juvederm. The MD applied a topical anesthetic and then proceded to give a local one like you get in your gums at the dentist. It was so painful that I fainted. I didn't even get to have my lips done. I'm too scared to go back and finish the procedure but I paid a lot of money. Is there any way this can be completed with out me having to pass out from the pain? Should lip injections hurt this bad?

Doctor Answers 43

Anesthesia with Lip Augmentation: Juvederm, Restylane. Towards painless lip augmentation

Lip Augmentation with facial fillers such as Juvederm and Restylane is a very common procedure. Although pain tolerance between patients varies considerably, there are many topical, injection technique related, and infiltrative anesthetic treatments that can minimize pain.

A reasonable approach to anesthesia for lip augmentation should focus on the following techniques:

  • Local anesthetic block of the infraorbital nerve and mental nerves
  • Topical anesthesia of the inner lip mucosa and the outer lip skin
  • Bolus injections of lidocaine into the upper sulcus and lower sulcus to reduce any ancillary nerve fibers
  • Use of a smaller needle.

If you are still having pain after the first injection, have your practitioner apply more topical anesthetic and injection. Be aware that anesthetics have toxic doses and only an experienced medical physician should be injecting these medicines.

Los Angeles Plastic Surgeon
4.8 out of 5 stars 90 reviews

Juvederm placed in the lips can be painful if no local...

Juvederm placed in the lips can be painful if no local or topical is used. Some of my patients take it "cold" - no anesthetics. Most take at least a topical.

For the more sensitive patients, I will often place a topical on the skin for 30 minutes, and add a viscous lidocaine solution to be placed along the gum line inside the mouth for about 5-10 minutes prior to performing nerve blocks. This makes the lip completely anesthetic and very easy for the patient.

I am sure you were just very nervous, and that is why you fainted. My patients often comment on how easy the procedure went.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 23 reviews

Have your doctor mix Lidocaine with Juvederm

That must have been really painful to faint like that.

Make sure the physician leaves the topical anesthetic on 30-40 minutes. Perhaps, after your experience, the doctor has found another pharmacy to mix up his anesthetic formulation. We have found our topical to be wonderful, after trying two others (one including Pliaglis).

I find Morita's Hurricaine sticks to be helpful under the lip and in the area for the dental block. Then the dental block should be performed knocking out the infraorbital and mental nerves.

Agree with the adding Lidocaine to the filler helps and slow injection techniques.
Not that I agree with this but some physicians, prefer not to do a dental block. They feel that the dental block can distort the lips.

Using the above measures should make lip augmentation much less of a harrowing event for you.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
4.7 out of 5 stars 13 reviews

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No need to have any pain

Juvederm to the lips are painful if you do not get adequate anesthesia.

I usually do nerve block (like the dentists use) to numb the lips. Once the lip is completely numb, I do the injection.

Next time, ask for nerve block.

Payman Simoni, MD
Beverly Hills Facial Plastic Surgeon
3.4 out of 5 stars 12 reviews

Pain with lip injectables

We make every effort to decrease pain from lip injectables. However, everyone has a different pain threshold. There are a lot of variables of why a person can faint from an injection. I would suggest to discuss options with you injector as you present a unique situation.

Painful Lip Injections

Thank you for your question!  I would reccomend a topical numbing cream before the actual injections.  Everyone is different when it comes to pain tolerance.  Best of luck!
Dr Dhaval PatelDouble Board Certified Plastic SurgeonChicago Hoffman EstatesOak Brook

Dhaval M. Patel, MD
Hoffman Estates Plastic Surgeon
4.8 out of 5 stars 77 reviews

Juvéderm injections are now more bearable than ever

Every person has a different pain threshold, and the lips can be particularly sensitive. In the past, Juvéderm injections required people to endure the pain or for the doctor to make use of an injected freezing agent to make the procedure tolerable. However, nowadays, the great news is that Juvéderm dermal filler contains lidocaine, which results in a quick and bearable procedure for the client. A topical numbing agent and ice can also be used for additional comfort.

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
4.8 out of 5 stars 101 reviews

Juvederm for lips

Thanks for this question.

Thats sounds like a very difficult experience for you.

Its hard to know why you fainted. That may not be the actual pain, but more the thought of, or the actual viewing of the needle.

There are many good options for pain control during lip injections. Topical anaesthetic is great and so is ice. These can be used together and don't involve any needles. You may wish to try this and also try not to look at the needle on the syrige when your Doctor is working on your lips.

Pain with lips injections

Lip injections do tend to be among the most uncomfortable of the dermal injections. I often use topical numbing medication combined with ice. Injectable filler agents also have lidocaine built into them and this also makes the procedure more comfortable. The vast majority of patients tolerate this fairly well. For those that need additional numbing, I will do dental blocks.

Juvederm Injections: Pain Tolerance Varies

Pain tolerance varies from patient to patient when injectable fillers are used. In some cases, patients are able to undergo the procedure without anesthesia, while in other patients, anesthesia is an absolute requirement.
The lips have a high density of sensory nerves and for this reason are very sensitive to pain. Pain thresholds vary from patient to patient for a variety of reasons including anxiety. In some patients this procedure can be performed without anesthesia; while in others this would never be a consideration. Based on your history, quality anesthesia was never really attained and as a result the procedure was discontinued.
Clearly alternate strategies are necessary to make this a comfortable experience. Multiple options are available for anesthesia under these circumstances. These include topical agents, injectable agents and drugs that address anxiety. In many cases slowing down the process and using these tools in combination can make this a more comfortable experience.
Topical anesthetics are relatively easy to use. These agents are simply spread over the area before the procedure. They take approximately 10 to 15 minutes to work and are moderately effective. The administration of these agents is pain free, but doesn’t totally alleviate pain from the injection of dermal fillers. They can also be used intra orally prior to intraoral anesthetic injections.
When using injectable fillers nerve blocks with local anesthetics are extremely effective. This procedure is performed by infiltrating local anesthetic intra-orally in the area of the infra orbital and mental nerves. This effectively provides anesthesia of the upper and lower lips and surrounding areas. This approach provides excellent anesthesia which is almost instantaneous.
Treating anxiety with Valium is also helpful when these situations arise. Using topical anesthetics prior to injections and giving these drugs adequate time to work is important as well. When injecting local anesthetics, it’s important to inject slowly to avoid unnecessary pain. When these steps are taken treatment with injectable fillers can be a much more comfortable experience for patients.

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.