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There are many ways to administer local anesthesia. Some means are more comfortable than others. I personally like to start by topically numbing the skin with anesthetic cream. No matter what else, this take a big bite out of any discomfort. For procedures like BOTOX and fillers, this is more than enough anesthesia for almost anyone. Even lip edge treatment is pretty tolerable with the use of fillers like Restylane-L which contains the local anesthetic lidocaine. For surgical type procedures in the office, I will use pH adjusted products like Septicaine which does not sting. I also have a device called the Wand, which is a computer driven pump that administers local anesthetic much more slowly than humanly possible. Using this combination of techniques, people are pleasantly surprised how comfortable the process can be.
Local anesthesia injected to the face can sting a bit from the acidic ph of the fluid. Someitmes this can be neutralized with bicarbonate. Also topical anesthetic can be used first before injection
There is some discomfort to receiving local injections. Every person has a different level of tolerance. some tricks that help are to buffer the solution which diminishes the burning feeling, use numbing cream before injection and have a regional nerve block.
Everone has a different level of pain tolerance. Needles by defination hurt.. But, there are many tricks that can be used to make them tolerable.
If this is a fracture, x-ray should show it. Also, your doctor should be able to feel a step-off line. Most likely this the result of a hematoma that has become calcified or at least scar tissue. You may need to have removed.
Sometimes fat grafting can help restore or add volume to the mid face and cheeks. It’s hard to say if this is right for you from this photo alone
NO SURGERY and NO FILLERS. You need to see a psychologist to determine if you have an eating disorder.
Your posted photos show that your chin center is to the left of your facial midline. I had braces and retainers as a teenager but my chin is not off center. It is unlikely that your chin is off center because you had braces although you need for braces may have been related to the chin asymmetry...
Your single small posted photo does not allow a complete analysis of the situation. You will need a face to face examination with a qualified surgeon. If this small bulging fat is reducible by hand then it is shifted buccal fat. The solution then is removal of the buccal fat pad via an incision...
Actual photos would definitely help tremendously answer your question correctly. You are still going through the immediate postoperative phase and, as with any surgery, some changes may be attributable to that (such as swelling, pulling, firmness, some irregularity and asymmetry). These...
