Does Restylane Injections Hurt?

I am only 27 and get a fair amount of sleep but my dark circles have become developed into slight hollowness. I have a great fear of needles going in me that I don't even have my ears pierced. Can you be put to sleep while getting or can you close your eyes while they are injecting near your eyes?

Doctor Answers 22

Pain from Injections, Restylane Injections

Contrary to how uncomfortable it sounds; discomfort from under eye injections actually tends to be minimal.  In my office, patients receive a topical numbing cream on the area being injected prior to their injections.  Most people do close their eyes when they are injected.  You are certainly not the first or last person who doesn’t want to see a needle coming toward them! I don’t see any reason why closing your eyes would be problematic, just check ahead of time with your injector.

Santa Monica Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

Restylane - Does Restylane Injections Hurt?

No, and Yes.

While it's completely understandable that you would not be happy about having needles inserted for a treatment such as this, being "put to sleep" is excessive treatment for the procedure in question.  There are risks with all anesthesia, and they would simply not be justified for this.

You can, of course, close your eyes, and that will help.  More than this, though, is to have a topical treatment to numb the skin (it takes about 20-30 minutes to work so you need to allow a little extra time).  That is then usually enough so that the discomfort is minimal.  In extreme cases you could take an anti-anxiety pill, such as Valium, before your treatments but this is not normally necessary.

Easy for me to say that...

I hope that this helps, and good luck,

Dr. E

Do Restylane Injections Hurt?

Hi GLY.  We certainly understand your anxiety.  We have lots of patients that are concerned about pain when they first come in for injection procedures.  

While pain is a very personal issue, we will say that the undereye area is one of the easiest places to have Restylane injected from a pain perspective.  We use topical numbing cream (a 30% mix of benzocaine, tetracaine and lidocaine) as well as a cold pack.  In addition, the Restylane itself has lidocaine in it.  So, there are several measures taken to ensure a comfortable treatment.  

Unfortunately, general anesthesia is not an option for this type of treatment.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.5 out of 5 stars 8 reviews

Restylane under the eyes involves minimal discomfort


As scary and painful as having injections under the eyes may sound it is actually surprisingly uneventful and very tolerable.  We generally use a topical anesthetic on the skin prior to injections and there is also lidocaine (an anesthetic) in the Restylane as well.  Patients are always pleasantly surprised how little of the treatment they even feel....and yes, you can close your eyes.  I really wouldn't suggest, nor would I think it's necessary to do,  general anesthesia for such a procedure.  I think you'll be surprised about how quickly and easily these injections can be done by an experienced injector.

Good luck~

Dr. Grant Stevens    

Restylane injections to tear troughs do not hurt.


We use a little local anesthesia inside the mouth, which numbs all the nerves.  Then, the Restylane injections do not hurt at all, and of course you keep your eyes closed.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

The hardest part of the filler injections is the anticipation

They really aren't too bad. I have performed thousands of facial filler injections, (and been on the receiving end of them too). 

Most fillers do have numbing medication mixed with them.  In addition numbing cream can be used.  Also numbing nerve blocks are very helpful for some areas of the face.

Finally, it is often the apprehension that is the worst part.  If you think this might be the case, come with a friend. You can have a mild sedative tablet, and your friend can drive you home. Once you have done it once, you will probably find it is not anywhere as hard as you might have imagined. 

Christopher J. Peers, MD
South Bend Facial Plastic Surgeon
4.6 out of 5 stars 5 reviews

Methods are available to provide injections without much discomfort

While some patients choose to undergo sedation in order to get fillers, its more typical when there is a large amount of product being used.  Injecting Restylane into your tear troughs to address dark circles or hallows will likely not require much product, relatively speaking - and therefore, not many needle pricks.  That being said, given your fear of needles, its important to understand that things have come a long way in terms of patient comfort and pain management with non-surgical treatments. Restylane currently comes in a formulation containing lidocaine (numbing medication) which numbs the area immediately.  To calm your nerves, you might consider speaking to your doctor about prescribing Valium prior to treatment (just make sure you arrange a ride home, as you should not drive).  

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.6 out of 5 stars 221 reviews

The hurt of restylane inections

  It is difficult to treat a patient with a real, genuine needle phobia with injectable fillers.  Of course, you could have sedation but as stated by others, the cost of this could be prohibitive.  But if your fear is really of the pain more than of the needle, there are numerous techniques that can be employed to make this injection tolerable.  Certainly, I see no reason why you could not close your eyes during this treatment.   Do mention your fears to your treating physician and he/she will likely go out of his way to make you comfortable.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
4.9 out of 5 stars 116 reviews

Does Restylane Injections Hurt?

The costs for sedation would far out weigh the costs for the Restylane injections. Think about this. Or try numbing creams, local blocks, hypnosis to alleviate your fear of the needle. 

Fear of needles a problem with filler treatments

 IMHO, you may not be able to tolertae lower eyelid injections with Restylane or Juvederm if you have a fear, or phobia of needles.  Having anesthesia for soft tissue fillers is a bit extreme but may be an option.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

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.