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Vampire facial - is the pain manageable without numbing cream?

I do not use numbing cream for injectables. The numbing cream makes me anxious. I can tolerate the shots fine. My concern is getting microneedling without the numbing cream. I will be getting this done with a new doctor who thinks I won’t be able to tolerate the pain. Years ago I struggled with the pain of Thermage. I am 72. What do you think?

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