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Restylane contains lidocaine and typically doesn't require that you take any pain medication prior to injection(s). Topical numbing cream and ice usually suffice for the discomfort upon treatment.
Topical numbing plus the numbing in the filler is now so good that supplemental nerve blocks or even the ouchless needle is not really needed. There are individuals who have a panic disorder -needle phobes -who faint at the sight of a needle. These individuals essentially need an anesthesiologist to sedate them in order to have service. As you can image this adds to the cost of having the service.
I have been performing fillers for close to two decades and have never had to give a patient a pain killer. Most patients do very well with ice prior to help any discomfort. Both Restylane and Juvederm come preloaded with Lidocaine which freezes or numbs the area. A Well skilled cosmetic surgeon can directly freeze the area to be injected. Lastly many physicians use the "Ouchless" needle to calm patients' fears.
Vicodin is not necessary for fillers. In addition to topical numbing creams and ice packs, distraction techniques are also excellent. Bring your iPhone/headset and listen to some music. We have TV"s in our exam rooms so patients can watch or listen to their favorite shows as well. Also, most of the fillers have Lidocaine added already which lessens the pain considerably.
Pain killers are not needed for facial filler injections. Ice packs, topical numbing cream and good technique make the procedures eminently tolerable.