Xanax for Juvederm Lip Injection with out a Nerve Block?

It is uncommon to experience so much discomfort during an lip augmentation injection. Xanax may alleviate your anxiety, but is unlikely to have much effect on your perception of pain. Consider discussing with your doctor other available options such as topical or local anesthesia. Good luck.

If you are having that much pain, the Xanax may make you feel less anxious but you'll still have pain.  Topical anesthetic gel helps significantly.  If that is not enough, ask the doctor to do a nerve block and that will make it so much less painful.  Granted, it will feel for an hour or so as if you were at the dentist, but that's the price to pay for comfort.
 

Experienced injectors will use nerve blocks for filler injections - especially to a particularly sensitive area such as the lips.  The newest form of Juvederm also comes with lidocaine (a numbing medicine) incorporated into the product.  If used correctly, Juvederm injections to the lips should not cause very much discomfort at all.  Don't assume that just because your provider is a PS that he/she has extensive experience using injectables.  Always ask how many injections the providers (including the MDs) at the clinic have performed.  There is no substitute for experience.  

Although there is a subset of my patients who prefer not to have a nerve block a Juvederm/ Restylane injection in the lip, the vast majority of my patients prefer it.  The lip is extremely sensitive and repetitive injections in the area without a nerve block can be exquisitely painful.  At the same time, a nerve block affects sensation and motion of the lips for several hours which is considered undesirable by some of my patients.

Xanax will "take the edge off" prior to lip augmentation with Juvederm but local anesthetic is more effective to reduce pain. Xanax does not reduce pain but rather reduces procedure-related anxiety. This typically involves infraorbital and mental nerve blocks supplemented with topical ice treatment to minimze bruising. This tends to eliminate most discomfort associatied with hyaluronic acid filler lip treatments.Stephen Weber MD, FACS