Abstract
Background
Vibration anesthesia is an effective pain-reduction technique for facial cosmetic injections. The analgesic effect of this method was tested in this study during facial dermal filler injections. The study aimed to evaluate the safety and efficacy of vibration anesthesia for these facial injections.
Methods
This prospective study analyzed 41 patients who received dermal filler injections to the nasolabial folds, tear troughs, cheeks, and other facial sites. The injections were administered in a randomly assigned split-face design. One side of the patient’s face received vibration together with dermal filler injections, whereas the other side received dermal filler injections alone. The patients completed a posttreatment questionnaire pertaining to injection pain, adverse effects, and preference for vibration with future dermal filler injections.
Results
The patients experienced both clinically and statistically significant pain reduction when a vibration stimulus was co-administered with the dermal filler injections. No adverse events were reported. The majority of the patients (95 %) reported a preference for vibration anesthesia with subsequent dermal filler injections.
Conclusions
Vibration is a safe and effective method of achieving anesthesia during facial dermal filler injections.
Level of Evidence IV
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References
American Society of Plastic Surgeons: 13.8 Million Cosmetic Plastic Surgery Procedures Performed in 2011. Retrieved September 2, 2012 from http://www.plasticsurgery.org/News-and-Resources/138-Million-Cosmetic-Plastic-Surgery-Procedures-Performed-in-2011.html
American Society of Plastic Surgeons: 2011 Cosmetic plastic surgery statistics. http://www.plasticsurgery.org/Documents/news-resources/statistics/2011-statistics/2011-cosmetic-procedures-trends-statistics.pdf. Accessed 24 Mar 2012
Brandt F, Bank D, Cross S, Weiss R (2010) A lidocaine-containing formulation of large-gel particle hyaluronic acid alleviates pain. Dermatol Surg 36(Suppl 3):1876–1885
Fayers T, Morris DS, Dolman PJ (2010) Vibration-assisted anesthesia in eyelid surgery. Ophthalmology 117:1453–1457
Melzack R, Wall PD (1965) Pain mechanisms: a new theory. Science 150:971–979
Nanitsos E, Vartula R, Forte A, Dennison PJ, Peck CC (2009) The effect of vibration on pain during local anaesthesia injections. Aust Dent J 54:94–100
Nestor MS, Ablon GR, Stillman MA (2010) The use of a contact cooling device to reduce pain and ecchymosis associated with dermal filler injections. J Clin Aesthet Dermatol 3:29–34
Package Insert (2003) EMLA cream and anesthetic disk. AstraZeneca, London
Sharma P, Czyz CN, Wulc AE (2011) Investigating the efficacy of vibration anesthesia to reduce pain from cosmetic botulinum toxin injections. Aesthet Surg J 31:966–971
Smith KC, Comite CL, Balasubramanian S, Carver A, Liu JF (2004) Vibration anesthesia: a noninvasive method of reducing discomfort prior to dermatologic procedures. Dermatol Online J 10:1
Suhonen R, Kanerva L (1997) Contact allergy and cross-reactions caused by prilocaine. Am J Contact Dermat 8:231–235
Weiss RA, Lavin PT (2009) Reduction of pain and anxiety prior to botulinum toxin injections with a new topical anesthetic method. Ophthal Plast Reconstr Surg 25:173–177
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Mally, P., Czyz, C.N., Chan, N.J. et al. Vibration Anesthesia for the Reduction of Pain with Facial Dermal Filler Injections. Aesth Plast Surg 38, 413–418 (2014). https://doi.org/10.1007/s00266-013-0264-4
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DOI: https://doi.org/10.1007/s00266-013-0264-4