Do Dermal Fillers Hurt? Common Questions
Do dermal fillers hurt? The short answer: most people describe the pain as minimal. It feels like a quick pinch or mild sting, often compared to a bee sting. While areas like the lips and under-eyes are more sensitive, techniques like numbing creams, ice packs, and fillers with lidocaine can make the process more comfortable.
Key points to know:
Pain varies by area: Lips and tear troughs are more sensitive, while cheeks and jawline are less so.
What to expect: A short procedure with mild, temporary effects like swelling or tenderness.
Pain management: Numbing creams, cold compresses, or distraction techniques help reduce discomfort.
Post-treatment care: Follow simple aftercare steps like hydration, avoiding intense activity, and using cold packs.
With an experienced provider, the process is quick and manageable, and most people return to their normal routines within a day or two.
Do Dermal Fillers Hurt? | Mabrie Facial Institute in San Francisco
What Happens During a Dermal Filler Procedure
Getting familiar with what happens during a dermal filler procedure can help ease any nerves you might have. Most people describe the experience as mildly uncomfortable – far from the intense pain some might imagine.
Normal Sensations During Treatment
When the injections are administered, you might feel a quick pinch, a slight sting, or some pressure. Occasionally, there’s a mild burning sensation, but it fades almost immediately.
“Facial injections, even lip injections, if done carefully, do not hurt. The discomfort for this procedure is actually very low.” – Dr. Jonathan Sykes, World-famous expert plastic surgeon [1]
Interestingly, the first injection in a series tends to feel more uncomfortable. However, after that initial “stick”, the lidocaine in the filler helps reduce discomfort for subsequent injections.
“The first ‘stick’ in the series of injections usually hurts the most, but the pain of the remaining injections is eased by the lidocaine in the filler.” – Melanie Prince, MD [2]
The type of filler also plays a role in how it feels. Hyaluronic acid fillers, for instance, are softer and smoother than collagen stimulators or permanent fillers, which can make the process more comfortable. However, the sensation can also vary depending on the area being treated.
Areas That Feel More Sensitive
Not all parts of the face feel the same during injections. The level of sensitivity often depends on how many nerve endings are in the area.
High-sensitivity areas: The lips and tear troughs (under-eye area) are the most sensitive. The lips, especially the vermilion border (the lip outline), are packed with nerve endings, making this a more uncomfortable area to treat. Similarly, the thin, delicate skin under the eyes offers little cushioning, which can heighten sensitivity.
Moderate-sensitivity areas: The nasolabial folds (smile lines) and chin fall in this category. The upper part of the nasolabial folds near the nose is usually more sensitive than the lower portion, due to the way nerves are distributed in this region.
Low-sensitivity areas: The cheeks and jawline are typically the least sensitive. These areas have fewer nerves and more tissue cushioning, so most patients find injections here to be the most comfortable.
For particularly sensitive areas, your provider might opt for techniques designed to minimize discomfort. For instance, they may use a cannula – a blunt-tipped instrument – rather than a traditional needle. This method is especially common in delicate areas like the tear troughs, as it can reduce both pain and the likelihood of bruising.
What Affects Your Comfort Level
Injection Location and Sensitivity
Where the injection is administered plays a big role in how it feels. Different areas of the face have varying levels of nerve density and skin thickness, which can make some spots more sensitive than others.
For example, high-nerve-density areas like the lips and tear troughs are more likely to feel uncomfortable. The lips, with their dense network of nerves and thin cushioning, tend to be one of the most sensitive areas. Similarly, the tear trough area, due to its thin skin, can feel more intense during treatment. On the other hand, regions like the cheeks and jawline are less sensitive because they have fewer nerve endings and more tissue padding, which helps reduce discomfort.
Very high
Lips — high nerve density
High
Tear troughs (under eyes) — high nerve density
Moderate
Nasolabial folds (smile lines) — moderate nerve density
Chin — moderate nerve density
Low to moderate
Cheeks — low nerve density
Low
Jawline — low nerve density
Quick ranking (most → least sensitive): Lips → Tear troughs → Nasolabial folds/Chin → Cheeks → Jawline.
Thicker skin or extra fatty tissue in certain areas can also act as a natural cushion, making the experience more comfortable.
Your Personal Pain Tolerance
Everyone experiences pain differently, so your personal pain threshold can greatly affect how you feel during treatment. For some, the sensation might be no more than a mild pinch, while others could find it more uncomfortable. Several factors can influence your sensitivity, including:
Past experiences with injections or medical procedures
Stress and anxiety levels on the day of treatment
Time of day, as energy levels can impact how you perceive discomfort
Menstrual cycle timing, since sensitivity can increase during certain phases
Caffeine intake, which may heighten your awareness of pain
These personal factors can make a big difference in how you perceive the procedure.
Provider Skill and Experience
The expertise of your injector is another key factor in your comfort level. An experienced provider knows how to use precise techniques, choose the right needle angles, and work quickly yet carefully to minimize any discomfort. They’re also skilled at creating a calm and reassuring environment, which can help ease any anxiety you might feel.
A good provider will know when to pause if you need a break and can adjust their approach based on how you’re responding. They might also use distraction techniques to make the process feel less intense.
All of these elements – location sensitivity, personal pain tolerance, and the skill of your provider – combine to shape your overall comfort during the treatment.
How to Reduce Pain During Dermal Fillers
There are several effective ways to make dermal filler treatments more comfortable. Most providers combine these approaches to help ensure a smoother, less painful experience. Below are some of the most commonly used techniques to ease discomfort during the procedure.
Numbing Creams and Lidocaine
Topical numbing creams are a go-to option for reducing discomfort. These creams, often containing lidocaine, benzocaine, or prilocaine, work by temporarily blocking nerve signals in the skin. Typically, your provider will apply the cream about 15–20 minutes before starting the injections.
Many dermal fillers also come pre-mixed with lidocaine. As the filler is injected, the lidocaine spreads through the treatment area, helping to numb the skin further. This combination can significantly reduce the sharpness of the injections, though you may still feel some pressure or movement during the procedure.
Ice Packs and Cold Compresses
Cold therapy is another simple yet highly effective way to reduce sensitivity. Applying an ice pack or cold compress to the treatment area before the procedure can naturally numb the skin and make the experience more comfortable.
After each injection, a quick cold compress can help ease any lingering discomfort, while also reducing swelling and inflammation. The cooling effect works by constricting blood vessels, which can also help minimize bruising and make the area feel calmer.
Additional Comfort Methods
In addition to numbing creams and cold therapy, there are other strategies to make the process even more tolerable. Some providers use vibration devices during the procedure, which can distract from the sensation of the needle.
Distraction techniques, such as engaging in conversation, listening to soothing music, or practicing deep breathing, can also help keep your mind off the treatment. When you’re relaxed and focused elsewhere, the procedure often feels less intense.
Specialized injection techniques can also reduce discomfort by limiting the number of entry points needed for the treatment. Additionally, ensuring you’re properly positioned in the treatment chair – with good support for your head and neck – can make the experience much more comfortable.
Don’t hesitate to share your preferences with your provider. Open communication is key to tailoring the treatment for your comfort.
Recovery After Dermal Fillers
Getting through the injection process comfortably is important, but what you do afterward can make a big difference in how you feel and the results you see. The recovery from dermal fillers is usually simple, with most people resuming their usual routines within a day or two. Following the right aftercare steps can help minimize discomfort and ensure the best possible outcome.
Normal Post-Treatment Effects
After receiving dermal fillers, it’s completely normal to notice some mild and temporary side effects. These are your body’s natural reactions to the treatment and typically resolve within a few days.
Tenderness: It’s common for the treated areas to feel a bit sore, much like how your arm might feel after a shot. This sensitivity is usually most noticeable in the first 24 hours and fades over the next couple of days.
Swelling: Areas with thinner skin, such as the lips or under the eyes, may experience more noticeable swelling. While this is most prominent right after the procedure, it generally subsides within 24-48 hours. For lips, slight swelling can last up to a week.
Bruising: Not everyone bruises, but it’s more likely if you have sensitive skin or are taking certain medications. Bruises usually fade within 5-7 days and can be concealed with makeup after the first 24 hours.
Redness: The injection sites might look a little pink or flushed, similar to a mild sunburn. This typically goes away within a few hours to a day.
While these effects are expected, following proper aftercare can make your recovery more comfortable.
Aftercare Tips for Comfort
Taking care of your skin after treatment can ease discomfort and speed up the healing process. Here are some helpful tips:
Use cold compresses: Applying a cold pack (with a clean cloth as a barrier) for 10-15 minutes at a time during the first 24 hours can reduce swelling and provide relief.
Elevate your head: Sleeping with an extra pillow for the first couple of nights can help reduce swelling by improving circulation and preventing fluid buildup.
Avoid touching or massaging the treated areas unless directed by your provider. This prevents bacteria from causing infections and ensures the filler settles as intended.
Stay hydrated: Drinking plenty of water supports your body’s natural healing process and may help reduce swelling more quickly.
Limit physical activity: Skip intense workouts, saunas, or anything that makes you sweat excessively for 24-48 hours. Increased blood flow can worsen swelling and bruising.
Sleep on your back: Try to avoid pressing your face against the pillow for the first few nights, especially if you’ve had facial fillers.
Stick to gentle skincare: Avoid using harsh products like retinoids, exfoliants, or anything with strong fragrances for at least 48 hours. Choose mild, fragrance-free cleansers and moisturizers instead.
When to Call Your Provider
While most side effects are minor and temporary, there are times when reaching out to your provider is necessary. Here’s what to watch for:
Persistent or worsening pain: If tenderness doesn’t improve after 2-3 days or becomes more severe, it’s time to check in with your provider.
Excessive swelling: If swelling hasn’t improved after 48 hours or is interfering with your vision, breathing, or daily activities, contact your provider.
Signs of infection: Symptoms like spreading redness, warmth, pus, unusual discharge, red streaks, or fever require immediate attention.
Unusual lumps or bumps: While minor irregularities can happen as the filler settles, any lumps that last beyond a week should be evaluated.
Skin color changes: Blanching (white patches), persistent redness, or darkened skin could signal circulation issues and should be reported right away.
Allergic reactions: Though rare, symptoms like widespread rash, difficulty breathing, or severe swelling beyond the treated area need urgent medical care.
Your provider is there to guide you through the recovery process. If you’re unsure about anything or feel uneasy, don’t hesitate to reach out – they’d much rather address your concerns early than have you endure unnecessary discomfort.
Pain Levels by Treatment Area
When it comes to dermal fillers, the level of discomfort you might feel can vary depending on the area being treated. Some facial regions are more sensitive than others, and understanding these differences can help you prepare and discuss pain management options with your provider.
Areas like the lips and nasolabial folds tend to be the most sensitive. This is because these regions have a higher concentration of nerve endings. Additionally, the nasolabial fold area is constantly in motion when you talk, eat, or smile, which can lead to extra soreness after treatment.
On the other hand, areas such as the cheeks, tear troughs, chin, and jawline are generally less sensitive. While everyone’s pain tolerance and biology are different, these patterns are fairly consistent for most people.
Other factors can also influence how much discomfort you experience. The injector’s skill and technique, your individual pain threshold, and even how stressed or relaxed you feel on the day of the procedure can all play a role. Below is a quick comparison of typical pain levels across treatment areas.
Treatment Area Comparison Chart
High
Lips — many nerve endings; more sensitive.
Nasolabial folds — dense nerves + frequent movement increase discomfort.
Low to moderate
Cheeks — fewer nerve endings; less sensitive.
Under eyes (tear troughs) — delicate skin but usually tolerable.
Jawline — typically comfortable for most.
Low
Chin — generally well tolerated.
Conclusion: Preparing for Your Dermal Filler Treatment
Understanding the process can go a long way in calming any nerves. Choosing a skilled provider, following pre-treatment instructions, and using effective numbing methods can make the experience much smoother. The injection itself usually takes just 15-30 minutes, and many modern dermal fillers include lidocaine to reduce discomfort both during and after the procedure. Most people find the process far easier than they had imagined.
At Calista Aesthetics, Dr. Monica Bonakdar and her team focus on making your experience as comfortable as possible. From your first consultation – where you can openly discuss concerns and preferences – to the careful use of numbing techniques and precise injections, every step is tailored to help you feel at ease and confident.
If you’re worried about pain, don’t hesitate to ask about pain management options or request a pause during treatment. Keeping an open dialogue with your provider ensures your comfort and helps you achieve your desired results. With thoughtful preparation and a team that prioritizes your well-being, dermal filler treatments can be a smooth and positive experience.
FAQs
Choosing the right provider plays a big role in making your dermal filler experience as smooth and comfortable as possible. Start by ensuring the provider is licensed and board-certified, with specialized training in aesthetic medicine or dermatology. These credentials show they have the expertise and prioritize safety.
Experience matters, too. Opt for a provider who has a solid track record and offers personalized consultations. This one-on-one time helps them understand your goals and tailor the procedure to your needs, which can make the entire process more comfortable. Don’t forget to check out before-and-after photos of their work – seeing real results can give you added confidence in their skills.
If you notice anything unusual after getting dermal fillers – like severe pain, signs of infection (such as fever or excessive redness), or sudden changes in skin color – get in touch with your healthcare provider immediately. These could be signs of serious complications that require prompt medical attention.
For less severe issues, like prolonged swelling, redness, or small lumps, it’s still a good idea to check in with your provider. They can evaluate your symptoms and suggest the right steps to help you heal properly and avoid further problems.
Make sure to stick to the aftercare instructions your provider gives you, and don’t hesitate to reach out if something feels off.
To help make your dermal filler appointment as comfortable as possible, there are a few steps you can take beforehand. First, steer clear of blood-thinning medications like aspirin or ibuprofen, as well as herbal supplements, for at least a week before your procedure. These can increase the likelihood of bruising. Additionally, avoid alcohol and caffeine for 24 hours prior to your appointment, as they may also heighten the risk of bruising.
If you need pain relief before the procedure, choose acetaminophen (Tylenol) instead of NSAIDs. Staying well-hydrated and carefully following any instructions provided by your practitioner can also help ensure a smoother experience. Make sure to discuss any medications you’re taking or other concerns with your provider ahead of time.