1. Types of pain felt during dermatological procedures<\/h2>\n\n\n\n
The pain patients feel isn't simply defined as \u2018pain.' The pattern of pain also varies depending on the principle of the procedure.<\/p>\n\n\n\n
- \n
- Stinging<\/strong> It's felt during procedures like Potenza, which involve needle RF or injections. It's the sensation of the needles passing through the skin.<\/li>\n\n\n\n
- Burning sensation<\/strong> It's felt when strong energy, like from Thermage or IPL, is converted into heat.<\/li>\n\n\n\n
- Dull pain<\/strong> During HIFU procedures like Ultherapy, there's a throbbing sensation deep within the skin (at the fascial layer).<\/li>\n\n\n\n
- Distension pain (Pressure):<\/strong> This is the stiffness felt when filler or skin booster liquid enters between tissues.<\/li>\n<\/ul>\n\n\n\n
We need to accurately identify the nature of this pain to choose the appropriate anesthesia method.<\/p>\n\n\n\n
2. Before the procedure: Observe the golden time of the numbing cream.<\/h2>\n\n\n\n
The most basic method is anesthetic cream. However, even with the same cream, the effect can vary greatly depending on how it's applied.<\/p>\n\n\n\n
Increase the penetration rate of anesthetic cream<\/h3>\n\n\n\n
Simply applying cream won't allow the ingredients to penetrate deeply into the skin.<\/p>\n\n\n\n
- \n
- OCD (Occlusive Dressing Technique)<\/strong> After applying cream, seal it with plastic wrap to increase absorption by 2-3 times.<\/li>\n\n\n\n
- Ultrasound-guided (LDM\/Sonostyler):<\/strong> The process may also involve using micro-ultrasound to forcibly push ingredients into the skin after applying numbing cream.<\/li>\n\n\n\n
- Enough time<\/strong> You should allow at least 30 minutes, or preferably 1 hour, for adequate penetration into the skin. <\/li>\n<\/ul>\n\n\n\n
2.1. Before the procedure: Prepare the injection to its final pH.<\/h2>\n\n\n\n
When injecting fillers such as Botox and skin boosters, pain is felt not only when the needle penetrates the skin, but also when the medication is actually injected into the skin or subcutaneous tissue. pH and osmotic pressure are involved in this process. While osmotic pressure is difficult to control, pH can be managed.<\/p>\n\n\n\n
![\"\"](\"https:\/\/terraskinclinic.com\/wp-content\/uploads\/2025\/12\/20260216_184410-1024x768.jpg\")
<\/figure>\nPain experienced when the pH is not right is particularly noticeable when injecting anesthetic solutions like lidocaine. When acidic lidocaine is injected, a burning sensation is felt. To reduce this, our clinic has developed and uses an injection mixing protocol to adjust the pH of each injectable agent to neutral.<\/p>\n<\/div><\/div>\n\n\n\n
3. During Procedure: Physical Blocking Technique<\/h2>\n\n\n\n
If the anesthetic cream takes care of the surface, more aggressive methods are employed during the procedure.<\/p>\n\n\n\n
Nerve Block<\/h3>\n\n\n\n
This is a method of directly injecting anesthetic into the nerve branches that cause pain.<\/p>\n\n\n\n
![\"\"](\"https:\/\/terraskinclinic.com\/wp-content\/uploads\/2026\/02\/\uc8fc\uc0ac\uc2dc\uc220-1024x683.jpg\")
<\/figure>\n\n\n\n- \n
- Advantages:<\/strong> Makes a specific area completely numb.<\/li>\n\n\n\n
- Effects:<\/strong> Pain in the affected area reduced by approximately 80-90%%.<\/li>\n\n\n\n
- Cons:<\/strong> Since it's a blind procedure, there's a chance of failure, and multiple injections are needed because only the area controlled by the specific nerve branch is anesthetized.<\/li>\n<\/ul>\n\n\n\n
Cooling<\/h3>\n\n\n\n
Lowering skin temperature instantaneously slows down the transmission of pain signals.<\/p>\n\n\n\n
- \n
- Cold compress <\/strong>Applying a cold compress to the injection site just before the shot can help by dulling the skin's sensory nerve transmission and constricting blood vessels, which can also reduce swelling and bruising.<\/li>\n\n\n\n
- Chiller<\/strong> During the procedure, cold air below freezing is continuously blown. This is effective in preventing burns on the skin's surface and relieving pain.<\/li>\n<\/ul>\n\n\n\n
Vibration<\/h3>\n\n\n\n
Our brains process vibration signals before pain signals. We utilize the Gate Control Theory, which is the principle of making the brain perceive less pain by placing a micro-vibrator next to the treatment site. This is particularly effective in suppressing the pain when a needle penetrates the skin.<\/p>\n\n\n\n
Nitrous oxide<\/h3>\n\n\n\n
![\"\"](\"https:\/\/terraskinclinic.com\/wp-content\/uploads\/2026\/02\/IMG_5245-1024x683.jpg\")
<\/figure>\nFDA-approved matrix<\/strong>to use Inhaling nitrous oxide<\/strong>This induces a state of consciousness, improved mood, and reduced sensitivity to pain. Once the procedure is complete, the gas is immediately expelled, leading to a rapid recovery.<\/p>\n<\/div><\/div>\n\n\n\n
Sedation<\/strong><\/h3>\n\n\n\n
Sedation is not just for \u201cpain itself,\u201d but Tension, fear, memory<\/strong>The goal is to make the procedure experience smoother by reducing it. However, it is not a necessary method for all patients, When conditions such as monitoring\/safety\/fasting are met<\/strong> You must choose carefully. <\/p>\n\n\n\n
4. Pain Index and Reduction Effect by Procedure Comparison<\/h2>\n\n\n\n
Procedure Name<\/th> Typical pain pattern<\/th> Pain scale (0-10)<\/th> Recommended anesthesia combinations<\/th> Pain relief expectations<\/th><\/tr> Ultherapy<\/strong><\/td> Heavy dull pain, bone tremor<\/td> 6~7<\/td> Numbing cream + laughing gas<\/td> Approximately 40-50% reduction<\/td><\/tr> Thermage<\/strong><\/td> Hot flush<\/td> 5~6<\/td> Anesthesia cream + cooling<\/td> \uc57d 50-60% \uac10\uc18c<\/td><\/tr> Potenza<\/strong><\/td> Sharp sting<\/td> 4~5<\/td> Anesthesia cream + cooling<\/td> Approximately 30-40% decrease<\/td><\/tr> Skin booster<\/strong><\/td> Needle prick stimulation<\/td> 5~7<\/td> Numbing cream + vibrator + cooling<\/td> \uc57d 50-60% \uac10\uc18c<\/td><\/tr> Acne scar revision surgery<\/strong><\/td> Complex pain<\/td> 7~8<\/td> Numbing cream + nerve block<\/td> a decrease of about 70-80%<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n * The pain index can be subjective for each patient, and the expected relief is an medical average.<\/em><\/p>\n\n\n\n
5. After the procedure: Time for soothing and recovery<\/h2>\n\n\n\n
The procedure isn't over once it's finished. The burning pain can make patients uncomfortable for 1-2 hours after the procedure.<\/p>\n\n\n\n
- \n
- Cryo Management:<\/strong> It lowers skin temperature immediately after the procedure to prevent thermal damage.<\/li>\n\n\n\n
- LDM Water Drop Lifting<\/strong> Soothes tissues with micro-vibrations to quickly reduce swelling and pain.<\/li>\n\n\n\n
- LED Light Therapy<\/strong> It reduces post-procedure throbbing by suppressing the inflammatory response.<\/li>\n<\/ul>\n\n\n\n
6. Theremin's \u2018Comfort Protocol\u2019<\/h2>\n\n\n\n
At Terra Dermatology, we don't just apply numbing cream and wait. To care for the psychological anxiety patients feel, we use the following combination:.<\/p>\n\n\n\n
- \n
- Enough<\/strong> Anesthetic cream occlusion<\/strong> Deeper, more reliable anesthesia than regular cream.<\/li>\n\n\n\n
- LDM Anesthetic Cream Penetration:<\/strong> Maximizing the penetration of anesthetic components into the dermis.<\/li>\n\n\n\n
- Dual Anesthesia System<\/strong> Combination of topical anesthetic cream and nerve block.<\/li>\n\n\n\n
- During the procedure, vibration, cooling, and laughing gas will be used concurrently.<\/strong> Various methods are actively used in conjunction to reduce pain.<\/li>\n\n\n\n
- Delicate procedure control<\/strong> The director directly checks the pain level and finely adjusts the energy intensity, injection depth, and interval of the device.<\/li>\n<\/ol>\n\n\n\n
Conclusion: How to Reduce Pain and Increase Effectiveness<\/h2>\n\n\n\n
\u201cThe saying, \u201dDermatological procedures must hurt to be effective,\" is only half true. While higher energy levels can increase the likelihood of effectiveness, if the patient is in pain and moves their body or stops the procedure, it can actually lead to inaccurate treatment.<\/p>\n\n\n\n
Ultimately, receiving planned energy accurately in a comfortable state yields the best results.<\/strong> Have you been avoiding the worries in the mirror due to pain? Now you can be brave. At Therapy Dermatology, we will meticulously pave the way so that your journey to beauty is not painful.<\/p>\n\n\n\n
I hope today's post was of some help to those who hesitated to get dermatology procedures due to pain sensitivity.<\/p>\n\n\n\n
Until now Dongju Hyun, Department of Therapy<\/strong>It was. Thank you.<\/p>","protected":false},"excerpt":{"rendered":"
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- LDM Anesthetic Cream Penetration:<\/strong> Maximizing the penetration of anesthetic components into the dermis.<\/li>\n\n\n\n
- LDM Water Drop Lifting<\/strong> Soothes tissues with micro-vibrations to quickly reduce swelling and pain.<\/li>\n\n\n\n
- Chiller<\/strong> During the procedure, cold air below freezing is continuously blown. This is effective in preventing burns on the skin's surface and relieving pain.<\/li>\n<\/ul>\n\n\n\n
- Effects:<\/strong> Pain in the affected area reduced by approximately 80-90%%.<\/li>\n\n\n\n
- Ultrasound-guided (LDM\/Sonostyler):<\/strong> The process may also involve using micro-ultrasound to forcibly push ingredients into the skin after applying numbing cream.<\/li>\n\n\n\n
- Burning sensation<\/strong> It's felt when strong energy, like from Thermage or IPL, is converted into heat.<\/li>\n\n\n\n