Lip fillers are perceived as painful. On average, clients give a treatment a pain score of 3-4 (scale 1-10). There are various anesthetic options and treatment techniques. Read all the information below and find a suitable clinic near you.

Are lip fillers painful?

Many people considering cosmetic filler treatments dread the pain. This isn't always the case. Some treatments are painless, while others take just seconds. Some filler treatments can be painful. Most people find lip fillers somewhat sensitive. There are various treatment techniques, some more sensitive than others. There are also ways to numb the area. Is lip filler surgery painful? This article provides tips and tricks for dealing with painful procedures!

Do lip fillers hurt?

Lip fillers pain

In general, a lip filler treatment is considered sensitive. However, the level of discomfort varies greatly per treatment. Important factors include the injection technique used, the type of anesthesia, the skill of the doctor, and the client’s personal pain threshold. The following lip filler treatment techniques are common:

Lip fillers with needle, standard technique

With the standard technique (also called the "normal technique" or "linear technique"), the lips are filled using a needle. An ultra-thin needle (typically 30 gauge, much thinner than a vaccination needle) is inserted into the lip tissue. With each injection, the filler is distributed in small amounts across the desired areas.

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Russian technique (Russian technique)

With the Russian Technique, the lips are filled with many small injections starting from the lip edge. The Russian technique is more painful because the lip line is more sensitive than the lip red. Multiple injections are also required. The Russian technique can optimize the shape of the lips. For example, 'flat lips' and 'heart-shape lips' are trends that can be better achieved with the Russian technique.

Lip augmentation with a cannula

Lips can also be filled with a cannula. A small hole is made in the corners of the mouth through which the blunt cannula can be inserted. The cannula then fills the entire lip with a retracting motion. This treatment is safe, but slightly less precise than lip fillers with a needle.

Lip filler anesthesia

There are several methods to numb the lips before a treatment. This can be done with Emla cream, a “dental anesthetic,” or with anesthesia mixed into the filler itself. Each method has its own characteristics and benefits.

Emla cream lip filler

EMLA is a cream that numbs the skin. It is often used for lip treatments. With EMLA, the needle prick is felt less. The cream must be applied at least 30 minutes before treatment. It works fairly well, but not as effectively as a dental anesthetic.

Dental anesthetic for lip filler

A “dental anesthetic” involves 2 small injections. Using an ultra-thin needle, the lips are completely numbed for several hours. The active ingredient is lidocaine. This method provides the least painful lip treatment.

Lip filler with anesthesia

Many fillers already contain lidocaine mixed in. Brands such as Belotero, Juvéderm, and Restylane commonly include it. The advantage is that you don’t need to wait 30 minutes (like with EMLA cream) or receive an extra injection (like with a dental anesthetic). The downside is that the anesthetic takes a few seconds to work, and the syringe contains a fraction less filler since part of the content is lidocaine.

Do fillers hurt?

For most filler treatments, the pain level is similar to lip fillers. However, areas such as tear troughs, jawline, or chin fillers are generally considered less painful. You can always discuss anesthesia options with your doctor.

How long does pain last after lip filler?

After treatment, the lips may hurt due to swelling or peeling skin. This creates tension in the lips. It is recommended to cool the area regularly (with a cloth between the ice pack and skin). Applying Vaseline in the first few days also helps. All discomfort should disappear within 2 weeks. If not, contact your treating doctor.
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Read Reviews:

Great dentist, made to feel at ease and treatment was pain free
1 February 2026 10:10
My mother, Margaret Alleway attended for a tooth extraction on the 29th January. From the polite and cheery greeting at Reception, to the pain free and reassuring extraction performed by Dr Syed and his nurse Jade, the professional service and caring nature of all the staff cannot be faulted. Highly recommend!! Thank you for looking after my mum.
Sarah Hunter
Seventy One Dental
1 February 2026 10:10
Lip filler & Botox I had my first ever treatments yesterday at Monroe Aesthetics. I was welcomed in and made to feel comfortable (I had lip numbing cream applied while I waited). Before my session I was asked what kind of look I wanted and we worked together to choose the correct treatment. During my lip filler I was continually asked if I was comfortable. I... Show more »
Lip filler & Botox
I had my first ever treatments yesterday at Monroe Aesthetics. I was welcomed in and made to feel comfortable (I had lip numbing cream applied while I waited). Before my session I was asked what kind of look I wanted and we worked together to choose the correct treatment. During my lip filler I was continually asked if I was comfortable. I chose to have Botox during the same visit and was again asked if I was comfortable. I was provided with aftercare sheets for both treatments and advised on signs to look out for as it was my first lip filler. Both treatments were quick and painless and I will be back for further top ups. Highly recommend this clean and pretty salon and all the staff are lovely. Show less »
1 February 2026 10:10

Frequently Asked Questions about the Pain of Lip Fillers

How painful are lip fillers?

Does lip augmentation hurt?

How long does it hurt after lip filler?

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