In our practice, we have a number of ways to perform procedures with minimal discomfort. Local anesthesia is typically done with topical anesthetic cream for dermal fillers. For surgical procedures, a local anesthetic field block is done with minimal pain. For micro-needling procedures, it is common in the areas around the mouth that a specific nerve block be performed similar to what happens in a dental office. For more involved procedures such as hair removal or some laser treatments, we offer Nitronox which is a safe inhaled analgesic the patient self-administers while a procedure is performed. Your vital signs are being monitored at the same time. Once the Nitronox is stopped, the patient quickly recovers and is allowed to leave the office under their own control after 15-30 minutes.