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Vibration Versus Ice to Reduce Cosmetic Botulinum Toxin Injection Pain-A Randomized Controlled Trial.
Stephen R Chorney1, Jennifer A Villwock2, Amar C Suryadevara1
11 Department of Otolaryngology and Communication Sciences, SUNY Upstate Medical University, Syracuse, New York, USA.
Ear, Nose, & Throat Journal
|May 11, 2019
Summary
Pain from cosmetic botulinum toxin injections was compared using vibration, ice, or no treatment. No significant pain reduction was found with vibration or ice compared to no intervention, highlighting technique
Area of Science:
- Aesthetic Medicine
- Dermatology
- Pain Management
Background:
- Botulinum toxin injections are a leading cosmetic procedure globally.
- Injection site pain is a common patient complaint during these procedures.
- Limited comparative studies exist on topical analgesia techniques for botulinum toxin injections.
Purpose of the Study:
- To compare the efficacy of vibratory stimulus, ice pack application, and no intervention in reducing pain during cosmetic botulinum toxin injections.
- To evaluate pain perception differences between medial and lateral injection sites.
- To assess the impact of different topical analgesia methods on patient comfort.
Main Methods:
- Prospective, randomized, individual-controlled study involving 22 patients undergoing glabellar botulinum toxin injections.
- Bilateral injections were randomized to receive unilateral vibration, unilateral ice application, or no intervention on each side.
- Pain was quantitatively assessed using a visual analog scale (VAS).
Main Results:
- Mean VAS scores were 26.5 (vibration), 24.4 (ice), and 29.4 (no intervention).
- No statistically significant difference in pain scores was observed between vibration, ice, and no intervention (P = .737).
- Pain scores did not significantly differ between medial and lateral injections, nor was there a consistent reduction in pain on either side regardless of the method used.
Conclusions:
- Topical interventions like vibration and ice packs do not significantly reduce pain during cosmetic botulinum toxin injections compared to no treatment.
- Proper injection technique appears to be a more critical factor in patient tolerance and comfort.
- Further research is warranted to explore patient-specific factors and optimize topical anesthesia strategies for cosmetic facial injections.
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