MESOTHERAPY

PAIN MANAGEMENT

R. Angelina

1-st concern of the patients:

IS IT PAINFULL ,
DOC ???
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OVERALL VIEW
Increasing number of people seeking
treatment for aging skin
Cosmetic treatment above all, has to be:
-convenient
-safe
-effective
-less pain/ painless
-high desirability, compliance and result

For doctors:
Patients can be turned off from seeking
aesthetic work because of their
NEEDLE
PHOBIA
A painful experience bear the risk of losing
patient ,as it involves multiple visits, and
discouraging friends and family to follow suit.
A good experience will create loyalty, help
marketing and create a caring and gentle
image

 Primum non nocere

(First, do no harm )

PAIN SENSATIONS
INFLUENCED BY :

1. Individual pain threshold

2. Areas sensitivity
3. Needles gauge
4. Needles sharpness
5. Speed of needle penetration
6. Needles vibration
7. Skins stability
8. Medication
9. Speed of injection
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1. INDIVIDUAL PAIN
THRESHOLD
Affects

all, varies in different degrees

Factors affecting pain: PMS, anxiety, overall

states of mind and health ( motivation and
desire VS hesitation )

ANXIETY CONTROL

TALK TO YOUR PATIENT

-Good information for treatment, pain
sensation, duration, post treatment.
It will help for better tolerate and minimized
the stress

ANXIETY CONTROL

Non Pharmacological:
-relaxing environment
-soft music
-warm and positive attitude
-hot herbal tea, or wine (if the patient not
driving)
-acupuncture / acupressure for relaxing
Pharmacological: tranquilizer?
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2. AREAS SENSITIVITY

Notice the high sensitive areas

First, do at the less sensitive areas

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AREAS SENSITIVITY

Do at the less sensitif area first

High sensitif area on the face:

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3.NEEDLES gauge

Suggest: always use

special needle for
mesotherapy
(mesoneedle)
Mesorelle
Mesalyse
27G, 30G, 32G,
4mm, 6mm, 13 mm
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4. NEEDLES SHARPNESS

Manually : change the needle after few

injections, bevel up
Mesogun: - kit
- mesoneedle
- bevel down

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5. SPEED OF NEEDLE
PENETRATION
SNAKE BITE
MESOGUN : very fast and precisely
penetration

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6. NEEDLES VIBRATION
Usually, your hands make some vibration
before injecting, and affect the skin stability,
therefore will make more painful.
MESOGUN: more stabilized needle

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7. SKIN STABILITY
Stabilized

the skin by pinching

MESOGUN : SKIN STABILIZER /
SKIN BRIDGE

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8. MEDICATION
PHOSPATHYDILCHOLINE
DEOXYCHOLATE
L-CARNITINE
VITAMINE C

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9. SPEED OF INJECTION

Inject the product slowly, dont be in a rush

MESOGUN: Beware of the injection speed

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PAIN CONTROL

PO Medication
Topical anesthetic
Cooling methods
Nerve blocks?
etc

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P.O. analgesics

Might add to the comfort

Not really needed, rarely used in our practice
except for special condition

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TOPICAL ANESTHETIC

SINGLE AGENT
Lidocaine : Elamax, Betacaine, etc
Propitocaine: Anestop

Multiple Agent:
- Lidocaine+ Prilocaine : Emla , Topsy
- Lidocaine+ Tetracaine : S- Caine
- Benzocaine+ Lidocaine+ Tetracaine : MRS
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CHARACTERISTIC OF IDEAL
CREAMS:
Rapid onset of action
Little adverse effects : allergy, irritation
Duration of action : long enough to cover
procedure time and short enough not to
interfere with daily activities after procedure

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TIPS FOR PATIENT

SATISFACTION

1. LOCAL ANESTHETIC
Applied prior to treatment, not essensial but maybe helpful for
sensitive patient or to sensitive area
2. ICE
Applied prior and after the treatment, ice will achieve the
numbness of anesthetic and also help reduce swelling after PPC
3. LOOSE CLOTHING
After treatment, loose fitting clothes can increase patient comfort,
particularly after PPC
4. MASSAGE
Encourage 72 hours after treatment and continue daily between
treatment, massage can be effective in reducing nodules
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MESOGUN
Advantages of mesogun including:
1. Increased comfort level both for patient and
practitioner
2. Reduced pain due to skin stabilizer, speed of needle
penetration, and consistency of injection
3. Accuracy- programmable and consistent
4. Versatility- accurately perform continues, nappage,
mesoperfusion, and domestic modes
5. Speed- procedures are faster

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NO PAIN, ALL GAINS !

thank you
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