So, do lip fillers hurt? The short answer depends on your pain tolerance, the technique used, and the numbing method applied.
Lip fillers have become a popular cosmetic procedure for enhancing volume, improving symmetry, and defining the lips. However, one of the most common concerns people have before getting lip filler is pain.
If youโre interested in natural-looking lip enhancement, schedule a consultation with St. Louis Dermatology & Cosmetic Surgery to discuss your goals and address any concerns.

What Are Lip Fillers and How Do They Work?
Lip fillers are injectable dermal fillers, most commonly made of hyaluronic acid (HA), a naturally occurring substance that helps the skin retain moisture and volume.
Do Lip Fillers Hurt? Understanding the Pain Level
The pain level of lip fillers varies depending on several factors, including:
Injection Technique
Different injection techniques can influence pain levels:
- Needles vs. Cannulas:
- Needles are more precise but can cause more discomfort.
- Cannulas require fewer entry points and often result in less pain.
- Layering Technique:
- Some providers use small amounts of filler at different depths, which can reduce discomfort.
Use of Numbing Agents
Most practitioners apply topical numbing cream (lidocaine 5%) before injecting filler. Additionally, many HA fillers already contain lidocaine, which numbs the area during the procedure.
Individual Pain Tolerance
- People with a higher pain tolerance may find the procedure mildly uncomfortable.
- Those with a low pain tolerance may experience sharp pinching or stinging sensations.
Lip Sensitivity
The lips have one of the highest concentrations of nerve endings in the body, making them more sensitive to pain than other areas.
Injectorโs Skill & Experience
An experienced injector with a gentle technique can significantly reduce pain levels.
What Does Lip Filler Feel Like?
Most people describe lip filler injections as:
- A sharp pinch or sting from the needle.
- A pressure or stretching sensation as the filler is injected.
- Minimal to moderate discomfort that lasts only a few seconds per injection.
How Long Does Lip Filler Pain Last?
Immediate discomfort from the injection typically subsides within 15โ30 minutes after the procedure. However, some minor soreness, tenderness, and swelling may last 2-5 days.
- Day 1-2: Mild swelling, tenderness, and slight bruising.
- Day 3-5: Swelling subsides, lips feel more natural.
- Day 7+: Lips settle, and the final results are visible.

How to Minimize Pain During Lip Filler Injections
Before the Appointment:
- To reduce bruising, avoid blood thinners (aspirin, ibuprofen, fish oil) 48 hours before.
- Stay hydratedโdry lips can feel more sensitive.
- Apply numbing cream (if provided by your injector) 30 minutes before the procedure.
During the Procedure:
- Request a dental block (similar to what dentists use) for a painless experience.
- Breathe deeply and relax your lipsโtensing up can worsen the process.
- Opt for fillers with lidocaine to reduce discomfort.
After the Procedure:
- Apply ice packs (wrapped in a cloth) for 10-15 minutes.
- Take Tylenol (acetaminophen) if neededโavoid ibuprofen and aspirin.
- Avoid hot drinks, alcohol, and excessive lip movement for 24 hours.
Thinking About Lip Fillers? Book a Consultation Today!
If youโre interested in natural-looking lip enhancement, schedule a consultation with St. Louis Dermatology & Cosmetic Surgery to discuss your goals and address any concerns.
GET IN TOUCH