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Richard A. Martin, Jr., M.D., FACEP
Kimberly L. Westwood, CPE, CCE
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  electrolysis guide  
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home > Electrolysis Guide > Frequently Asked Questions > Pain Management

 FAQ's: PAIN MANAGEMENT  SUB-TOPIC  
Q. 1 : Is electrolysis treatment typically painful?
Q. 2 : Will pain pills help?
Q. 3 : Are local anesthetics injected into the treatment area?
Q. 4 : What pain relief can be provided?
Q. 5 : How strong of a pain reliever can I (or my electrologist) purchase without a prescription?
Q. 6 : What is EMLA?
Q. 7 : What is Epil-EZ?
Q. 8 : How long does an anesthetic last?

Q. 1: Is electrolysis treatment typically painful?

Given the amount of energy needed to destroy a course, deeply rooted hair follicle, most often electrolysis treatment can be rather painful. And while patients do have a wide variety of responses to electrolysis, the most significant factor seems to be the ongoing nature of the discomfort. 

Q. 2: Will pain pills help?

Generally oral pain medication is a poor choice for the localized and ongoing pain of electrolysis. A local pain reliever, such as an anesthetic drug that numbs the treatment area offers the best result. 

Q. 3: Are local anesthetics injected into the treatment area? 

While anesthetics may be injected, we feel the associated risks do not justify their use.  There is a possibility that the method of injection needed to numb the facial area may result in injury to the patient.  And naturally, the continuing process of ongoing electrology sessions only heightens the potential risk to the individual. Also, a significant percentage of the population find the process of repeated injection in the facial area to be unsettling,

Q. 4: What pain relief can be provided?

Over-the-counter (non-prescription) topical pain relievers (applied to the skin), including those provided by some electrologists, can provide a degree of pain relief.  But generally, for longer or more intensive treatment, such as beard removal, a stronger topical pain reliever is required.

Q. 5: How strong of a pain reliever can I (or my electrologist) purchase without a prescription?

The drugs in topical pain relievers usually fall into the "caine" family. The percentage of the drug allowed by law (for non-prescription sale) is set relative to its effect.  As an example, lidocaine, with moderate anesthetic properties is limited to 4 percent, but benzocaine, with very weak analgesic properties can contain up to a 20 percent concentration. Both will produce relatively the same effect.

 

Q. 6: What is EMLA?

EMLA is a topical pain reliever which contains a combination of two drugs, lidocaine (2.5%) and prilocaine (2.5%). EMLA, while a prescription medication, is a relatively weak anesthetic. 

Q. 7: What is Epil-EZ?

Epil-EZ is the topical pain reliever TGIP compounds (a custom preparation) solely for our patients.  By contrast to EMLA, this preparation is a high potency topical anesthetic which contains about 15% of lidocaine and prilocaine, along with additional properties to allow the drug to more effectively penetrate the skin barrier and remain active for a long duration. 

Q. 8: How long does an anesthetic last?

Depending on its strength, ability to penetrate the skin, and other drug properties, the area may remain very numb from a few minutes to several hours.  Also depending on the drug, the time required for the anesthetic to sufficiently take effect (time between application and beginning treatment) may be anywhere from 10 minutes to over 1 hour. 


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