Pain management in minimally invasive facial cosmetic procedures

Orofacial Harmonization is a specialty that includes procedures who seek to set the balance of the facial thirds, correct asymmetries and disproportions, treat facial aging dysfunctions by repositioning soft tissues, and ameliorate the skin condition through collagen stimulation. However, the mentioned treatments often occur through injections, perforations or other interventions that may cause acute pain and can postpone or avoid the search for such procedures. This study aims to highlight the analgesic methods listed in the scientific literature and discuss the management of intraoperative pain in minimally invasive facial cosmetic procedures. A bibliographic search was performed on electronic scientific databases using the keywords related to the subject. The most frequent methods of pain control were topic anesthetic creams, vibratory stimulation, ice application and infiltrative local anesthesia. An adequate analgesic technique will depend on which is the area of the intervention,the type of procedure, and it is essential to consider the particularities of each patient, once there are no established protocols or guidelines for a perfect intraoperative pain control in cosmetic interventions. The professional injector must embrace multiple anesthetic techniques simultaneously in order to offer a greater comfort to the patient during the treatment, aiming to provide a humanized care.