A cross-sectional study on the pain caused by hyaluronic acid cosmetic injections
10.3760/cma.j.cn114453-20230615-00130
- VernacularTitle:透明质酸注射美容治疗疼痛的横断面研究
- Author:
Lishuai SHI
1
;
Lili QI
;
Jun ZHANG
;
Tao WANG
;
Guobao WANG
;
Feng ZHOU
;
Lunli GONG
;
Qiuni GAO
;
Xiaoqing YAN
;
Meng FAN
;
Haiyan CUI
Author Information
1. 同济大学附属同济医院整形美容外科，上海 200065
- Keywords:
Hyaluronic acid;
Injection;
Pain;
Cosmetic therapy;
Lidocaine
- From:
Chinese Journal of Plastic Surgery
2024;40(4):428-435
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To learn about physicians’ concepts and commonly employed method in hyaluronic acid injection and provide reference data for the standardization of pain management.Methods:This study was a cross-sectional study. Convenient sampling method was used to distribute questionnaires to cosmetic injectors from plastic surgery department of public hospitals or medical beauty institutions and patients experienced with hyaluronic acid injections to collect data on their views of pain associated with hyaluronic acid injections. The physician portion was collected offline from June 15 to July 20, 2022, and the patient portion was collected from November 14 to December 6, 2022, via the Questionnaire Star platform. The physician questionnaire consisted of 17 questions, question types included single choice, multiple choice and essay questions. The patient questionnaire consisted of 6 questions, question types included single choice and multiple choice. Relevant data were analyzed using SPSS 22.0 software for descriptive statistics, and data were presented in the form of cases(%).Results:Sixty-two physician questionnaires and 123 patient questionnaires were collected. 42 (67.74%) physicians observed from their daily practice that more than 50% of their patients were very concerned about pain during injection; 101 (82.11%) patients scored ≥5 out of 10 for concern about impending pain prior to hyaluronic acid filler injection. At the time of treatment, 48 (77.42%) physicians advised patients to choose a lidocaine-containing hyaluronic acid filler for reasons including a significant reduction in injection pain (53 cases, 85.48%) and patient comfort with the treatment experience (59 cases, 95.16%). 60 (48.78%) patients were willing to choose an anesthesia-containing product at the time of injection, but the price of the anesthesia-containing product influenced the patient’s choice (55 cases, 44.72%).Conclusion:Pain from cosmetic injectable treatments is an important issue to both physicians and patients. Lidocaine-containing hyaluronic acid is recognized by physicians and patients for its analgesic effect and high safety profile. There is no perfect solution for pain in cosmetic injection treatment, and multidisciplinary collaboration may be needed to solve the problem.
