Afraid of Pain? You Can Still Complete the Treatment You Need

Yes. Fear of pain and fear of anesthesia are the two most common reasons people hold back. We use gentle pain-relief anesthesia — not general anesthesia — paired with local anesthesia or a nerve block as the treatment requires, to substantially reduce discomfort, personally evaluated and designed by the physician, precisely so those who fear pain can still complete the treatment volume they need. Fear of pain should not be a reason to give up treatment; the method is explained per case at consultation.

No. Anesthesia at Liusmed is always gentle pain-relief anesthesia — not general anesthesia — paired with local anesthesia or a nerve block as the treatment requires, to substantially reduce discomfort. After recent anesthesia incidents, given public concern about anesthesia safety, we choose to put our safe practice in the open: treatment proceeds within real-time dialogue with the physician — you can report how you feel at any time and the physician can pause and adjust immediately.

Yes, and real-time communication is itself a safeguard. You can report "this hurts" at any time, and the physician can pause, adjust energy or pace, or top up anesthesia on the spot; treatment proceeds within a dialogue between you and the physician, with control in your hands. The "pain" most people worry about can have its threshold substantially lowered with gentle relief, so you need not give up or scale back treatment out of fear.

A wide range: lift and injection treatments such as RF, ultrasound, HA filler, and skin booster; large-area, many-injection intralesional treatments for keloids and scars, alopecia areata, eczema (including the whole scalp), and prurigo nodularis; botulinum toxin for palmar, plantar, and head-and-face sweating; plus CO₂ laser for multiple viral warts on the hands and feet, rosacea injections, tumor surgery, and fat-graft repair. Each can be paired with gentle pain-relief anesthesia, and where a local layer is needed, it is designed separately for the treatment. The actual method and whether anesthesia is needed are assessed by the physician at consultation.

Numbing cream mainly works on the superficial layers, and it needs a thick layer left on for a while before it takes effect. Besides the needle stick, injection pain includes the pressure of medication being pushed in and stretching the tissue, and cream does little for that. The skin of the palms and soles is especially thick, so penetration is even harder; once the area is large and the injections many, cream alone leaves many people unable to get through the session. So for large-area, many-injection treatments we use layers instead: in most cases first, by site, local anesthetic mixed into the medication, local infiltration, or a nerve block, then gentle pain-relief anesthesia on top (head and face sweating uses gentle pain-relief anesthesia alone). The degree of pain reduction varies by individual.

It depends on the condition and the area. Some treatments are staged by nature: alopecia areata is treated about once a month for about 4-6 sessions, and prurigo nodularis once a month for about 3-5. For extensive keloids, we suggest treating roughly 10% of body surface area or less per session — the reason is that the treated areas are sore once you get home, and splitting it up is easier to live with; it is not a medication ceiling. With plantar sweating, treating both feet at once makes walking hard for 4-6 hours afterward, so you can also do one foot at a time. The number of sessions and results vary by individual; how to stage it is planned by the physician at consultation based on your area.

Gentle pain relief involves no general anesthesia and is relatively simple, but children, the elderly, and those with chronic conditions or on medication still require individual evaluation — including allergy history, medication, and cardiovascular status. Suitability and method are always decided after the physician personally evaluates, with honest alternatives or referral recommended when appropriate.

The goal of pain reduction is to lower discomfort to a level most people can tolerate and complete their treatment with; how it actually feels varies by individual, and at consultation the physician explains what to expect for your treatment. Being clear about this is part of being honest with you.