Dental block technique for numbing of the lips prior to lip augmentation with Juvederm Ultra

So we're going to do the dental block first today. The way I start the dental block is initially with some numbing gel inside the lips. I use 20% benzocaine, which basically is a gel format, and it comes in different flavors. It comes in strawberry and pina colada. We're going to use pina colada, which is actually not a bitter taste at all. So patients don't mind it. What I do is I grab the lips and just gently rub it underneath the lips. This is the injection site for where the dental block needle is actually going to go. So it starts the numbing process and makes even the dental block a little bit more pleasant. It's safe to swallow. How do you feel? Good. Next, what I do is use the mixture of lidocaine with epinephrine that I talked about before. I go gently underneath each lip. Filter it up for me a little bit. Grab the lips. You can do this from outside the skin, but why give somebody an injection site and a bruise underneath their skin when they don't need it? They go gently underneath the lip until I get to the origin of the infraorbital nerve, which comes out of the bone and branches and gives off nerves towards the lip. I feel all the way to the lips. This side. I feel for where I'm going with the needle and I just pull back. As I inject. One tiny little spot here at the frenulum, it's a little bit more sensitive, but it's important to numb up because that'll numb up the central part of the lip. I usually go on the other side since I'm right handed. I go ahead and numb up the mental nerves that come out and innervate the chin and the lower lip, The last one. Okay, for the dental block. And that's the worst part of the procedure.