Pain Management

Medical Scalp Micropigmentation or MSM could be quite painful. The most sensitive areas are the areas above the ears and skin over the temple nerves. The least painful areas are the apex of the scalp and the back crown.

Because we are medical facility with a physician on staff, we can use prescription strength topical anesthetic which is a mixture of …% lidocaine and epinephrine. Lidocaine temporary blocks certain channels in nerves that register pain in the skin. Epinephrine is a vasoconstrictor and it decreases the blood flow to the affected skin area, which actually has the small benefit of helping the skin to retain more pigment. Topical anesthetic needs to be applied for 30-45 minutes prior to the MSM procedure. Each session takes several hours, so topical anesthetic needs to be reapplied every so often.

Majority of our patients feel very little or no pain at all during MSM procedure. Some of them even are falling in sleep.   But there are some individuals, who are extremely sensitive to the pain. In those cases our physician can prescribe oral pain medications, usually it is Percocet or Vicodin. Percocet is a mixture of oxycodone and paracetamol. Oxycodone is semi-synthetic opioid and is highly restricted. The use of Percocet does not cause vasodilation or vasoconstriction, and should be fine in most clients for pain relief during MSM procedure. It also does not thin the blood and acts far from the dermal layer of the scalp, meaning chance for binding or affinity to MSM is likely zero. Patient will need to take one tablet (and only one tablet) about 45 minutes before the actual needle reaches your skin.

Vicodin is a combination of hydrocodone and paracetamol. Vicodin is generally considered to be slightly stronger than Percocet in terms of pain relief.

If you decided to choose Percocet or Vicodin, make sure to take a second driver for your car, so that you have someone to drive you home or to the hotel after a treatment. It is not legal to drive while under the effects of semi-synthetic opioid. 

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