Facial Nerve-Block Anesthesia in Cosmetic Dermatology

  • Flavio Barbosa LuzEmail author
  • Tadeu de Rezende Vergueiro
Living reference work entry

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Part of the Clinical Approaches and Procedures in Cosmetic Dermatology book series (CAPCD)


Sensory neural blockade of the face with local anesthetics is an important part of the management of cosmetic procedures, but it is not usually considered a simple approach. The facial sensory innervation is provided mainly by the trigeminal nerve, the largest and the most complex cranial nerve. The peripheral branches of the trigeminal nerve that may be accessible through percutaneous needle techniques are the supraorbital, supratrochlear, nasociliary, infraorbital, and mental branches. In addition to indications for general surgical anesthesia and treatment of painful clinical conditions, the local anesthetic blockade of the trigeminal nerve branches can be used to produce more patient tolerance on painful esthetics procedures, such as facial deep chemical peelings, laser, fillers, microneedling, and dermabrasion.

The main purpose of this chapter is to describe the techniques of blockade of the trigeminal nerve branches with local anesthetics by means of practical approaches, including relevant anatomical landmarks, possible complications and unwanted side effects.


Neural blockade of the face Trigeminal nerve Trigeminal nerve branches block Supraorbital nerve Supraorbital nerve block Supratrochlear nerve Supratrochlear nerve block Infraorbital nerve Infraorbital nerve block Nasociliary nerve Nasociliary nerve block Infratrochlear nerve Infratrochlear nerve block Mental nerve Mental nerve block 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Flavio Barbosa Luz
    • 1
    • 2
    Email author
  • Tadeu de Rezende Vergueiro
    • 2
  1. 1.Universidade Federal Fluminense (UFF)NiteróiBrazil
  2. 2.Centro de Cirurgia da PeleRio de JaneiroBrazil

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