Our practice has refined the idea of pain control for Botox injections. First, we use the smallest needles available. Our very expensive needles which we purchase from Japan, are literally the size of a hair. The smaller the needle translates into less pain. Second, we use a colder roller to numb and relax the muscle. This way, you will barely feel the needle prick. Lastly, we can use numbing cream. But most of our patients tell us that our cold roller technique is better than any numbing cream.