An over-the-counter or prescription numbing cream, or topical anesthetic, can be applied to your skin before you get a tattoo to dull the pain of the needle. If you have a low pain threshold or are planning to get a tattoo in a sensitive area, you can ask your tattoo artist about using a numbing agent. However, if it's used improperly, a numbing cream can pose a serious health risk, so it's best to talk to your doctor beforehand.
Ingredients
Lidocaine, prilocaine, benzocaine and tetracaine are commonly found in numbing creams. Some prescription topical anesthetics, such as EMLA (eutectic mixture of local anesthetics), contain a combination of drugs.
Function
The topical anesthetic, in the form of a gel or cream, is applied to the skin prior to the tattooing procedure. The cream temporarily numbs the nerve endings in the skin. The cream is typically applied 1 to 2 hours before the tattooing procedure, and the numbing effects last approximately 60 to 90 minutes, according to Paul Siscoe, manager of Lady Luck Tattoo & Piercing in Portland, Oregon.
Other Uses
Over-the-counter topical anesthetics are also used as pain relief for minor wounds and scrapes, sunburn, insect bites and poison ivy. Some people use a numbing cream before getting a piercing or undergoing a hair-removal treatment.
Topical anesthetics may be applied in a medical setting to the affected area before a laceration repair, biopsy or dermatological procedure.
Warning
The U.S. Food and Drug Administration issued a public health advisory in 2007 regarding the use of topical anesthetics for cosmetic procedures because the products should be used with the supervision of a medical professional. Leaving the topical anesthetic on for an extensive period of time, applying too much or over too large an area of skin or using it on irritated or covered skin can cause the drugs to pass into the bloodstream. This can lead to life-threatening effects, including breathing difficulties, seizures and coma. The FDA recommends using only topical anesthetics that have been approved by the FDA and consulting your doctor to learn how to use the drug safely.
Expert Insight
Paul Siscoe states that tattoo numbing creams often aren't as effective as clients might expect, only dulling the pain, but not completely numbing the tattoo area. Diving Swallow Tattoo in Oakland, California recommends eating a full meal and drinking plenty of water before your appointment, avoiding caffeine on the day of your tattoo and practicing deep breathing while you're getting tattooed to help tolerate the pain.
References
- Paul Siscoe; Manager, Lady Luck Tattoo and Piercing; Portland, Oregon
- Drugs: Anesthetic, Local
- "American Family Physician"; Principles of Office Anesthesia: Part II. Topical Anesthesia; Suriti Kundu, M.D, Suraj Achar, M.D.; July 2002
- FDA: Life-Threatening Side Effects With the Use of Skin Products Containing Numbing Ingredients
- Diving Swallow Tattoo: Frequently Asked Questions



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