It may not seems necessary to numb the Botox area as the PA said it to me when I was under her care, but before administering Botox injections, most clinicians will numb the treatment area with a topical anesthetic cream before Botox injections. In my opinion this can help patients feel little to no pain during the procedure. However , this PA don’t even give a patient a chance to chose! She just injects those needles while declaring that at Precision MD doesn’t numb the area during Botox procedure! That is mean and torturing a human being.