For Microneedling & RF Microneedling
Numbing Cream for Microneedling
Compounded Triple-Anesthetic BLT
A compounded triple-anesthetic BLT — Benzocaine 20% · Lidocaine 10% · Tetracaine 10% — for deep, even numbness across the treatment area. A fast ~15-minute onset and 2–4 hour duration that covers the full session. For licensed providers.
Order or ask a specialist — call (310) 889-0733
Why BLT for Microneedling
Deep, Even Numbness
Across the Treatment Area
Microneedling and RF microneedling create hundreds of controlled micro-channels across the skin — comfort has to be uniform, not just surface-deep. Always Numb™ is a compounded triple-anesthetic BLT: Benzocaine 20%, Lidocaine 10%, and Tetracaine 10%. Benzocaine establishes fast surface numbing, lidocaine builds a reliable anesthetic core, and tetracaine reaches deeper and lasts — a balanced profile made for the even, full-face comfort microneedling demands.
Fast ~15-Minute Onset
Benzocaine drives a fast surface onset while lidocaine and tetracaine build underneath — reaching working depth in about 15 minutes so your microneedling schedule keeps moving.
2–4 Hour Duration
Tetracaine extends deep, clinical-strength numbness for roughly 2 to 4 hours — ample coverage for full-face microneedling, RF microneedling, and multi-area sessions.
Even, Full-Area Comfort
A defined BLT compound gives predictable depth across the whole treatment area, so numbing feels consistent from center to hairline rather than patchy.
503A Pharmacy · USP-795
Compounded in an FDA-registered 503A pharmacy under USP-795 standards, prepared fresh per order to consistent, provider-grade specifications.
Built for RF Microneedling
Radiofrequency microneedling reaches deeper and often runs longer. The depth and duration of BLT are well matched to RF protocols where surface-only creams fall short.
Compounded Fresh Per Order
Nothing sits on a shelf for months. Each order is compounded fresh by our 503A partner pharmacy, then shipped to your practice — potent and prepared to spec.
Application Guidance
How Providers Apply It
Before Microneedling
General guidance for licensed providers — always defer to your own clinical protocol and the manufacturer's directions for use.
01
Prep
Cleanse and dry the treatment area. Apply an even layer of Always Numb™ to the skin you'll be treating, per your protocol.
02
Wait ~15–20 min
Allow roughly 15 to 20 minutes for the BLT compound to reach working depth across the area before you begin.
03
Remove
Fully remove the cream and prep the skin before the procedure, following your standard microneedling or RF microneedling protocol.
04
Treat
Begin with confidence. Deep numbness lasting 2–4 hours covers the full session, including longer RF passes and multi-area work.
The Difference
Why Compounded BLT Beats Drugstore Lidocaine
Off-the-shelf lidocaine is shallow and short-acting. A true triple-anesthetic BLT is compounded fresh per order for the depth and duration microneedling actually needs.
Always Numb™ BLT
~15 min
Deep numbness · 2–4 hr duration
Drugstore Lidocaine 4%
Shallow
Short-acting · surface only
EMLA
~60 min
Shallow · requires occlusion
Generic Compound
Unbranded
Variable quality · no support
Questions
Microneedling Numbing FAQ
As a general guide, licensed providers apply Always Numb™ to clean, dry skin roughly 15 to 20 minutes before microneedling, then remove it completely before the procedure. Always follow your own clinical protocol and manufacturer guidance for timing and application.
Drugstore lidocaine creams (typically 4%) are shallow and short-acting. Always Numb™ is a compounded triple-anesthetic BLT — Benzocaine 20%, Lidocaine 10%, Tetracaine 10% — engineered for deeper, longer-lasting numbness across the treatment area, with a fast ~15-minute onset and 2–4 hour duration that comfortably covers a microneedling or RF microneedling session.
Yes. Providers use Always Numb™ ahead of both traditional and radiofrequency (RF) microneedling. The deep, even numbness and 2–4 hour duration are well suited to RF microneedling sessions, which can run longer and reach deeper tissue.
Always Numb™ is a compounded product supplied to licensed providers — it is not sold retail to patients. It is compounded fresh per order by our 503A partner pharmacy. Call (310) 889-0733 and our team will set up your provider account and confirm your formulation.
Yes — completely, then cleanse and dry the skin before the first pass. Microneedling opens thousands of channels, and nothing should be sitting on the surface when that happens. Removing it fully is part of the protocol, not an optional tidy-up.
In clinics it is usually a compounded BLT — the initials of Benzocaine, Lidocaine and Tetracaine, often written "BLT 20/10/10" for the concentrations. Always Numb™ is that compound, prepared fresh per order for licensed providers. Retail alternatives are single-agent lidocaine at 4–5%, made for surface discomfort rather than a procedure that reaches the dermis.
No. Always Numb™ is supplied to licensed providers only and is not sold retail. At roughly 40% total anesthetic across three agents, it is meant for a clinical setting with a protocol behind it — an at-home roller is not that setting, and a compound at this concentration offered direct to consumers is worth treating with suspicion.
Yes, with one adjustment: part the hair in rows and apply along each part so the compound reaches skin rather than hair, and numb one section at a time. The scalp is a large area, so treat the zone you will finish in that session. More detail on the hair restoration page.
Always Numb™ is compounded as a cream or an ointment. The base changes how it behaves — cream absorbs and spreads evenly, ointment stays in place over longer contact — while the anesthetics stay the same. Either way it is removed completely before treatment begins.
From $80 for a 30 g unit up to $275 for the 454 g professional jar, with shipping and fees included. Request pricing or call (310) 889-0733; a pharmacist confirms your provider details and terms, the batch is compounded fresh, and it ships within 2–3 business days of payment confirmation. See wholesale pricing for practices ordering regularly.
Numbing Cream Built
for Microneedling
Deep, even comfort — compounded fresh per order for licensed providers.