When it comes to Bikini area ( especially inner Bikini) I will not perform a treatment when a topical lidocaine is used. I will refuse that client and they will be told the same will happen any time they use lidocaine on the genital area . No I’m not being overly harsh.
First I will say that there is at least one recorded death from the use of topical 5 % anesthetic use. It’s mostly believed to be a case of blatent mis-use of the product. Here’s what happened:
An american woman covered her body in EMLA ( 2.5 % lidocaine and 2.5% prilocaine) from naval to toes and wrapped herself in saran wrap as occlusion. She died on the way to her laser hair removal appointment when massive amounts of the product absorbed very quickly and in large quantities into the blood stream though mucus membranes in the female genital area. She reacted negatively to the product, which absorbed easily though these membranes , and the result is her death. Doctors determined that it was this rapid absorption that lead to her death. I’ll also say that this was largely considered an extreme case of misuse of product.
There is no way around this when it comes to genital work. The product is not designed to be used in this area because of this issue, and if you read the precautions on the EMLA insert you will still find the warning that this is a possibility.
Does inner bikini area hurt? Absolutely. My experience as a electrologist, is that while a great many women come to me for this type of work, almost NEVER do they finish the process. Some bow out after one or two appointments, others might last 8-10 appointments, but they dont tend to finish the process and treatments on average become more difficult as time goes by. Of the most uncomfortable areas, inner and outer labia are among the most painful . They are also some of the more difficult and slow areas to work on, there is a LOT of stretching of the skin in order to get an insertion, changes in direction of growth from hairs in the area, and finer white hairs which seem plentiful and are time consuming to remove.
I have one asian background client who has done very well, and gotten through 8-10 sessions so far by keeping appointments short, but swears and curses like a sailor for the 10-15 minutes each one lasts. This seems to be the trick, keep the appointments short in order to get through it. If you are going to use lidocaine, keep at least 2-3 inches away from the vaginal opening and use occlusion to ensure that none access the vagina. Your life may depend on it!