Patient comfort during in-office procedures matters more than ever. One tool that’s transforming the experience is ProNox — a patient-controlled nitrous oxide system that safely manages pain and anxiety. At Levesque Plastic Surgery, we perform many procedures without IV sedation or general anesthesia, and ProNox is one of the tools that lets us do so safely and comfortably.

What Is ProNox?

ProNox is a nitrous-oxide-and-oxygen analgesia system — a 50:50 mixture commonly known as “laughing gas.” Nitrous oxide has a long, trusted history in medicine for pain management, and its use in the plastic surgery office is a real step forward for comfort. We’ve used nitrous oxide during general anesthesia for years to limit opioid use and reduce post-op nausea.

How It Works

ProNox is delivered through a handheld mouthpiece that the patient controls, so you manage your own comfort level. Relief comes almost instantly — in our experience after about five deep breaths — and you simply keep breathing through it as needed during the procedure.

Why Patients Like It

  • Instant, short-acting relief: rapid onset and a short duration mean you recover quickly with no lingering effects.
  • Patient-controlled comfort: you adjust the level to your needs; if you feel a little groggy, simply stop breathing the mixture and the effect wears off fast.
  • Strong safety record: nitrous oxide is well established, and ProNox has built-in safeguards — no gas is delivered unless you breathe in through the mouthpiece, and it’s blended with 100% oxygen.

Where We Use It

ProNox eases discomfort for Botox and filler injections, laser treatments and hair removal, and especially Morpheus8 RF microneedling — where added comfort lets us treat deeper with more passes for better results. It’s also a helpful option during in-office surgical procedures like facelift, neck lift, eyelid lift, and brow lift performed under local anesthesia.

The Bottom Line

As demand for in-office procedures grows, tools like ProNox make the experience calmer and more comfortable while keeping things safe and efficient. It’s one more way we prioritize your comfort. Ask us about ProNox at your visit.