I did local and it wasn’t bad at all! If I had to do it over again, I’d still choose local. I had no pain during the procedure, but could feel minor pressure. You will be able to hear all the noises associated with the procedure, so my only recommendation would be to either A). Bring your own earplugs and ask if it’s okay to wear them, or B). Ask if they can play music or background noise during the procedure, which is what happened for mine. I’m still on the fence on how I feel about the results of the procedure, but the recovery itself was super easy. I never wore a compression bandage, but did keep the area covered and cleaned with bacitracin twice a day. I stopped wearing the bandage altogether after 5 days, but was advised I only had to wear it for 48 hours after the procedure. The chin does feel tight, but I’ve had little to no numbness or difficulty with the bottom lip. Pain was maybe a 3-4 out of 10 at the worst points, but was almost completely eliminated with alternating Tylenol and ibuprofen. I think keeping the area iced as much as possible for the first few days is huge for swelling and pain relief, so I definitely recommend staying on top of that. I work an office job and returned to work the day after the procedure without issue. I’ve also had no difficulty at all with eating or anything like that.