Seana, I would add to that list Yanhee Hospital in Thailand, Jade Electrolysis franchise/chain in Canada, and 2Pass Clinic in Belgium for anesthetic beyond topical creams.
I was told by an electrologist that different areas of the body respond better to topical creams. She told me that, for some people at least, the lower legs will often be totally pain-free when topical cream is used on them. I haven’t had experience with electrolysis on my shins and ankles, so I don’t have any first-hand experience myself. I do know that I experienced pain on my knees and just below my knees with topical anesthetic. I myself have experience total painlessness when I had topical cream on the backs of upper arms, and an area on the back of my thigh (I left it on for 3 hours on my thigh before the blasting). Other places, such as my neck, face, belly, and chest would experience pain even with topical cream. On these other areas, I didn’t leave the cream on for more than 2 hours at the most; sometimes only 1 hour. I heard that you should put on 5% lidocaine cream 30 minutes before facework, and 3 hours before body work (not 3 hours for mucous membranes, such as genitals or inside the nose or mouth!!! (yes, mouth: watch 6:10 to 8:07 of https://www.youtube.com/watch?v=xWQoJuOs_Jc
But don't just blindly follow my advice; I'm not an electrologist; read the instructions and follow the advice of your physician and pharmacist to double-check; don't just follow what I say, because maybe my electrologist was just giving me advice that was applicable to me only. Your medical history could be totally unique to you an not representative of the average person.
An electrologist told me that some of her clients are dental hygienists, and they steal lidocaine injections from their dentist’s office (illegally) and inject themselves with it, which gives you about a 1-inch or so diameter circle (so this electrologist tells me. I’ve never had a lidocaine injection so far, and I’ve never witnessed one).
You could go to Yanhee Hospital in Bangkok, Thailand for lidocaine injections:http://www.yanhee.net/hair-removal
The Hairtell user “Kostik” has posted many photos of the big syringes that were used at Yanhee!: http://www.hairtell.com/forum/ubbthreads.php/ubb/download/Number/760/filename/FullSizeRender_4.jpghttp://www.hairtell.com/forum/ubbthreads.php/topics/117843/1.html
Kostik had this machine (HR-5000 by IME) and these probes used on him for the Kobayashi-Yamada method of high-powered thermolysis:https://www.youtube.com/watch?v=w5LDZLm6ANshttps://www.youtube.com/watch?v=ldVN0k1xOxwhttps://www.youtube.com/watch?v=ae0133UnvqI
In Canada, Jade Electrolysis used a Madajet at least in the past, which vortexes the anesthetic into the skin using needles; I don’t know if they still use that method or not anymore. I know that at least at some point in the year 2017, for an extra $90/hour, you can book a nurse to inject you with anesthetic. I don't know if they use a Madajet to do this or traditional needles. Perhaps they are still offering that option; I don’t know. https://www.youtube.com/watch?v=gSHGM7x-cuQ
1:39-2:03 is when the electrologist mentions the use of the Madajet in electrology.http://www.hairtell.com/forum/ubbthreads....html#Post10902
“One way we can help limit the discomfort is by freezing the treatment area through the use of a topical or local anaesthetic.”https://www.yelp.ca/biz/jade-electrolysis-langley
This above yelp review (there is only one so far) and the response both talk about anesthetic.
Someone with the username “Lucia M.” wrote on the website:
“Will end up costing you alot more with the nurse and local anesthetic, but well worth it to not be in pain. Lisa and the nurse were wonderful.”
Says they use a "pain pump":https://www.2passclinic.com/contact/international-transport/https://www.2passclinic.com/permanent-hair-removal/pain-pump/https://www.youtube.com/watch?v=DTyut4udtYMhttps://www.youtube.com/watch?v=0KuZszdpoR8