• implants
• long-acting reversible contraception

The use of ethyl chloride to anaesthetise the skin by cooling before implant insertion has been used and documented previously.1 I was trained to remove deep implants by the very experienced Dr Martyn Walling, but have observed over the last few months that some of the deep fittings have included the use of ethyl chloride as anaesthetic prior to insertion. Dr Walling taught me that once the bevel …