I had mine pulled last Xmas... they shot me full of novacaine, yanked all 4 out and sutured me up and sent me on my way.
I didn't swell up at all, the only pain I had that night was when I took the teabags (hey, he told me to!) off of the wounds... they had kinda healed together (the teabags and the wounds.. just blood clots)... but that pain was unimaginable... I grabbed a percocet and drank it down. 15 min later I was in lala land with no pain.
Had no problems after that, week later I went back got the suturs taken out and never saw the doc again.
-SW