Can Voluma be injected without lidocaine/vasodialator for pain?

Jennifer, most likely your palpitations are from epinephrine that is often mixed with lidocaine, to keep an anesthetic in the vicinity where it is injected longer, and to constrict blood vessels to reduce bruising.It is easy to inject a filler without epinephrine, so you should be abke to proceed without a problem.All the best!  Dr. Clark

Thank you for your question, Lidocaine can be mixed with epinephrine as a local anesthetic. Epinephrine can cause heart palpitations. Voluma is mixed with lidocaine, which most likely will not cause palpitations. Best,

I believe that all Voluma is packaged with lidocaine mixed in.  The good news is that it is most likely the epinephrine that gives you these reactions, not the lidocaine.  There is no epinephrine is standard Voluma syringes, so you should be in good shape.  Epinephrine is frequently used in anesthetic preparations, as seen in the dentist's office.Best of luck!