Can Voluma be injected without lidocaine/vasodialator for pain?

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!

Thank you for the great question.  The palpitations that you describe are not related to lidocaine, but instead to epinephrine, which is commonly mixed with lidocaine.  Epinephrine is a vasoconstrictor and can elevate your heart rate and blood pressure.  Juvederm Voluma XC is mixed with plain lidocaine and should not present these problems.

As indicated previously, Voluma contains lidocaine without epinephrine (adrenaline).  It is most likely the epinephrine that produces palpitations as opposed to the lidocaine.  If you do undergo injections, make sure the topical anesthetic applied does not contain epinephrine either.

As far as I am aware Voluma is not available in the US without lidocaine. Juvederm, on the other hand, can be obtained without lidocaine but does not provide either the longevity or the same improvement in the cheek area that is possible with Voluma. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

As noted by others, most
people who get heart palpitations from lidocaine are having them as a result of
the epinephrine that is commonly added to the lidocaine. So if this is the
cause, having Voluma injected will be fine as it contains lidocaine, and there
is no epinephrine in the syringe. We often use topical anesthetics and many of
these will have epinephrine in them, so caution the team you are seeing to use
only topical creams that does not contain epinephrine in them.



If there is a true
lidocaine allergy, which can be the case with some, Voluma will not be for you
and we will need to inject you with one of the non-lidocaine containing
fillers. So this is why a history and physical is so important for each and
every person wanting a cosmetic procedure – we need to know these types of
things and we need to work with you to determine what sometimes is true allergy
versus a sensitivity to one of the ingredients in the product, epinephrine in
this case.



Find a board-certified
dermatologist or plastic surgeon and get the proper treatment after the proper
consultation.

Since the lidocaine in voluma does not contain epinephrine, it is unlikely to cause palpations. Discuss with your cardiologist and injector being treatment.

Voluma is formulated with lidocaine and does not contain epinephrine and palpitations are unlikely. Regardless, Discuss with your dermatologist first.

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

Hello Jennifer7454, Thanks for the question.Unfortunately, Voluma is only available with the premixed formulation with lidocaine.There are several other hyaluronic acid fillers similar to the composition of Voluma (Juvederm, Restylane, Perlane), however their longevity is less than one year.I would consult with a facial plastic surgeon near your area who can weigh the options given your sensitivity to lidocaine.Good luck, Dr. S