Can Voluma be injected without lidocaine/vasodialator for pain?

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