Is the lidocaine in Juvederm the same as the dentist uses?

Question

I am unable to get an injection from the dentist due to reactions from the epinephrine so they give me an epinephrine free injection. I'm wondering if the lidocaine in Juvederm will also give me a reaction? Whenever I am at the dentist I get dizzy, feel tingly in my arms and hands, and get a slight panic attack if I have the epinephrine injection.

Paul F. Vanek Jr, MD · Answer

Because of the rate of absorption of adrenaline-containing local anesthetics into your blood stream, some people experience what you felt. The actual lidocaine or xylocaine in the short term local anesthetics does not usually cause this type of experience. 
Restylane and Juviderm products do not contain adrenaline or epinephrine. They are mixed with a small amount of lidocaine, a short term local anesthetic. I would recommend you that you can get injectable agents from a board certified plastic surgeon, who can re-assure you about your medical history and drug reactions prior to injecting you.

Camille Cash, MD · Answer

The lidocaine that is mixed with the Juvederm XC products does not contain epinephrine.  I encourage you to mention your sensitivity to epinephrine to your injector so that it can be noted in your chart.

Nima Shemirani, MD · Answer

Dear london,Not to worry, the lidocaine in Juvederm is minimal and contains no epinephrineIt only contains 3mg of lidocaine and that is about 1/70th of the maximum dosage you can have in one sittingBest,Dr. Nima
Member, American Academy of Facial Plastic and Reconstructive Surgery
Board Certified Facial Plastic Surgeon
Board Certified in Head and Neck Surgery

Julia Ann Sullivan Miller, MD · Answer

Juvederm contains lidocaine without epinephrine so you should not experience any unwanted side effects following the treatment.  Before you are injected, however, I would address this concern with your doctor.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent photograph.  The lidocaine in Juvederm is the same as the non-epinephrine containing lidocaine that your dentist uses, and as such should not give you those secondary effects.  Hope this helps.

Michael I. Echavez, MD · Answer

The lidocaine in Juvederm does not contain epinephrine, so you should be fine getting Juvederm injections.

Monika Soni, MD · Answer

Thank you for your question! Juvederm contains lidocaine without epinephrine so you should not experience any unwanted side effects following the treatment.  Before you are injected, however, I would address this concern with your doctor. Best of luck!

Michele S. Green, MD · Answer

The lidocaine in Restylane and Juvederm is free from epinephrine so you should be perfectly fine to have the injections.  There is no epinephrine to give you this type of a reaction.  Please consult a specialist in cosmetic injections for the best results. Best, Dr. Green

Vilma Di Maria, MBBS · Answer

Thankyou for your question.Your symptoms are a combination of anxiety and the epinephrine. Dermal fillers have only lidocaine so you will be fine.You need to talk to your injector and let him/her know that you are prone to anxiety also. Good luck

Leonard Grossman, MD · Answer

It is obvious that your panic attacks occur when you receive your lidocaine and epinephrine mixture by your dentist from the product getting into a blood vessel. In most people lidocaine and epinephrine mixture is absolutely harmless. The lidocaine that is present in Restylane does not contain epinephrine so you should not have any issues with the product. Good luck from New York City

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Is the lidocaine in Juvederm the same as the dentist uses?

Answers (13)

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