Lidocaine Allergy and Lip Augmentation?

I have had an allergic reaction when my doctor applied lidocaine on my face. I would like to get my lips done and am wonder if what I can do to cope with the pain? Thanks

Doctor Answers 4

Alternative to Lidocaine for Lip Numbing

There are several available topical preparations for skin numbing including a lidocaine topical. Actually lidocaine is one of the least effectice topical preparations. It is possible to be allergic to lidocaine so another substance is indicated. I personally would recommend regional lip blocks with either septocaine or marcaine for total anesthesia of the lips and painless fat injections for a permanent and naturally soft result.

Hoover Plastic Surgeon
5.0 out of 5 stars 7 reviews

Lip augmentation

Dear Maddylynnrose,

  • If you have had a dental procedure or local anesthetic injected for some other reason, it was probably another ingredient in the cream
  • There are other options without lidocaine if there is a true allergy

Best regards,

Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 74 reviews

Lip augmentation when allergic to lidocaine

We have other injectable local anesthetics that can be safely used when a patient is allergic to lidocaine. Most dermatology offices keep them routinely in stock. They can be used to do a lip block (which I routinely use for lip augmentation) so the injections will be painless. Belotero is a new hyaluronic acid filler that I think is wonderful for lips and does not contain lidocaine so it would be quite safe for your injections.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

Lidocaine Allergy and Lip Augmentation?

It's important to determine if you are allergic to lidocaine or a component of the cream that was placed on your face. Next, if you allergic to injected lidocaine if is usually a preservative rather than the lidocaine itself. Usually it is possible to find a local anesthetic that does not trigger a true anesthetic allergy. Worst case scenario, if local anesthetic options are not available, ice can be used to dull your discomfort. There are also lidocaine free filler options but they must be special ordered by your injector. I hope this information is helpful.

Stephen Weber MD, FACS

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.