Lidocaine Allergy and Lip Augmentation?

Question

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

Nima Shemirani, MD · Answer

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

Paul S. Howard, MD · Answer

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.

Stephen Weber MD, FACS · Answer

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

Mitchell Schwartz, MD - Account Suspended · Answer

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.

Lidocaine Allergy and Lip Augmentation?

Answers (4)

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