Can the local anesthesia administered during hair transplant cause permanent hair loss at the injection site?

Question

Is it possible for the local anesthesia used to numb the scalp to damage the skin and tissue around the injection site that could result in permanent hair loss as a result of severe ischemia-induced by the injections?

Jamil Asaria, MD · Answer

Local anesthesia should not cause any hair loss.  Nerve blocks and ring blocks are performed routinely and do not cause hair loss.

Camille Cash, MD · Answer

Local anesthesia is used to make the hair transplant procedure more comfortable for the patient.  It should not have any negative effects on hair growth or loss.  Sometimes epinephrine is added to the other medications to help control bleeding, but if dosed properly it should not have a negative impact.  I encourage you to discuss your concerns with your hair loss specialist.

Ilhan Serdaroglu, MD · Answer

No, it is not possible for the local anesthesia  to damage the skin that could result in permanent hair lossin  normal  circumstances. But  ıf  surgeon  used  a high  concentration  of  adrenaline  in tumescent  solution, that  may result of severe ischemia-induced necrosis of skin by the injections.

Neil Verma, HBSc, MD, FCFP - Account Suspended · Answer

Hi,I am both a Pain Specialist and a Hair Restoration physician. Local anesthesia and nerve blocks do not contribute to hair loss at the injection site.

William Rassman, MD (retired) · Answer

Yes, an anesthetic can cause permanent skin damage if there is too much epinephrine in it, if it is mixed wrong with too much sodium bicarbonate, or the wrong medication is used by mistake

Can the local anesthesia administered during hair transplant cause permanent hair loss at the injection site?

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