How to work around epinephrine sensitivity for topical procedures?

Thank you for sharing your question. Erbium laser skin resurfacing can be performed without with topical or local anesthetic without epinephrine. This type of medication will not effect your heart rate. See a laser expert for comprehensive evaluation and discussion of treatment options. Good luck,

You have multiple options for adequate anesthesia without epinephrine.   Both lidocaine and bupivicaine are injectable anesthetics that can be supplied without epi.   So nerve blocks, tumescent and local anesthesia can be achieved without the use of epi.  The only think that is lost without epi is the vasoconstriction that epi provides.  Talk to your doctor.

Thank you for your question.The use of epinephrine in local anesthetics is for several reasons. It allows your surgeon to give you a higher volume of the anesthetic, it prolongs the action of the anesthetic, and it helps constrict blood vessels to reduce bleeding.It is not necessary to have the epinephrine in the local or cream in terms of being numb enough for your procedure. You will just be giving up some of the advantages that epinephrine provides.I hope this helps.Good luck!