Can I get lidocaine and epinephrine injection if I can’t have epinephrine at the dentist?

Why can't you have epinephrine from your dentist? If the reason is temporary rapid heart beat and anxiety, this tends not to happen with mole removal since the amount of epinephrine is minuscule. You can clarify with your dentist and plastic surgeon. Good luck! Dr Joseph

The amount of lidocaine with epinephrine used for mole removal is less and more slowly absorbed than what is used in dental procedures and thus is usually well tolerated.
If after discussing this with your dermatologist there is reason for concern,
plain lidocaine without epinephrine can be used.