Is there a lipo procedure without epinephrine?

Question

I habe POTS postural othostatic tachycardia syndrome. My heart races. I was interested in some producures but wondering if there's numbing that doesnt make your heart race. Denist uses Carbocaine.

Camille Cash, MD · Answer

Epinephrine is used during surgery to constrict blood vessels which in turn helps with bleeding.  It doesn't numb you but is often mixed with the numbing medication such as lidocaine to improve pain management and the numbing effect.  You can discuss your concerns with your surgeon who may be able to minimize the use of epinephrine based on the procedures that interest you.

Manuel Diaz, MD · Answer

Hello dear. Yes, liposuction without epinephrine exists, although it's not common. Carbocaine (mepivacaine) or other anesthetics without epinephrine can be used to prevent increased heart rate, but there's more bleeding and less pain control.

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