Could anyone tell me if I can have a lower face lift without having adrenaline in the injection? It effects my heart

It is theoretically possible to use lidocaine without epi for facelift but the amount of bleeding can be significant. Using a cautery can stop the bleeding but you will need to be on extra precautions such as no activities almost bed rest for a few days and leave the drains in for 2 to 3 days instead of the typical 24hrs. Also will need excellent postop pain control to avoid increase in pain leading to high BP and then bleeding. RegardsDr. J

You can have a beta blocker like metoprolol to prevent any efffect on your heart. Best to consult a cardiologist before surgery to coordinate your care. I have done this many times with very successful outcomes.