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.