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

Epinephrine is used routinely in facial surgery. It is a vaso constrictant which means that it tightens the blood vessels so that they do not bleed as much. This helps the surgeon to see what needs to be done and also helps to reduce bruising. The side effects of epinephrine are to speed up the heart. This is what many patients feel when they get the epinephrine during dental procedures. Fortunately in facial surgery the epinephrine is very dilute and generally does not affect the heart. During your surgery, your heart rate will be monitored and if in fact the epinephrine causes it to speed up too much, the anesthesiologist can give you some medicine to treat the side effects. 

It would be best to perform your surgery with a very dilute epinephrine solution.  Otherwise there would be an increased risk of bruising and/or hematoma. If performed in a monitored setting, any cardiac effects can be addressed. 

Yes. There were few papers published on this topic and all agree that this surgery is equal to surgeries where epinephrine (adrenaline) is used. It will take slightly longer time to do your surgery but result should be the same. Best is to discuss this issue with your surgeon significantly ahead of your planed surgery. Good luck.

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. 

In the absence of prexisting cardiovascular disease the dilute epinephrine solution should not cause a problem, if monitored by an anesthesiologist or anesthetist. Epinephrine can increase heart rate but this can be monitored and treated if needed. It is always important to assess and address any preexisting medical conditions before surgery. Rather than do the surgery without epinephrine, it would be best to determine if and why it would be a problem.

Find a surgeon who will do your surgery with a harmonic scalpel.  No infiltration of any kind and limited bruising.
Good luck.
Dr. Z

In our practice, it's mandatory to use adrenaline in the injections to prevent bleeding throughout the entire face and neck while performing the procedure. Patients are asleep under general anesthesia  and monitored closely by a board-certified physician anesthesiologist for patient safety and comfort. 

In short, the answer is "yes". However, it will be up to your surgeon whether he feels comfortable with this. It is impossible to say how much dissection will be needed to achieve a nice result for you without a formal evaluation. The less dissection require, the greater the chance your surgeon will feel confident not using adrenaline. 
As stated by other comments, adrenaline helps to minimize bleeding during and immediately after surgery. This concentration can be diluted to a point where it still provides this effect but has less chance of causing problems with your cardiovascular system.
In the end, its best to meet with a qualified surgeon and discuss your concerns and see what they can provide as a solution. You have options here for sure...
Good Luck!
Dr. M

Your surgeon may want medical clearance from your cardiologist.  Discuss your medical history with your surgeon as well as the anesthesiologist so they can determine the best course of action.