I had allergy testing with preservative free lidocaine to rule out methylparaben sensitivity. I developed red papules and itching at the injection areas. No life threatening reactions just the rash for several days.Now my plastic surgeon will not do a Facelift unless I use general anesthesia which I don't want to use. Is there any other local anesthesia that could be substituted for lidocaine? Is a topical skin reaction to PRESERVATIVE FREE lidocaine dangerous?
Answer: Local Anesthetic Choices
Marcaine, also called bupivicaine is a different type of local anesthetic (an ester) and lasts longer than lidocaine (an amide) so that it is unlikely you would also be allergic to this medication. However skin testing might be wise before hand in your case. One of the reasons to do this procedure under general of IV sedation is that an anesthesiologist would be present that could take care of any allergic reactions you may have during the procedure. It would seem that your plastic surgeon has your best interests in mind when he made this decision.
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CONTACT NOW Answer: Local Anesthetic Choices
Marcaine, also called bupivicaine is a different type of local anesthetic (an ester) and lasts longer than lidocaine (an amide) so that it is unlikely you would also be allergic to this medication. However skin testing might be wise before hand in your case. One of the reasons to do this procedure under general of IV sedation is that an anesthesiologist would be present that could take care of any allergic reactions you may have during the procedure. It would seem that your plastic surgeon has your best interests in mind when he made this decision.
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CONTACT NOW Answer: General Anesthesia Offers Comfort and Safety Although allergies to lidocaine are extremely rare they do occasionally occur. When this situation arises facelift procedures can still be performed, but the anesthetic technique needs to be modified. When patients are allergic to lidocaine other types of local anesthetics may be helpful. Local anesthetics fall into two categories, these include amides and esters. In most cases when patients are allergic to an anesthetic, they’re able to use anesthetics from the opposite group. For instance Lidocaine is an amide. For this reason patients might be able to use Marcaine which is an ester. Although you’re not interested in general anesthesia, this might be your best option. General anesthesia offers high comfort levels and excellent patient safety. The majority of plastic surgeons prefer this approach to local anesthetic with or without I.V. sedation. With your history of allergies the presence of an anesthesiologist provides added safety. If you’re still interested in facelift surgery, it’s important to discuss these issues with your plastic surgeon. Your surgeon should be able to formulate a treatment plan that addresses your concerns about anesthesia.
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CONTACT NOW Answer: General Anesthesia Offers Comfort and Safety Although allergies to lidocaine are extremely rare they do occasionally occur. When this situation arises facelift procedures can still be performed, but the anesthetic technique needs to be modified. When patients are allergic to lidocaine other types of local anesthetics may be helpful. Local anesthetics fall into two categories, these include amides and esters. In most cases when patients are allergic to an anesthetic, they’re able to use anesthetics from the opposite group. For instance Lidocaine is an amide. For this reason patients might be able to use Marcaine which is an ester. Although you’re not interested in general anesthesia, this might be your best option. General anesthesia offers high comfort levels and excellent patient safety. The majority of plastic surgeons prefer this approach to local anesthetic with or without I.V. sedation. With your history of allergies the presence of an anesthesiologist provides added safety. If you’re still interested in facelift surgery, it’s important to discuss these issues with your plastic surgeon. Your surgeon should be able to formulate a treatment plan that addresses your concerns about anesthesia.
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December 18, 2015
Answer: Yes there are alternatives to lidocaine anesthesia. You can be tested the same way with Marcaine. The surgeon probably feels you will be more comfortable with general anesthesia at the same time which is the way most surgeons do this.
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CONTACT NOW December 18, 2015
Answer: Yes there are alternatives to lidocaine anesthesia. You can be tested the same way with Marcaine. The surgeon probably feels you will be more comfortable with general anesthesia at the same time which is the way most surgeons do this.
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January 18, 2010
Answer: Lidocaine alternative for Facelift procedure Most likely not, but the issue you present is one of your safety. You can ONLY be operated upon in a hospital setting. The risk of a severe allergic reaction is too high. That is why your plastic surgeon is offering to do your surgery under general anesthesia with most likely epinephrine soaks to decrease the bleeding. See other plastic surgeons in your area to get a consensus of the type of care you will be needing. Regards.
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CONTACT NOW January 18, 2010
Answer: Lidocaine alternative for Facelift procedure Most likely not, but the issue you present is one of your safety. You can ONLY be operated upon in a hospital setting. The risk of a severe allergic reaction is too high. That is why your plastic surgeon is offering to do your surgery under general anesthesia with most likely epinephrine soaks to decrease the bleeding. See other plastic surgeons in your area to get a consensus of the type of care you will be needing. Regards.
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July 9, 2013
Answer: Lidocaine allergy
I always do my facelifts under general anesthesia but use local anesthesia in addition to allow the anesthesiologist to keep the amount of general anesthesia to a minimum. There are many alternatives to lidocaine but I think that Gen is the way to go for a facelift. The patient is comfortable and I can focus on the surgery and the outcome.
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Answer: Lidocaine allergy
I always do my facelifts under general anesthesia but use local anesthesia in addition to allow the anesthesiologist to keep the amount of general anesthesia to a minimum. There are many alternatives to lidocaine but I think that Gen is the way to go for a facelift. The patient is comfortable and I can focus on the surgery and the outcome.
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