Anesthetic injections during electrolysis professional electrolysis hairtell hair removal forums sore chest pain

One of my patients was (is) the California State Board Examiner for Anesthesiologists. Yes, that was an interesting person to work on (total upper-body hair removal). I got lots of technical information from him. Additionally, I work with a plastic surgeon. Here are a couple “factoids” from my expert sources (and the literature).

First, nobody uses “Novocain” any more (dentists use Lidocaine) but the term is still used because it’s what patients know. So I suppose the dentists think, “What the heck!” The term is still widely used and is part of our everyday nomenclature. For most people “Novocaine” just means that numbing stuff the dentist uses. But it’s an older formulation (trade name) that’s not widely used today

Actually, an injected anesthetic is more safe than a topical. WHY? Because the physician knows precisely how much as been administered.


And, he/she is computing dose and duration for metabolism “half-life.” With a topical, you do not know how fast the medication is being absorbed and that can be a problem.

I cannot give medical advice, but your doses are extremely safe (as per the literature on Lidocaine 1% with, and without, “epi”). Indeed, if you go “on-line” you will see a plethora of toxicity reports. Please talk to the physician in charge and he/she will easily allay your concerns. The doses you state are safe; I would say “ridiculously safe.” Don’t worry about this!

Let me only say the following: In electrolysis, it’s NOT the anesthetic that’s dangerous it’s the electrolysis treatment itself that can cause problems! In addition, with anesthetic, the electrolysis treatment becomes VERY different indeed, and your technician knows this (has learned this) and has adjusted her technique accordingly.

I don’t consider two palm size areas a large area, but I’m thinking of a case where I did 7-9 hours of work at a time, as a large area. Would that scenario increase the risk factor for injecting? I guess I am overly cautious about such things, maybe because we are not even allowed to get close to the gray area when it concerns our license here in the state of Ohio. Heck, in my state, it’s hard to find a dentist or anyone that will inject for electrolysis reasons. They clam up. I think there was some kind of directive distributed warning them not to.

Do you remember these syringes filled with anesthetic? I think they were called something like madajet? My memory is a little foggy, but I think electrologists could order those syringes by the dozen and use them, without medical supervision. If one would hit a blood vessel instead of injecting intradermally, well that would not be good. I remember when my Electrologist ordered a bunch and then chickened out and sent them back. I don’t know what caused her to change her mind. They weren’t ordered for me because I would have never allowed it, but she was going to use them on her transwomen.

I personally don’t want to mess with anesthetics, but I know that there is a need for this kind of help for some people, especially in the genital area. I would prefer that our great manufacturers keep doing research and engineering the best possible products all geared toward reducing the sensation factor. There have been times where I wished that someone was nearby to inject, I have to admit.

The thing is, the needle is NOT the issue. Hell, you can give a monkey a sterile needle and have him poke your skin, and that’s not going to cause a problem (of course the monkey will be wearing latex gloves). The issue is BURNING the tissue with current not the needle! But they never consider that.

Same thing with “telangiectasia removal.” The whole issue is: “does the needle penetrate the skin!” THAT’S not the issue! The issue is “should non-medical people be allowed to remove “solar telangiectasia?” Again, the focus is on the wrong thing.

Why is a “Madajet” (somewhat) legal? Oh, because it doesn’t have a needle? STUPID! STUPID! Using a 30G needle is WAY more safe (and WAY less painful) then squirting the stuff in under pressure Geeeeze! Besides, with a needle you have extremely accurate placement. I mean, “spot on,” if you know what you’re doing.

And the poor estheticians. They are not allowed to “poke” a blackhead with a needle however; they can use pressure to pop the thing (and rupture adjacent capillaries in the process.) It’s not about sticking a needle in the thing it’s about removing the thing in the first place.

But on average, it’s all the damned “needle phobia” that seems to always be the issue. I think regulators are idiots. You know what? I suppose you could inject cyanide and that would be horrible. Then, you could just swallow it and “that would be okay?”

Dee, when you say injections are not without risks, but as a whole, if administered by a doctor or dentist or other trained medical person, it can be safe for contained, smaller areas, would you mind expounding on what the risks might be, and what you mean by a contained, smaller area?

During my first session, the electrologist removed 2,060 hairs in two hours, basically in a palm sized region of my upper left chest. I have a lot more to do. It was pretty pain free near the rib cage, but quite painful nearer the sternum. The ice packs helped at first, but seemed less effective as the time wore on. Near the end it was tough; she wanted to do 2.5 hours to clear a neat area but I called time at 2 hours.

Incidentally, I am in Bangkok, Thailand, and there is only one place for electrolysis, Yanhee Hospital, which specializes in health and beauty treatments. But they seem to have a very well qualified staff including four MDs who supervise the electrology work. My electrologist seemed to be excellent and I have no complaints at all.

The majority opinion here is that the anesthetic injections are perfectly okay, and the doctor and electrologist recommended them . . . I didn’t do them this time because I wanted time to check into it at home. But I think I’ll go for them next time. I was a little concerned when I read that the injection includes adrenalin and, since the area on my chest is right over my heart, I was concerned about having heart trouble on the table . . . !