Topical Anesthesia

  • C. Blake Phillips
  • Melissa McEnery-Stonelake
  • Conway C. HuangEmail author


Topical anesthetics offer effective, uniform skin anesthesia while avoiding the discomfort and needle anxiety associated with injected local anesthetics. In the context of dermatology, they may be used to provide primary anesthesia or as an adjuvant pretreatment for alternative locoregional anesthesia. Unlike traditional injection anesthetics, two or more agents are typically combined in a vehicle for topical use. Because efficacy, indications, contraindications, and application techniques vary for these combination agents, this chapter aims to review the most common FDA-approved agents with a focus on best available evidence.


Topical anesthesia EMLA Dermatology anesthesia Local anesthesia Topical anesthetic 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • C. Blake Phillips
    • 1
  • Melissa McEnery-Stonelake
    • 2
  • Conway C. Huang
    • 1
    Email author
  1. 1.Department of DermatologyUniversity of Alabama at BirminghamBirminghamUSA
  2. 2.Dermatology and Plastic Surgery InstituteCleveland ClinicClevelandUSA

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