Had lipo and renuvion for gynecomastia last week (my surgeon thought he might also have to do a small periareolar incision as well but he was able to get the job done without it). At my request he utilized local anesthesia and I received lidocaine and marcaine. The procedure went well. My bp was initially high after the procedure, but when I arrived back to the hotel about 30 minutes later I felt lightheaded and nauseated. I passed out on the bed. Apparently I was pale and my lips were blue. I came around when they laid me flat and elevated my feet. They gave me 2l of IVF and everything in the ER checked out ok (EKG/cardiac enzymes/ct of the brain and arteries/ct chest to r/o blood clot) but before they d/c'd me I insisted I ambulate around the ER for a bit. That went fine but a minute or two after getting back on the gurney, the symptoms returned and I indicated I needed to lay down and again went out (reportedly bp was 60's/40's, no abnormal heart rhythm noted). My surgeon is great so that's not an issue but I am wondering if anyone has experienced, or heard of someone else experiencing, anything like this. No one seems to have an explanation so I am doing some research. My personal opinion is that it is related to systemic absorption of the anesthetics. Thx