 The occipital area was shaven bilaterally and then the areas of the prior scalp incisions were infiltrated with 0.25% Marcaine with 1:200,000 epinephrine after routine prepping and draping. 
The occipital area was shaven bilaterally and then the areas of the prior scalp incisions were infiltrated with 0.25 % Marcaine with 1:200,000 epinephrine after routine prepping and draping .