I have updates in case anyone is curious!
Yuki Arai’s office put me in touch with a woman named Diane Bruessow of Healthy Transitions LLC. She is not located in Manhattan, but she does “house calls” for trans people in the NYC area. She can do lidocaine injections, but the fee for a visit from her is very high, we’re talking hundreds of dollars. I figured I’d put that resource here though, in case anyone else is looking and can afford it. (Or if you live nearer to one of her locations.)
The main barrier to this sort of care might just be the cost, it seems. Electrolysis is in such demand for trans folks, but statistically trans people cannot afford expensive health care. That might be one reason why so few electrologists offer it. Insurance won’t cover it, as electrolysis is considered cosmetic - it’s so absurd!.