In general facelifts performed under local anesthesia with sedation are more "limited" in their approach and what they can achieve as well as their longevity and how long they "last."
Sometimes they can be referred to as minimal-incision or mini-facelifts or "limited" facelifts. They also typically are more inexpensive procedures for patients, and can be a reasonable option in some patients that may be looking for some improvement but cannot afford a "full" comprehensive facelift.
In younger patients and patients with early signs of facial aging that may not be looking for a full facelift and may not need a "full" facelift this may be a good option. Also there are some potential complications of surgery that can be averted such as DVT (deep venous thrombosis) by not being completely asleep with general anesthesia.
Most doctors will treat the loose skin and superficial fat with these procedures that can be done under local, however "deeper" facelifts that require more work on the SMAS (deep layer of the face) may be better served with a "full" facelift under general anesthesia.
A limited or "minimal" facelift done under local as an office procedure most likely will not last as long as a comprehensive facelift that fully addresses and suspends the SMAS (or deep) layer of the face.
Medical clearance is important in my opinion on all patients seeking facial rejevenation. It is also of paramount importance to choose a board certified plastic surgeon or facial plastic surgeon that has been properly trained to do the surgical procedure.
Also, the accreditation of the surgicenter or hospital is very important.
