General anesthesia vs iv sedation for facelift

Both methods are safe.  The most important thing in my opinion is that the person administering the anesthesia is a board certified anesthesiologist.  Some surgeons use a nurse anesthetist.  This is personal preference but I prefer a board certified anesthesiologist to administer the anesthesia.  Make sure the facilities are accredited by either JACHO, AAAA or AAA.  Assuming you have no medical problems, either method of anesthesia is acceptable.  Do not make decisions based on price; you are making decisions that affect your safety and well-being.  Hope this helps.

Tracy M. Pfeifer, MD, MS

Dear Anonymous

The type of anaesthesia is usually surgeon preference.  They have similar risk and the same potential for nausea- the most dredded aspect. There are arguments for both and in the end the surgeonhas to be happy to do your surgery and you have to like your surgeon.

With Warm Regards,

Trevor M Born MD

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Hi!

1)  The most important point about anesthesia for facelifts is that it be given by a board certified anesthesiologist  (an MD) experienced in cosmetic surgery anesthesia.  The blood pressure has to be maintained low and stable, and you have to wake up very smoothly.

2)  In our office surgical suite in New York, I prefer deep intravenous sedation and local anesthesia.  But general anesthesia is fine too.

3)  If general anesthesia is used, then you need an endotracheal tube.  An LMA (laryngeal mask airway) cannot be used because it distorts the neck.

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