I have patients ask me this all the time. Yes it can be done. But I don't understand why this is so attractive to people. Lets tackle this question, issue by issue.
1) Anesthesia - People are afraid of general anesthesia. I remind people that undergoing general anesthesia is safer than the car ride they took to see me in consultation.
2) Money- People like the idea of local anesthesia because it can make the procedure less expensive. Is a facelift the procedure which one should be trying to cut cost. Save money, when you buy a car, go on vacation, or go out to dinner.
I prefer generally anesthesia, however with that said in the right patient with the right technique, I will perform a facelift under local anesthesia.