Factors to consider when deciding for a facelift?

I am considering a facelift, age 56. Excellent health. Two of the four consults I have had prefer IV sedation, the other two, general. The estimated time for the surgery is 4.5 hours. This is consistent among all surgeons. The costs is approximately $3000 difference for general. I have been reading pros and cons to both. What factors should I consider in making my decision?

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18 answers to “Factors to consider when deciding...”

A: General anesthesia is preferred

William Portuese, MD

It sounds as though the $3,000 difference in the procedures has to do with the surgeon performing both the surgery and the anesthetic simultaneously. The anesthesia team charges the same amount of money whether it is for I.V. sedation or general anesthesia. They are a service provider, and their charge is... more

A: First and foremost consider facelift surgeon quality

Sutton Graham II, MD

Anonymous53: Since you have consulted with 4 surgeons, you are obviously doing reasearch in person. As for those secondary considerations: (1) costs should be appropriate for the surgeon's results, the facility used, the staff's experience, etc.; (2) the anesthesia method is that which your surgeon chooses to... more

A: General anesthesia allows the surgeon to focus only on achieving the best facelift

Brooke R. Seckel, MD

The most important factor if facelift is the skill and experience of your surgeon. The advantage of local anesthesia is that you are less likely to have nausea post op and you will "bounce back" quicker. However, I prefer general anesthesia because it allows me to focus entirely on achieving the best... more

A: Anesthesia for facelift.

George J. Beraka, MD

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... more

A: Decision making for a facelift

Jeffrey E. Schreiber, MD

It sounds as though you've done your homework!  As long as you're comfortable with your surgeon, you like his/her before and after pictures, and you're comfortable with how your post-operative care will go you should be in good hands.  Don't let price dictate your surgeon choice as you may be... more

A: Facelift Anesthesia

Farbod Esmailian, MD

This is a good questions that there may not be a perfect answer for.  First you should decide on the surgeon not the anesthesia.  But having said that, you need to make sure that there is an anesthesiologist and that they are board certified as well.  Then I would say take it from there... more

A: IV Sedation vs. General Anesthesia for Facelift

Christopher L. Hess, MD

Nowadays there is a fine line between IV sedation.   IV sedation means that no tube is in your throat and you breath on your own.  In addition local anesthetic is infiltrated into the tissues to help with pain control and bleeding.  Many surgeons have an nurse anesthetist do the sedation as... more

A: Facelifting

Trevor M. Born, MD

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... more

A: IV or general anesthesis for facelift

Otto Joseph Placik, MD

My personal preference is general anesthesia but I am willing to perform the procedure under IV sedation. My general recommendations are that if a procedure is less than 2 hours then either is acceptable. However, it is difficult for anyone to remain still for more than this and therefore I recommend general... more

A: Face Lift factors

Daniel J. Leeman, MD

The factors to consider when deciding on a facelift should be centered on your needs, the surgeons experence,their training and case volume. Your surgeon should be able to show you similar patients that demonstrate the agging face changes you see in the mirror. I would not use the type of anesthesia or place... more

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