IV sedation and local anesthesia safe option for facelift?

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8 answers to “IV sedation and local anesthesia...”

A: Anesthesia options for facelift

By Lavinia Chong, MD - Orange County Plastic Surgeon

I always offer my patients either General Anesthesia or Monitored Anesthesia Care, both with Board Certified Anesthesiology providers, as options for their facelifts. If they do not express a preference, I prefer MAC as the absence of an endotracheal tube certainly expedites the necklift portion... more

A: General anesthesia is preferred and is more comfortable for patients

By William Portuese, MD - Seattle Facial Plastic Surgeon

Respiratory depression and respiratory arrest can occur when patients are partially awake and partially asleep. It is actually safer to be asleep under general anesthesia with a board-certified physician anesthesiologist than it is to be half asleep and half awake. Patient awareness and consciousness of what... more

A: It depends on the surgeon and the surgery.

By Toby G. Mayer, MD - Beverly Hills Facial Plastic Surgeon

We do all of our regular facelifts under general anesthesia combined with local. In that way the depth of anesthesia needs to be much less. We also like to be able to control the airway. For mini lifts in some patients, I will do them strictly under local after they have taken oral valium. If I use IV... more

A: I.V. sedation is my prefered technique for both reasons of safety and comfort

By Nathan Mayl, MD - Ft. Lauderdale Plastic Surgeon

Virtually all my facelifts for the past 15 years have been done with i.v. sedation and local anesthesia. There are major advantages: Safer throught the procedure very nfrequent nausea afterward You have the local anesthesia in your tissues so that when the operation is complete there is less... more

A: IV sedation for Facelift Works Great

By Kent V. Hasen, MD - Naples Plastic Surgeon

IV sedation can be used quite successfully in patients undergoing surgical facial rejuvenation procedures. We use a combination of propofol, ketamine and versed along with a BIS monitor that allows my anesthetist to give the patient just enough anesthesia that they require... more

A: Anesthesia for Facelift

By Frank P. Fechner, MD - Worcester Facial Plastic Surgeon

In our experience, I.V. sedation is a fine anesthesia option for facial aesthetic surgery. Personally, I avoid general anesthesia for facelift surgery. Waking up and restlessness can be avoided when the anesthesia service is provided by an experienced anesthesiologist. At the end, listen to your intuition.

A: Anesthesia depends on the comfort of your surgeon

By Kenneth D. Steinsapir, MD - Los Angeles Oculoplastic surgeon

Dear Jacqui It is certainly possible to perform a facelift under IV sedation. It is also possible to perform a facelift under just local anesthetic. The choice of anesthetic usually is determined by what the surgeon and anesthesiologist are comfortable with rather than any scientifically mandated... more

A: Anesthesia used will vary from Patient to Patient and Surgeon to Surgeon

By Kamran Jafri, MD - New York City Facial Plastic Surgeon

Hello Jaqui, Your question is a very good one and one that I discuss with my patients every day. General anesthesia, IV sedation and local anesthesia all have their advantages and disadvantages. They are all options worth considering and ultimately the the method used is arrived at by weighing all the... more