55 y/o F considering full face lift vs lifestyle lift...the lifestyle lift was a consideration because i worry about displacing/destroying fragile dental work involving two front upper teeth if i have general anesthesia...still in research mode, please advise. Thanks. I do understand that full face lift with general anesthesia allows deeper/greater repair.
Will Full Face Lift Require General Anesthesia Which May Displace Front Teeth Dental Work?
Doctor Answers (23)
Dental Work Concerns with General Anesthesia
Dental work concerns can be avoided to some extent with LMA or Combitube. Some facelifts can be done with sedation and local. There are options. Kenneth Hughes, MD Los Angeles, CA
Lifestyle vs custom facelit
That is a no brainer if ever i heard one. Anesthesiologists are totally aware of your dental work and take great pains not to damage teeth.. It is not even a consideration.
General anesthesia and facelifts
depends on the surgeon and their preference.
i think tiva/general anesthesia is the way to go for a facelift. some will do it under sedation or local.
those that use sedation or local advocate that they can do everything they need to do - but i tend to agree with your comment more can be done with general
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Damage to dental work during full face lift is remote
The chance of damaging teeth under a general anesthesia is extremely remote. Although it could happen, we have never seen it in our practice of 20 years. It is more important to have the proper comprehensive face/neck lift than it is to worry about the very remote risk of having any dental work damaged. Have a board certified physician anesthesiologist in attendance of your surgery so that the risk of tooth damage is extremely minimal.
The anesthesia used when performing facelift surgery depends on the physicians preference and the anesthesiologist preference. Facelifts can be performed under local anesthesia, twilight anesthesia, or general anesthesia. Qualified anesthetists are very experienced at dealing with loose teeth and dental work. The surgeon that you choose to perform your facelift should be chosen based upon your comfort level with the surgeon, their credentials, and their results.
Face lift under IV sedation
We use IV sedation anesthesia, which is a very safe and effective method of anesthesia for facial surgery. IV sedation anesthesia is extremely safe compared to the standard general anesthesia techniques used today. The main advantages of IV sedation anesthesia are: (i) it does not require putting a breathing tube in the throat, (ii) it does not require a breathing machine, (iii) the recovery is much faster, (iv) there is much less "hang-over" from anesthesia, and (v) there is much less nausea. All these elements translate into greater comfort and safety. We have used this technique of anesthesia in several thousand plastic surgery procedures without any anesthetic complications.
Damage to Front Teeth with General Anesthesia for Facelift
You are correct to to say that damage to front teeth dental work is possible secondary to the breathing tubes frequently used in delivering general anesthesia. However, in 35 years of doing facial plastic surgery I've never seen this complication. Anesthesia professionals are very aware of this possible problem and take measures to avoid it, especially in patients who have had cosmetic or reconstructive work on their front teeth. I encourage you to share your concern with those who will do your facelift, but don't compromise your surgical result if general anesthesia is best for you.
Will Full Face Lift Require General Anesthesia Which May Displace Front Teeth Dental Work
During general anesthesia care is taken to protect the teeth, that should not worry you.
"Full facelift" can be performed under "twilight" or general anesthesia
"Full facelift" can be performed under sedation or general anesthesia. Very few facial procedures require general anesthesia and facelifts are routinely performed under twilight anesthesia. The advantage of sedation is a faster recovery, lower risk of nausea and no need for a breathing tube. However, most anesthesiologists will be able to protect your dental work. It will help to point out your concerns on the morning of surgery but the risk of damaging teeth/ dental work is low with an experienced anesthesia provider.
Thank you for your question.
Stephen Weber MD, FACS
Full facelift does not require general anesthesia.
While some surgeons prefer to do this procedure under general anesthesia, it can certainly be done under local anesthesia with sedation. General anesthesia will require some sort of airway tube. If placed in the mouth, it could affect your upper teeth. If placed nasally, it would not.