Do I Need to Be Under General Anesthetic for My Endoscopic Brow Lift and Rhinoplasty? Doctor Answers, Tips
Brow Lift: Q&A
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Do I Need to Be Under General Anesthetic for My Endoscopic Brow Lift and Rhinoplasty?

I am planning to have a endoscopic brow lift to correct a tired, sad looking eyes and eyebrows, rhinoplasty to correct a counter roated tip which makes my nose look piggy,i may have some cartilage added... and a lip lift. Can i have this under local anesthetic with sedation? I am scared of general and really want to avoid it...

12 Doctor Answers | Asked by BrigetteLA
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Anesthesia

You are having a lot of procedures done at the same time. Maintaining a secure airway is necessary for your safety
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Is general anesthesia necessary?

I usually perform these procedures under general to ensure the comfort of the patient, but it is possible to perform them with local. I would recommend discussing your options for anesthesia during a consultation with your prospective surgeon. He/she will help determine the best method of anesthesia for you based on your individual needs. Under the care of an experienced board certified anesthesiologist, you will be in good hands. Thank you, and I wish you the best of luck with your surgery! more
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General anesthesia best for brow lift and rhinoplasty

It is important to have rhinoplasty under general anesthesia because blood drains down the back of the nose, which could go into the lungs causing the patient to cough and aspirate blood and mucus. It is very important to have a protected airway during the rhinoplasty procedure, which is achieved during general anesthesia. It would also be extremely uncomfortable to undergo both an endoscopic brow lift and a rhinoplasty under IV sedation since there would be conscious awareness... more

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General anesthesia for surgery?

Patient safety is always the priority during surgery. That being said, there is a lot of artistry associated with the surgeries you are considering. In order to keep you as safe as possible and achieve the outcome you desire, it is most likely best that you are under a light general anesthetic. I encourage you to speak with your anesthesiologist to help you with your concern with general anesthesia. I think you will be pleasantly surprised to find out just how safe it is!... more
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What type of anesthetic for browlift and rhinoplasty?

The browlift can certainly be done under sedation. I prefer a general anesthetic for rhinoplasty but other surgeon's prefer sedation. It can be done safely either way as long as your surgeon and anesthetist work that way regularly.
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What kind of anesthesia is best for a brow lift and rhinoplasty?

I think that the best answer to this question is the type of anesthesia that the surgeon is most comfortable and experienced with. If the surgeon you choose gets great results on the procedures you are interested in using general anesthesia, then I would go with general, assuming that you are healthy and a good candidate medically. The other consideration which is equally as important is your comfort during the case. It is very important that you be comfortable through the entire... more
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Anesthesia for Endoscopic Brow Lift and Rhinoplasty

The goal of anesthesia for these procedures is to make the patient comfortable so they have a safe pleasant experience. However we frequently get into semantics when describing various anesthetic techniques. In most situations sedation for these procedures is a mild form of general anesthesia. Choose an experienced surgeon who has good results because your primary goal is a natural result with minimal risks.
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Choice of anesthesia

These operations can be done with any of the anesthesia scenarios that have been discussed. The choice is whatever is most comfortable for you and your surgeon. Your fear of general anesthesia may make even light sedation an issue. Also, your surgeon can do his/her best work when the patient is being operated on with anesthesia that is customary to the practice. Be sure that your surgery is being done in an accredited operating facility.
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Brow Lifts

I prefer local anesthesia with I.V. sedation because general anesthesia is way "over the top" with stinky gases, intubation, and muscle paralysis. General anesthesia increases the risk of Cosmetic Surgery!
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Endoscopic Browlift and Revision Rhinoplasty under Local Sedation

Hi, Yes. Most if not all of facial cosmetic procedures can be done under local sedation. The trick is to have a good anaesthaetist that knows how to work with propaphol. Its definitely less risky than general anasthesia, especially if the surgery is more than 3 hours. Best, Dr.S. see video
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Yes it is possible

"Twilight sedation" is possible. This involved deep IV sedation without intubation or general anesthesia. In our office, this is our standard type of anesthesia for nearly all our facial procedures, whether browlift, facelift, or rhinoplasty. A lot of this depends on the comfort level of the surgeon and/or the anesthesia provider. Discuss this further with your surgeon. If you like your surgeon, and general anesthesia is what he is comfortable with, then you should not worry about... more
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Brow lift and rhinoplasty anaesthesia

Hi there, Whilst its possible to do nearly anything under local anaesthesia, for surgery of the scale you're seeking, the risks of local anaesthesia and sedation probably (arguably) outweigh the risks of a general, and the experience will be quite difficult under local for both you and the surgeon. Personally, I would not offer you the surgery under local. Too stressful for me, and for you, and I think your airway and safety would be at higher risk of problems than under a... more
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