Twilight or IV sedation for deep plane face and neck lift, with upper and lower eyelid?

We perform the majority of our deep plans facelift procedures under iv sedation provided by a board certified Doctor anesthesiologist.  During this type of a sedation you are out. You don't hear, feel, or remember everything. Your breathing is monitored the entire time but you do not have a breathing tube in. This is very similar to anesthesia used in colonoscopies, which many people over 50 are familiar with. In my view there are many benefits to this over general anesthesia. My patients also barely ever get nausea after surgery.

A good surgeon will recommend the anesthetic that he or she prefers. Some recommend IV sedation or twilight to keep their costs down (it costs more to have an anesthesia professional present). I usually have an anesthesia doctor/nurse doing that part so I can focus exclusively on the surgery.

One certainly can be nervous before facelift surgery; after all, it is a big decision to undergo elective cosmetic surgery. The choice of anesthesia varies from surgeon to surgeon: some prefer general and others IV sedation. Personally, I never use general intubation anesthesia; in fact, some of our patients prefer to have their procedure performed under local. Two main factors should be considered in facial surgery: safety and comfort. It is probably not a good idea to ask your surgeon to perform your procedure differently than he usually does. If general anesthesia is important to you and your surgeon does not do it, then you may want to find a surgeon who uses this anesthesia mode routinely.