Can a neck lift and lower face lift be performed safely under Local? I have 2 DVTs and Sleep Apnea. (photos)
Doctor Answers (10)
Medical Risk v Reward for Plasttic Surgery
Thank you for your question about having a facelift or neck lift under local anesthesia. Though these procedures can be performed successfully with local and sedation, that may not decrease risk in your circumstances. From your history, I would be worried about inviting more medical trouble with elective cosmetic surgery. Non surgical improvements would certainly be safer.
Can a neck lift and lower face lift be performed safely under Local? I have 2 DVTs and Sleep Apnea.
Just by your posted medical history you are NOT a candidate for any elective cosmetic surgery in my over the internet opinion... The risk reward ratios are tilted way over to the risk side. Using fillers and laser peels could only improve slightly but at least you would not be at risk to a calamity... Sorry.
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Based on the brief history you gave, you are a very high risk for Deep venous Thrombosis and Pulmonary Emboli.
You will need a full hematology consult for hypercoaguability syndrome, a full cardiac workup. May be a venogram, Some surgeons would do a facelift under local anesthesia.
Even if you are pre-treated with lovenox you still may have a DVT, PE. and run the risk of bleeding I the face. in that case you will need surgery as emergency surgery under general anesthesia and you will be at a higher risk.
Samir Shureih MD. FACS
High risk for DVT/PE
Quite honestly, you have so much tissue laxity and sun damage, that anything really worth doing would take quite some time and the length of surgery increases your DVT risk. Long surgeries i.e. 4 hours are hard to tolerate under local also.
So, since there is no small fix for you that would be worth the money and recovery, my best advice would be to not do anything. Health should always come before cosmesis.
Facelift in the Face of Multiple Medical Problems
While you are considering these issues you might want to explore non-surgical ways to improve your appearance including fillers and skin resurfacing (peels and/or laser) which do not require sedation in many cases.
Facelift under local
Safety First: Medical Clearance is Mandatory
Facelift under local
Can neck lift and lower face lift be performed safely under local anesthesia?
It is definitely possible to perform and lower face/neck lift under local anesthesia with IV sedation. The question in your case is if there would be risk to you to have the surgery with your medical history. You would need to be evaluated medically before any surgery to determine if you might be a candidate for the procedure. A potential alternative treatment would be the use of fillers to add volume to your cheeks and laser resurfacing to improve the sun damage and fine lines on your face. This would not have the same effect as surgery but still could lead to improvement.