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Can These Procesdures Be Performed Under Local Anesthesia?

Hello Doctors,I wanted to know if a endoscopic browlift,mini facelift,cheek implants and eyelid surgery can be performed under local anesthesia? Everybody is mentioning less bruising and less recovery time when procedures are performed without general anesthesia. Just would like some opinions on what is safer for all of these proedures. Also can liposuction be performed under local if its the only procedure to be performed? Thanks for all your help.

Doctor Answers 24

Can These Procesdures Be Performed Under Local Anesthesia?

 IMHO and I perform all of these procedures, the Brow Lift and the Cheek Implants should not be done under a local anesthetic as they will be uncomfortable to you during lifting up of the periostium.

Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

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Local anesthesia alone likely not a good idea for all of these procedures


Thank you for the question.  Your total surgery time will be from 4-6 hrs depending on the extent of the procedures you are having.  I would recommend at least IV sedation (asleep but breathing on your own) in addition to local anesthesia.  Most plastic surgeons place local anesthesia to reduce bleeding as well as to provide comfort.

All the best,

Dr. Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 112 reviews

Local anesthesis for Brow, eyes, cheek implants

I always do those procedures under general anesthesia but use local anesthesia in addition to allow the anesthesiologist to keep the amount of general anesthesia to a minimum.  I think that Gen is the way to go for a the combination of procedures you have mentioned.  The patient is comfortable and I can focus on the surgery and the outcome. If you are not offered the option of general anesthesia then you should wonder if another opinion may be in order. BTW the bruising has little to do with the type of anesthesia used.

Raj S. Ambay, MD
Brandon Plastic Surgeon
4.0 out of 5 stars 24 reviews

Multiple Facial Procedures under Local

   An endoscopic browlift, mini facelift, cheek implants and eyelid surgery will be more comfortably performed under general anesthesia.  Kenneth Hughes, MD Los Angeles, CA

Procedures performed under local anesthesia

With all of the procedures being performed, such as a brow lift, facelift, cheek implants, and eyelid surgery, it should be done under general anesthesia by a board certified physician anesthesiologist.  The amount of pain and discomfort would most likely be more than most patients could tolerate and for patient safety reasons it is best to be placed under general anesthesia.  The anesthesia itself has no correlation to the healing process or bruising, it is simply there for patient safety and comfort.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Any operation can be performed under local anesthesia but most of the time that is a not the best choice.

I suppose you could almost any operation with local anesthesia and a lot of patience.  However, in this age of very safe sedation and general anesthesia, it makes no sense.  I do a number of procedures with local only but this is done with careful consideration of the extent of the operation and the patient's ability to deal with some discomfort.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 13 reviews


In my practice I performed all my surgeries from including hair transplants, eye lift surgeries, brow lift, face lift, cheek implants as well as body procedures including breast augmentation, reduction, liposuction, and tummy tucks under local anesthesia with sedation.
In my opinion, its debatable regarding the recovery time when procedure is done under general anesthesia.  It’s been my experience that people who have cosmetic surgery under general anesthesia actually have a longer recovery time compared to the approach which I use.
The recovery period is a function of both the surgical procedure and the anesthesia provided. It stands to reason that well executed surgery with minimal anesthesia allows for the most comfortable recovery.

Amiya Prasad, MD
New York Oculoplastic Surgeon
4.5 out of 5 stars 40 reviews

Anesthesia Choices for Facial Aesthetic Surgery

First off, I do not think the type of anesthesia influences either the recovery time or the amount of bruising. Although it is possible to do all of these procedures under local anesthesia - your comfort is the most important concern. You will have to lie still for hours and you will be aware in many cases of injections. For procedures more than 3-4 hours I would recommend IV sedation or a general anesthesia.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 59 reviews

Cosmetic surgery under local anesthesia

It is possible to perform these procedures under local anesthesia. However, it really depends on the individual circumstances of the patient. During a consultation with your surgeon, he/she will be able to explain the best method of anesthesia based on your needs. And if liposuction is the only procedure performed, local anesthesia can be used. Thanks and I hope this helps answer your questions.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 35 reviews

Anesthesia with facial surgery

yes, these procedures can be performed under local anesthesia, but do to the length of these combined procedures, I would not suggest doing so.  General anesthesia allows for control of your blood pressure to decrease blooding during surgery and hopefully better hemostasis and less bruising after surgery.  To lie still for four hours or so to do these procedures under local anesthesia may be difficult.  If you start to move or readjust on the surgery table, the surgeon will need to stop and start on and off as you do so.  This would be less than optimal.  Also, the choice of anesthesia may be influenced by your age and medical health.  You would need to discuss these options with your surgeon to understand their preferences.  Your safety and comfort during surgery should be first and foremost.

Todd C. Case, MD
Tucson Plastic Surgeon
5.0 out of 5 stars 33 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.