Timothy Treece, MD, FACS

Great question! You can indeed have a facelift in office under oral and local anesthesia. There are factors to consider when deciding if this option is right for you. Your health history, and risk factors all play a part when determining if an in office, conscious sedation facelift is right for you. Your preference also plays a part in deciding whether or not this option is best. Often times, an in office facelift takes around four hours with a medication re-dosing mid procedure. You are awake and able to get up and use the restroom mid-procedure as well if needed! Most patients are extremely comfortable and often times with medication and local numbing, are able to fall asleep during the entire procedure. I cannot speak to other practices, but in my practice, general anesthesia can only be administered at the surgery center and not in our office setting. The percentage of facelifts in office versus at the surgery center under general anesthesia is constantly changing, as it is solely dependent on the patient and their safety. As always, I highly recommend discussing this in depth with your board certified plastic surgeon to determine which option is best for you! 

Thank you for your question! Without examining you in person, it is very hard to determine if a facelift would be able to restore your cheek volume alone, or if you would also need a fat transfer. It is true, that often with a facelift and the re-positioning of the muscle layers , it can indeed give you some volume improvement in your cheek region. However, often times your best result comes with a facelift in conjunction with a fat transfer. It is always my recommendation to meet with a board certified plastic surgeon in person to determine what procedure would fit best for you! 

Thank you for your question in conjunction with pictures! You are an excellent candidate for a Facelift, as well as a Necklift. Often times, these procedures go hand in hand with a procedure referred to as a SMAS Facelift, which targets multiple areas including sagging skin, and the muscular structure of the face. Without examining you in person, I believe a SMAS Facelift, in conjunction with Submental (under the chin) Liposuction would give you your best results. As always, it is best to meet with a board certified plastic surgeon to help develop a plan that best fits you! 

Thank you for your question, and images! Upon review of your images, I believe you would be a great candidate for a fat transfer procedure. You may also benefit from filler to achieve your goal of facial symmetry, if fat injection does not appeal to you. By adding volume where needed, you can achieve both symmetry, as well as facial tightening. As always, it is best to meet with a board certified plastic surgeon in your area, and they can help develop a plan that fits best for you. 

Thank you for this question! Most offices are closed at this time, as most of the surgeries provided are considered non-essential. Offices are doing whatever they can to ensure the safety of their patients. You may want to research offices in your area, and beyond who are offering virtual consultations. As of right now a lot of offices are offering virtual consultations at a reduced cost! This is great because you can get a consultation with a board certified plastic surgeon that you may, or may not have had the chance to meet with originally. It is a great way to grow your knowledge base in regards to the procedure that fits you best. This also gets you in a great place to schedule an in person consultation, or proceed with surgery once the COVID-19 restrictions are lifted!