Yes, an endoscopic facelift can be performed under local anesthesia. It's going to depend on your surgeon and your tolerance for discomfort. Kindly,Kouros Azar
While it probably can be performed using a good local block in key spots, you are probably better off with some sedation to relax you and to allow the surgeon to perform the procedure without having to also worry that the procedure is hurting you in anyway. This could distract from the result.