Can an endoscopic facelift be performed under local anesthesia?

Endoscopes are used in midface lifts to lift the cheek soft tissues of the face via a temporal incision.  This usually involved dissection against the cheek bone to release these tissues and a suture fixation of these tissues up to the temporal muscle fascia.  This usually requires much more than local anesthesia.  In addition, swelling of the area from injection of local may impair your surgeon's ability to judge the symmetry of the results.  Probably best to do with at least sedation or general anesthesia.  Best wishes, Dr. T. 

Endoscopic procedures can be performed under local anesthesia with the appropriate nerve blocks and local infiltration of the tissues. Whether you can tolerate it is another matter, as is the comfort of the surgeon with such procedures under these circumstances. You won't feel pain, but you may experience pulling that may be uncomfortable, and you may hear sounds and feel vibrations you are not entirely comfortable with. It all boils down to whether you are comfortable with this and whether your surgeon is comfortable with surgery under these circumstances.

There is not one singular definition for endoscopic facelift. Depends on what the surgeon does. Remember that the type of anesthesia used is designed for the patient to be comfortable while the surgeon accomplishes the desired goals. This is determined for each patient with you surgeon.