Nerve block and sedation for deep plane facelift - Why?

For the past 20 years, I have specialized in performing facelift surgeries using local anesthesia and twilight sedation, ensuring a safe and comfortable experience for my patients. More recently, I have adopted the advanced Preservation Deep Plane Facelift technique, which I also perform under local anesthesia with twilight sedation, eliminating the need for general anesthesia. This approach has consistently proven to be well-tolerated by patients, offering effective results while minimizing the risks associated with deeper sedation methods.

there are different anesthesia options depending on the comfort level of the surgeon and the patient. General anesthesia has its own associated risks and recovery that many patients prefer to avoid for elective surgery. So that is one reason, so if its not necessary to be under general anesthesia, IV sedation or local anestheisa with oral sedation are wonderful options.

In my practice, deep intravenous sedation combined with local anesthesia tumescence is used for a deep plane facelift. Oral sedation or no sedation tend to be anxiety provoking factors for patients and limit the amount of time the Surgeon has to complete the case effectively. Neither case scenario is ideal when the goal is a great outcome. Sedation provides patient compliance and anxiolysis, and the local anesthesia provides incisional comfort and vasoconstriction in the surgical plane.