Nerve block and sedation for deep plane facelift - Why?

Question

I am currently researching for a facelift and it seems that many physicians are now using a nerve block and sedation for the procedure. What is the reason behind this?

Kevin Sadati, DO · Answer

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.

Dilip D. Madnani, MD, FACS · Answer

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.

Gurkan Kayabasoglu, MD · Answer

Hello. The choice of anesthesia for your surgery is generally related to your anesthesiologist's experience in this regard, rather than your physician. If your anesthesiologist is good at sedation, there is no harm in performing the surgery with sedation. We generally recommend general anesthesia to patients who are afraid of the operating room and have anxiety and anxiety tendencies, so that they can go through the process more easily.

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Stephen Prendiville, MD · Answer

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.

Arthur Dean Jabs, MD, PhD, FACS · Answer

I see from your sign on you have medical experience. 
For any surgery we want the safest, least problematic method available with the fewest complications. For facelifts sedation and local anesthesia fit the bill. The patient is comfortable, and the anesthetic wears off with fewer side effects (nausea, bleeding etc), thus it’s use.

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All the Best,

Dr. J

Rafael Arenas, MD · Answer

The choice of anesthesia depends on the plastic surgeon and his anesthesiologist in a way they feel comfortable giving the patient safety and comfort not just during the surgery but also after the procedure. When a Nerve block is used, the rest of the are areas that need to be "numb" and injected as well. The main two types of anesthesias are General anesthesia or Sedation + Local anesthesia and both are good options as well. In my practice I use Sedation + Local on complete face lift´s which has allowed me to give my patients a good experience in a safe way.

Sincerely ,
Dr. Rafael Arenas Quintana
drarenasplasticsurgery.comInstagram.com/Dr.RafaelArenas/

Sincerely , 
Dr. Rafael Arenas Quintana
drarenasplasticsurgery.comInstagram.com/Dr.RafaelArenas/

William Portuese, MD · Answer

In our practice, we can perform mini facelifts under local anesthesia, but remember a mini lift only gives mini results and basically just lifts the jowls. When we perform a deep plane lower face and neck lift, we do this under general anesthesia for patient safety and comfort. The procedure also takes 2 1/2 hours to perform, and most people are not able to sit still that length of time. There's no such thing as a nerve block, since the entire surgical area has to be numbed up which prevent excessive bleeding.

Nerve block and sedation for deep plane facelift - Why?

Answers (7)

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