Face lift without general anaesthesia. Is local anesthetic possible?

To answer your question, a facelift under local anesthesia is possible and is the preferred method for some Surgeons. Many of my patients prefer having anesthesia. I am unsure why a hiatal hernia would prevent you from having elective anesthesia when otherwise healthy. Appropriate preoperative treatment of gastric acidity and appropriate timing of being NPO should address concerns.

Dear janieengland, thank you for your question!
Yes, a facelift can be safely performed without general anesthesia in many cases. Local anesthesia combined with sedation (also known as “twilight anesthesia”) is commonly used . This technique allows you to remain relaxed and comfortable while avoiding the deeper effects of general anesthesia, which is particularly useful in patients with specific health considerations.
It’s important to choose a board-certified plastic surgeon who is experienced with facelifts under local or twilight anesthesia. They should work alongside a qualified anesthesia provider to ensure a smooth and safe procedure tailored to your needs. Be open during your consultation about your medical history so the team can plan accordingly.

Most facelift procedures can be comfortably performed under local anesthesia. This includes deep plane lifts and SMAS lifts. Endoscopic lifts would require at least some IV sedation to keep the patient comfortable. Deep neck procedures require IV sedation or General Anesthesia.