I prefer my patients to be sedated with local anesthesia. Some patients need general anesthesia and do better when completely asleep for the procedure. In the 34 years I am performing facelifts, neck lifts, Z lifts, with or without SMAS, the decision for which type of anesthesia is very important. Some physicians cannot perform the procedure with conscious sedation, they can only do it under general anesthesia. See a board certified ASAPS plastic surgeon in consultation. Good luck...
Dear entireworldpurple5, Thank you for your question. Doing a facelift/necklift under local anesthesia is not the most ideal way to perform this procedure, due to patient discomfort. This is a lengthy surgery. I suggest setting up a consultation with a Board Certified Operating Surgeon to explore your options. Best of luck to you!