Will Full Face Lift Require General Anesthesia Which May Displace Front Teeth Dental Work?

55 y/o F considering full face lift vs lifestyle lift...the lifestyle lift was a consideration because i worry about displacing/destroying fragile dental work involving two front upper teeth if i have general anesthesia...still in research mode, please advise. Thanks. I do understand that full face lift with general anesthesia allows deeper/greater repair.

Doctor Answers 26

Facelift Under Local Anaesthetic

Thank you for your question.
I have pioneered my Concept Facelift, which targets the SMAS muscle and skin, therefore giving the same longevity as a traditional facelift, however is performed under local anaesthetic.  This ensures a significantly reduced recovery period, with minimum swelling and bruising, therefore patients returning to their daily routines within 5-7 days. My reasons for pioneering this were because patients did not want the health risk of going under general anaesthetic (especially as is it not a necessity procedure), local anaesthetic or twilight sedation would be a great alternative, not only for health reasons but your recovery period will be shorter.  My patients will experience slight discomfort when injecting the local anaesthetic, then will feel very relaxed and calm throughout the procedure (please watch video).
Please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve. 
All The Best 

Anesthesia Type for Facelift

If you are in good health then a facelift and necklift can be performed safely by either local anesthesia with oral sedation, intravenous sedation, or general anesthesia in my practice. Looking up under local anesthesia is something that is taught to residents early in their training but not as important once experience and expertise over decades. The key is for you to feel most comfortable. Many patients select local anesthesia with sedation as they are afraid of General Anethesia, whereas other patients are afraid of being aware or feeling the injections at the beginning of the procedure.
General anesthesia is safer than many patients think, but if you are uncomfortable with the idea of being fully knocked out then your facelift can be performed with local anesthesia with IV sedation. Your doctor will check thoroughly to be certain that general anesthesia is safe for you. In any case, you are safest in the hands of a Board Certified Anesthesiologist. The most important decision you can make is deciding on the most qualified plastic surgeon (see link below) whose job it is to guide you on decisions such as the ones you are considering.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Facelifting and Lifestyle Lift can both be done effectively under local anesthesia in experienced hands

Thanks for posting your question. I have performed thousands of facelifts, neck lifts, mini lifts, blephs, lasers and chin implants all under local anesthesia and oral sedation (valium). Done properly, patients are comfortable and have an easier recovery both mentally and physically. There is an art and science to this local anesthesia technique to acquire a high level of patient comfort. My patients do not even require a narcotic prior or during their their procedures thus reducing nausea caused by narcotics. The risks, both short term and long term, of general anesthesia are eliminated. Please consult with several board certified surgeons experienced in facelifting and also in local anesthesia techniques.

Raymond E. Lee, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 90 reviews

Dental Work Concerns with General Anesthesia

    Dental work concerns can be avoided to some extent with LMA or Combitube.  Some facelifts can be done with sedation and local.  There are options.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Lifestyle vs custom facelit

That is a no brainer if ever i heard one. Anesthesiologists are totally aware of your dental work and take great pains not to damage teeth.. It is not even a consideration.

Richard Ellenbogen, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 30 reviews

General anesthesia and facelifts

depends on the surgeon and their preference.

i think tiva/general anesthesia is the way to go for a facelift.  some will do it under sedation or local.

those that use sedation or local advocate that they can do everything they need to do - but i tend to agree with your comment more can be done with general

Adam Bryce Weinfeld, MD
Austin Plastic Surgeon
4.9 out of 5 stars 58 reviews

Damage to dental work during full face lift is remote

The chance of damaging teeth under a general anesthesia is extremely remote.  Although it could happen, we have never seen it in our practice of 20 years.  It is more important to have the proper comprehensive face/neck lift than it is to worry about the very remote risk of having any dental work damaged.   Have a board certified physician anesthesiologist in attendance of your surgery so that the risk of tooth damage is extremely minimal.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Facelift Anesthesia

The anesthesia used when performing facelift surgery depends on the physicians preference and the anesthesiologist preference. Facelifts can be performed under local anesthesia, twilight anesthesia, or general anesthesia. Qualified anesthetists are very experienced at dealing with loose teeth and dental work. The surgeon that you choose to perform your facelift should be chosen based upon your comfort level with the surgeon, their credentials, and their results.



Jacob D. Steiger, MD
Boca Raton Facial Plastic Surgeon
5.0 out of 5 stars 65 reviews

Face lift under IV sedation

We use IV sedation anesthesia, which is a very safe and effective method of anesthesia for facial surgery. IV sedation anesthesia is extremely safe compared to the standard general anesthesia techniques used today. The main advantages of IV sedation anesthesia are: (i) it does not require putting a breathing tube in the throat, (ii) it does not require a breathing machine, (iii) the recovery is much faster, (iv) there is much less "hang-over" from anesthesia, and (v) there is much less nausea. All these elements translate into greater comfort and safety.  We have used this technique of anesthesia in several thousand plastic surgery procedures without any anesthetic complications.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Damage to Front Teeth with General Anesthesia for Facelift

You are correct to to say that damage to front teeth dental work is possible secondary to the breathing tubes frequently used  in delivering general anesthesia. However, in 35 years of doing facial plastic surgery I've never seen this complication. Anesthesia professionals are very aware of this possible problem and take measures to avoid it, especially in patients who have had cosmetic or reconstructive work on their front teeth. I encourage you to share your concern with those who will do your facelift, but don't compromise your surgical result if general anesthesia is best for you.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.