Do I Need to Be Under General Anesthetic for My Endoscopic Brow Lift and Rhinoplasty?

"Twilight sedation" is possible. This involved deep IV sedation without intubation or general anesthesia. In our office, this is our standard type of anesthesia for nearly all our facial procedures, whether browlift, facelift, or rhinoplasty.

A lot of this depends on the comfort level of the surgeon and/or the anesthesia provider.

Discuss this further with your surgeon. If you like your surgeon, and general anesthesia is what he is comfortable with, then you should not worry about the anesthesia so much. General anesthesia is extremely safe in nearly all cases.

Hi there,

Whilst its possible to do nearly anything under local anaesthesia, for surgery of the scale you're seeking, the risks of local anaesthesia and sedation probably (arguably) outweigh the risks of a general, and the experience will be quite difficult under local for both you and the surgeon.  

Personally, I would not offer you the surgery under local. Too stressful for me, and for you, and I think your airway and safety would be at higher risk of problems than under a general.

If you're fearful of a general, and you are healthy, then your fear is just misplaced.  With today's techniques and monitoring, provided you have a specialist anaesthetist, your risk of major anaesthetic complication is probably about the same as the risk you take travelling in a car. Everything you do has risk.  Many things you already do are more risky than a general anaesthetic.