Is 7 Hours Under General Anesthesia Standard For Combination Procedures?

I am scheduled for a lower facelift, upper and lower blemph, fat grafting for the hollowness in my face and demanrasion around my mouth. I am starting to get anxious. Can all these procedures be done at one time? Is it safe?

Doctor Answers 28

Length of time under general anesthesia


The safety of any surgery is based on several factors.  The pre op health of the patient and the skill of the anesthesiologist are paramount.  I have all my patients see their primary care provider for a physical exam, chest x-ray and EKG.  Depending on their medical history and the type of procedures they are having, I may also have them see specialists for clearances as well.  There are no shortcuts when it comes to a healthy surgical candidate!


Las Vegas Plastic Surgeon
5.0 out of 5 stars 38 reviews

7 Hour Surgery is Ok

Yes this is a reasonable amount of time.  Just make sure you are using a board certified Plastic Surgeon with a good reputation.  I also recommend that it take place in a certified facility with competent anesthesia staff.  I also did not realize anyone was still doing dermabrasion for facial wrinkles but I have not asked around about that lately.  I prefer laser treatment for these areas.  Good luck Sara in Austin, Texas.

Steven Holzman, MD
Austin Plastic Surgeon
5.0 out of 5 stars 9 reviews

Multiple Facial Procedures and 7 Hours of Anesthesia

   I typically perform upper and lower eyelid surgery, facial fat grafting, and full face and neck lift in about 3 or 3.5 hours.  However, some of the best plastic surgeons with the best results take 6 hours just for the facelift.  I think most plastic surgeons would agree that 6 hours for facial surgery is not unreasonable.  What is the difference between 6 hrs and 7 hrs of general anesthesia?  This may not be unreasonable.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Length of time under general anesthesia

7 hours is not unusual for multiple facial procedures, especially if a rhinoplasty is done along with a full facelift. The most important thing is your health and ability to tolerate general anesthesia, followed by the credentials of your surgeon and anesthesiologist. Your surgeon should be diligent in "checking you out" prior to surgery (labs, clearance, etc.). Finally, make sure it is performed in an accredited facility!

Roy A. David, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 23 reviews

Time under Anesthesia

Seven hours seems rather long to me. I rarely work for more than five hours. More complications occur after 5 hours, although most patients will survive seven hours without any complications, you are having elective cosmetic surgery so any complication is not worth the extra time. Often the expected time turns out to be more than was planned on. Have a thorough discussion with your surgeon.

Howard N. Robinson, MD (retired)
Miami Plastic Surgeon
4.7 out of 5 stars 62 reviews

Length of time to be under general anesthesia

The lower face upper and lower blepharoplasty and any fat grafting would take approximately 4 hours in our practice.  These procedures are performed under general anesthesia and this is certainly acceptable to have all these procedures performed at the same time.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

7 hours of anesthesia for comprehensive facial rejuvenation is safe and is not unusual

7 hours of anesthesia for comprehensive facial rejuvenation is safe and is not unusual. I do agree with my colleagues that seven hours for the procedures you've described is on the longer end of the expected time to complete the procedure. However, every surgeon has their own technique and time estimates vary. Further, these are only estimates and most surgeons will round up the time as opposed to round down the time. Most importantly, that amount of time under anesthesia is neither unusual nor unsafe. I hope this is helpful.

Stephen Weber MD, FACS

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

Multiple procedures performed under general anesthesia

As long as you are in good health and cleared for surgery by your physician, it is ok to have all of these procedures performed at the same time.  Depending on the patient's age, I will normally recommend the following prior to having any surgery, especially one with multiple procedures:

1) Full physical exam by a board certified physician
2) Complete cardiovascular work-up
3) Stress test performed by board certified cardiologist (Usually for older patients)


I would recommend communicating any concerns you have to your surgeon prior to having any procedures performed.  This will ensure you are comfortable and worry-free prior to your surgery. Thanks and I hope this helps!

Jonathan Kulbersh, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 66 reviews

Length of time under general anesthesia

While it is common to combine procedures, the combination must be carefully crafted to be appropriate for the patient. For outpatient surgery, the plan should generally limit the time under general anesthesia to 4 - 6 hours depending on the health and capacity of the patient. At seven hours, you may want to consider having the surgeries performed in stages or at the hospital. Consult in person with 3 - 4 experienced and expert board certified plastic surgeons to verify your options.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 39 reviews

Is combining procedures safe?

It is very common to combine cosmetic procedures. The procedures that you are scheduled for sounds like a very reasonable undertaking. It is important that you are thoroughly evaluated medically to ensure that you can tolerate a more lengthy procedure safely. Typically, I would request medical clearance from your primary care physician with lab work as well as a chest xray and an EKG. If you are in good health and are having the procedure done in an accredited facility with an experienced anesthesiologist your surgery should be a success.

Todd C. Miller, MD
Newport Beach Facial Plastic Surgeon
5.0 out of 5 stars 34 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.