Would you recommend a facelift revision without sedation?

Facelifts (or revision facelifts) can be performed under just local anesthesia, but this becomes a matter of patient and physician comfort and tolerance. If the patient is more comfortable, and more sedated, the procedure can be performed more quickly and possibly even more safely as the patient is less likely to move around during the procedure. Most patients (and their surgeons!) will enjoy the experience more if they are sedated (at least with oral medications if not intravenous sedation). 
In the case of revision facelifts, this may be a different scenario depending on how much of a revision is needed.  If only one small area is being addressed (such as a scar or some remaining fatty tissue), local anesthesia only may be adequate. However, if a patient needs a full facelift, I will generally recommend sedation for the reasons stated above.

You can undergo revision facelift surgery with local anesthetic and oral sedation.   The type of anesthetic required depends on the extent of the surgery planned and the individual patients needs.