Thank you for posting your query. I have performed thousands of facelifts, neck lifts, mini lifts, blephs, lasers and chin implants all under local anesthesia and oral sedation. Done properly, patients are comfortable and have an easier recovery. 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. 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.
Yes, "mini-facelifts" can absolutely be done with local anesthetic and mild oral sedation. I have performed hundreds of mini-lift procedures this way in my career with excellent results. I tell all patients that there will be some discomfort initially with the anesthetic injections, but following this step patients are able to relax and have their procedure performed without any pain. I would be happy to see you for a complemenatary consultation to discuss your options. Good Luck!