Thank you for your question regarding the possibility of performing arm lifts under local anesthesia in an office setting. There are five different types of arm lifts: the mini arm lift or crescent lift, modified incision, modified longitudinal incision, longitudinal incision, and an incision extending from the armpit to the wrist. While most plastic surgeons typically perform these procedures in an operating room under general anesthesia, it is indeed feasible to do almost any procedure under local anesthesia. However, the ability to perform a procedure under local anesthesia does not necessarily mean it will yield optimal results. Most plastic surgeons concur that better results are usually achieved under general anesthesia, allowing for a tighter closure. The advantages of undergoing an arm lift under general anesthesia include not feeling any discomfort during the procedure and achieving superior results. Additionally, general anesthesia can maximize sterility and minimize the risk of infection. On the other hand, the disadvantage of having the procedure performed under local anesthesia in an office is the discomfort from the needle sticks for numbing medication. Furthermore, many plastic surgeons believe that the results are generally better with general anesthesia. I hope this answers your question regarding the advantages and disadvantages of having a mini arm lift, long arm lift, or crescent arm lift performed under local or general anesthesia. Good luck in your decision-making process. Sincerely, Dr. Katzen