A question about general v. conscious sedation during full facelift. How is it different for you when your patient is not out?
Doctor Answers 39
Conscious sedation for a facelift
These, I suggest, are the words of a clinician that doesn't know how to give local anaesthetic properly. I perform facelifts, only facelifts and lots of them. Of the last 200 full (not mini) facelifts I have performed under conscious sedation alone, not one has experienced discomfort during the procedure or would appreciate being called foolish. Of the 26 revision facelifts I have performed in the last 4 months, all of whom had previously had a general anaesthetic, none of them would prefer the process or recovery of their previous experience, All of them expressed how much more pleasant sedation was.
I am strongly of the opinion that conscious sedation is the ONLY way to lift a face. Our faces are the most dynamic and expressive parts of our body, so why lie them flat, stick a breathing tube in them, paralyse them and then guess on the vector of lift? Sure general anaesthesia is a gift for the surgeon to work on your tissues as he has a recumbent asleep patient whose blood pressure has been artificially lowered to minimise bleeding. The patient can't feel anything so local anaesthetic infiltration is a quick half hearted process. Result? a rebound hypertension and pain on awaking, sore throat and cough from the ET tube, drains to drain off the inevitable resulting fluid accumulation.
Conscious sedation enables real time assessment of the facial nerve " smile, raise your brow etc" during surgery. It enables assessment of lift vector and tension whilst sitting upright to see how gravity affects the lift. It is PAINLESS, if local anaesthesia is infiltrated meticulously and with care. During deeper dissection the sedation can be increased so that the patient is asleep.
General anaesthetic was the norm and convention in the past. 1970's, 80's and 90's facial plastic surgery. It is 2015 now, I suspect sometime in the not too distant future General anaesthetic for facelifting will be seen as an archaic relic from times of old.
Price should not be a factor in your decision which method of anaesthesia to undertake, but you need to be informed about the various options. I always have an anaesthetist attending all cases where sedation is given.
Facelift Under Conscious Sedation or General Anesthesia
I hope that helps.
Facelift under sedation
Face lift procedures can be performed under many different levels of anesthesia. I prefer MAC which is monitored anesthesia care, basically same as conscious sedation except that for a safety measure I have an anesthesiologist maintain the sedation rather than a nurse. It is extremely easy to perform any form of face lift under sedation, and general anesthesia is not necessary at all. I would not recommend local anesthesia only since that is very uncomfortable for the patient and the surgeon.
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About the Facelift Procedure and Anesthesia
Being this is an outpatient surgery, you will be provided the proper surgical wear to abide by surgical protocols and sanitation practices.
The Lite-lift™ is generally performed with a local anesthetic and medication by mouth, which will keep you comfortable during the procedure and allow for an easier recovery.
For more information about Lite-lift™, I welcome you to visit my website link provided below.
Facelift Anesthesia Choices
General Anesthesia vs Conscious sedation
General anesthesia vs conscious sedation
General vs. Conscious sedation during a full facelift
Facelift Anesthesia - Sedation vs. General
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.