A question about general v. conscious sedation during full facelift. How is it different for you when your patient is not out?
Doctor Answers 40
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.
Conscious Sedation or IV Sedation During Surgery
Medications and regulations have changed such that the description “conscious sedation” will mean different things to patient, RN, surgeon and anesthetist/anesthesiologist. Conscious sedation is a combination of medicines to help you relax (a sedative) and to block pain (an anesthetic) during a medical or dental procedure.
If the medications are provided orally, this is would be considered “oral sedation” and it is expected that you will breathe on your own. The amount of interaction between you and your environment is up to the surgeons use of oral medications and depth of sedation.
I prefer intravenous “general” sedation, also called “IV sedation” or TIVA provided by a nurse anesthetist for my patients. The patient is breathing on their own, maintained at a continuous and stable level of sedation and pain relief and have no interaction with their environment. In this setting, the patient and the surgeon are most relaxed, there are no mis-understandings in any discussion which may occur with the patient and surgical team and the patient is monitored continuously by an anesthetic professional rather than a circulating nurse (who has other responsibilities) or the surgeon which is performing your surgical procedure first and foremost. It is a matter of safety and experience for all concerned.
I hope this is helpful. All the best!
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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.
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