Do Most Surgeons Draw Pre-Op Surgical Markings on Your Face While You Are Unconscious?

Each plastic surgeon has his or her own technique, most including myself prefer to have the patient awake and sitting up as gravity can change the features. Also this gives me time to discuss with the patient what I am doing and how and get any additional feedback from my patient. The video below shows marking of a patient before surgery.

I, like many of my colleagues, prefer to mark patients in the awake, upright, and dynamic position.  Preoperative marking is done to highlight anatomic landmarks and to give the Surgeon a general reference point during the procedure.

Personally, I perform the markings while the patient is sitting upright and looking straight ahead. This step is a very important step in the overall planning process of the procedure.

But I do know very good facial surgeons who mark only after their patients went asleep...