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

I always mark my patients in the sitting/upright position and awake.  I may make some adjustments while the patient is asleep or sedated, but for the most part follow the pre-op markings.

Each surgeon has their preference but most of us will do our markings on an upright and awake patient

Can be both depending on the surgeon's preference. I like to do it before surgery while patient is upright

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...