What Type of Anesthesia Do You Recommend for a Facelift/upper and Lower Eyelid Surgery?

Is twilight anesthesia safe for a 4+ hour facelift, bleph. upper and lower

Doctor Answers 18

Facelifts and eyelid lifts under local anesthesia

Thanks for posting your question. I have performed thousands of facelifts, neck lifts, mini lifts, blephs, lasers and chin implants all under local anesthesia and oral sedation. Administered properly, patients are comfortable and have an easier recovery. There is an art and science to this local anesthesia technique to acquire a high level of patient comfort. My patients do not even require a narcotic prior or during their their procedures thus further reducing nausea. The risks, both short term and long term, of general anesthesia are eliminated. Please consult with several board certified surgeons experienced in facelifting and also in local anesthesia techniques. Ultimately there is no right or wrong way to have anesthesia for a facelift. You and your surgeon will decide what methods are best for you.

Orange County Facial Plastic Surgeon
5.0 out of 5 stars 89 reviews

Facelift under local anaesthetic

Thank you for your question.  Yes I have performed many Facelift, Upper and Lower Eyelid Surgery under local anaesthetic and twilight sedation.  Administered properly, patients are comfortable and have an easier recovery.
I have pioneered my Concept Facelift, which targets the SMAS muscle and skin, therefore giving the same longevity as a traditional facelift, however is performed under local anaesthetic.  This ensures a significantly reduced recovery period, with minimum swelling and bruising, therefore patients returning to their daily routines within 5-7 days. My reasons for pioneering this were because patients did not want the health risk of going under general anaesthetic (especially as is it not a necessity procedure), local anaesthetic or twilight sedation would be a great alternative, not only for health reasons but your recovery period will be shorter.  My patients will experience slight discomfort when injecting the local anaesthetic, then will feel very relaxed and calm throughout the procedure (please watch video).

Please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve. 
All The Best 

Twilight Anesthesia with Local Anesthesia is a Safe Option for Most Facelift Patients

IV Sedation also called "Twilight Anesthesia with Local Anesthesia Safe Option for Most Facelift Patients

Anesthesia Choices for Facial Aesthetic Surgery such as a mini-lift depend on several factors.
First off, I do not think the type of anesthesia influences either the recovery time or the amount of bruising. Although it is possible to do all of these procedures under local anesthesia - your comfort is the most important concern. You will have to lie still for hours and you will be aware in many cases of injections. For procedures more than 3-4 hours I would recommend IV sedation or a general anesthesia. The IV sedation for most means that you will remember little of most of the procedure and sleep for the majority of it. It is a good choice with less risks than a general anesthetic For local anesthesia cases I usually give Ativan or Valium before hand and most sleep for most of the cases without the need for an IV in healthy patients


Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Anesthesia options for facelift/blepharoplasty

A facelift can be performed either under "twilight sleep", also known as local with intravenous sedation, or under general anesthesia.  This is entirely a matter of preference both for the surgeon and the patient.  The key is to have experienced surgeons and anesthesiologists in an accredited facility who can tailor the anesthesia and the surgeon to fit your personal goals and needs.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Safety First

With any elective procedure, the patient's safety should always come first!  Whichever surgeon you are planning to have the procedure done with, I would recommend that you discuss your concerns with him/her.  For me, the anesthesiologist administering the anesthesia is very important, so I hand pick my board certified anesthesiologists and surgical team who are familiar with my standard procedures, etc.  A facelift can be done with either type of anesthesia, but your surgeon will let you know which they prefer for your particular case.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Anesthesia for cosmetic procedure

Facial surgery including a facelift can easily be performed under either a general or IV sedation anesthesia. In the past,most patients of mine preferred the latter but now it seems most patients want to be "out"! So, it really depends on your prefeence. You should be aware though that if you are a nervous person, it may take a lot of IV sedation and you may still be aware of what is going on. The recovery would probably be quicker. In either case, the anesthesia should be administered by an MD anesthesiologist whose only job is to keep you comfortable through the procedure and make sure you have a gentle recovery! The operation should also be done in a certified facility. 

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.4 out of 5 stars 27 reviews

What Type of Anesthesia Do You Recommend for a Facelift/upper and Lower Eyelid Surgery?

I have been performing Face Lifts and Eyelid Surgeries for over 20 years and while Face Lifts can be performed under local, IV sedation and a general anesthesia...it's best to have a general anesthetic when having eyelid surgery IMO.  The newer lower eyelid surgery technique is performed through the lower eyelid which would be very difficult on the patient if a local anesthetic were used.  IV sedation would be better however, with that level of anesthesia movements by the patient can not be ruled out which could lead to a problem during the lower eyelid surgery.

IMHO, safety should lawys be the number one priority followed by the peroper aesthetics.  In this case, if you decide to have a minimal incision Face Lift this could be easilly done under local or IV sedation.  If you choose to add the eyelid surgery, IMO, it would be best for you to have a general anesthetic.  Hope this helps.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Anesthesia for a facelift and eyelid surgery ?

As you can see from the diverse opinions,  I.V. sedation or General anesthesia can be perfectly well suited for your planned surgery.

The important considerations for you  are: You are comfortable and your anesthesia is safe. Your surgeon can do the procedure without having to worry about your comfort.

Both types of anesthesia can achieve this. As a surgeon I like to have an Anesthesiologist (M.D.) providing anesthesia (of his choice) that I can fully concentrate on the surgical aspect of the operation.

Guido P. Gutter, MD
Evansville Plastic Surgeon
4.9 out of 5 stars 18 reviews

Anesthesia for facelift

Either general or IV sedation are safe. I prefer general as it tends to be a bit smoother. When performed and monitored by a professional anesthetist you should be fine. Go with whatever your surgeon prefers. 

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 78 reviews

What Type of Anesthesia Do You Recommend for a Facelift/upper and Lower Eyelid Surgery?

I prefer either endo tracheal general or twilight sedation. It depends on the patient, the exact correct sought, medical issues. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

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.