Yes, it is safe to get a facelift under local anesthesia. However, doing so often limits the surgery so, operations under local are usually shorter and simpler than those done under general anesthesia. If you are looking for a more complete/thorough correction, a full facelift with adjunctive procedures may be better and general anesthesia may be more appropriate. However, many mini facelifts, or simple skin lifts or mini smas lifts are done under local and are quite safe.
Christopher C. Chang, MD
Washington DC, Maryland, and Virginia