Hello. Thank you for your question. Face/neck lift procedures can absolutely be performed safely using local anesthesia, with or without light sedation using oral or IV medications. I have performed thousands of facelift procedures, along with many other facial rejuvenation procedures, using local anesthesia and light sedation. I have a perfect, untarnished safety record using this type of anesthesia. In my opinion, this is a safer, more cost effective approach for most cosmetic surgery patients, because it eliminates the cost and diminishes the risks associated with general anesthesia. Patients must understand, however, that without general anesthesia, they may be awake and/or aware at times during the procedure, but they should not feel any pain or discomfort once the local anesthetic injections are performed. The results from facelift should be the same, whether performed under local anesthesia with light sedation or general anesthesia, as long as the same surgical technique is utilized. Be sure to view before and after results and patient reviews for any potential surgeon to ensure that they provide the experience and results that you desire. I would encourage you to seek a consultation with a board-certified Facial Plastic Surgeon with extensive experience performing facial rejuvenation procedures and allow them to assess your individual anatomy, concerns, and goals, and determine the best treatment plan for you. I wish you the best in achieving your aesthetic goals.