Can a mini facelift be done with local anesthesia only?

How complicated is the mini facelift surgery? Does it always require general anesthesia or it's the patient's call? I heard general anesthesia shortens someone's life by 5 years. Not sure if it's true, but I'd love to hear some opinions about it.


F, 55, Connecticut

Tags:woman age 45-54 local anesthesia

Yes. I informed my plastic surgeon about how I feel about being unconscious during an operation. It's an irrational fear of mine. My doctor told me that local anesthesia is used for all types of facelifts. He said that he would not do anything without using a local anesthetic to numb the skin. I underwent the procedure using a sort of "twilight" anesthesia. My doctor gave me some valium before the procedure. I remember being sleepy during the procedure and not feeling any pain. Because I wasn't unconscious, I felt pulling and pushing. Again, the mini facelift procedure was not painful. I'm not sure if many physicians do it with only a local anesthetic. However, I don't regret it.

I would argue against general anesthesia taking years off your life, but that is not really relevant because you definitely do not have to go under general anesthesia for a mini facelift. I had mine done under IV sedation which is not nearly as strong as general. For me, I had an underlying sense that time was passing, I was technically awake but mostly I was completely out, and I didn't feel any pain at all. My friend very recently had a facelift where they used local tumescent anesthesia which meant that they pumped the area full of a numbing agent plus saline. She also had a medication to make her drowsy during the surgical procedure. If you have strong preferences about anesthesia type, I'm sure you can find a doctor who will work with you.

I really didn't want to be put asleep during my mini facelift. I'm not thrilled about the potential side effects. My doctor informed me that because my mini facelift would take less than two hours, I wouldn't need a general anesthetic. My cosmetic surgery would be performed using a local anesthetic. I didn't feel anything and was completely awake during the entire process. Using a local anesthetic means that there was less bleeding and I had a faster recovery period. While it was not an unpleasant experience, I was able to hear everything. I could also feel the pulling and pushing involved in the process.

I had the mini facelift completed, and my surgeon used local anesthesia. I was awake during the procedure. The recovery was quicker than a full facelift surgery, and I had less swelling and bruising. I was able to return to work within a few days. I highly recommend the mini facelift if you're looking for a minor surgical procedure that provides significant results to the jawline and lower face. I liked that I was awake during the procedure and that there were fewer possible complications. I couldn't be happier!