Many facial plastic surgery procedures can be performed via local anesthesia. Most Washington DC plastic surgery patients already know that a liquid facelift with Botox®, Dysport®, Kybella®, and facial fillers is performed with local anesthesia. However, many of the best plastic surgeons also perform several cosmetic surgical procedures with local anesthesia too. Some examples of possible facial cosmetic surgery that can be performed with local anesthesia include:
- upper eyelid surgery (blepharoplasty)
- Asian eyelid surgery
- ear reshaping (otoplasty)
- neck liposuction
- chin implant
- mini facelift
More minor procedures in a limited area of the face that can be performed within a couple hours are more likely to be performed with local anesthesia. Complex surgery, large body areas, or prolonged surgery is not performed via local anesthesia. For procedures that are more likely to require IV sedation or general anesthesia, then a board certified anesthetist is involved and manages the anesthesia. Cosmetic procedures can be performed in the office or hospital facility.
The decision for the anesthesia during plastic surgery is a mutual decision between plastic surgeon and patient. Safety is always the primary concern. – Houtan Chaboki, MD
During facelift or neck lift surgery, the degree of tissue modification depends on multiple factors, including a patient’s individual anatomy and personal preference. A limited incision facelift (also termed mini lift, s lift, or minimal access lift) leaves a shorter scar and is more appropriate for younger patients or patients with less severe skin laxity. These types of face lifts are variations of SMAS face lifts and generally have the quickest recovery.
This woman demonstrates a mini lift of the face and neck performed via local anesthesia. Her neck shows submental fullness primarily from loose skin, while neck fat is minimal. She underwent a mini facelift to tighten her neck skin. She was comfortable throughout the procedure. Her decision to avoid general anesthesia allowed her a quicker recovery, and she returned to work within days after cosmetic surgery. While still healing in this early recovery period, her neck and jawline have tightened for a natural appearance.
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