Nonsurgical brow or forehead procedures (using BOTOX® or Restylane®) are performed in the office with local anesthesia. Minor surgery (e.g., direct brow lift) is also normally performed with local anesthesia. Brow lift surgery may be performed with either IV (twilight) sedation or general anesthesia at accredited facilities with a licensed anesthetist.
Patients are safe and comfortable during their procedures. The decision on the type of anesthesia used during plastic surgery depends on the extent of surgery, additional cosmetic surgery procedures along with the brow lift surgery, patient factors and preference, and surgeon factors and preference. After an evaluation, the plastic surgeon and patient decide together the appropriate anesthesia type for plastic surgery.