Question: I would like a neck lift but I do not react well to general anesthesia. Can a neck lift be done under local anesthesia?
Answer: The choice of anesthesia depends on the patient’s medical history, as well as the anesthetist’s ability to perform a general and a local anesthetic and the surgeon’s comfort level with operating under local and general anesthesia. In general, the neck lift may be performed under local anesthesia. However, it is very important to make sure that the local anesthesia is not so intense that it is the equivalent of a general anesthetic requiring protection of the airway through a tube. The most important factor in determining what anesthesia to use is what is the safest anesthesia for the patient. This determines what anesthesia is used in all cases.