Aesthetic surgery journal. Open forum · 2026
Facelift Under Local Anesthesia: A Retrospective Single-Center Series of 117 Patients Undergoing Deep Plane, High SMAS, and Coronal Rhytidectomy.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Lombardi Mariagiovanna, Ponzo Martina, Santamaria Eric, Luna Aguilar Fibian Chaterinee, D'Andrea Francesco, Martìnez Humberto Gustavo, Cajamarca Bermeo Luis Raùl, Ceballos Villalva Jesus Carlos, Brito Nicolàs Ricardo, Perrella Pier Paolo, De Gregorio Ludovica, Guerrero Salazar Daniela, Mendoza Andrade Lida, Serna Enrique Chávez
Аннотация
BACKGROUND: Facelift surgery is increasingly performed in an outpatient setting, and local anesthesia with minimal sedation may reduce the anesthesiologic burden while preserving patient cooperation. However, the safety of local-anesthesia pathways for procedures of varying extent, including deep plane rhytidectomy, high SMAS facelift, and coronal rhytidectomy, remains incompletely characterized.
OBJECTIVES: To evaluate the feasibility and early safety of a standardized local-anesthesia pathway in a single-center retrospective series of primary aesthetic cervicofacial lifting procedures and to contextualize the findings within the existing literature on awake facial rejuvenation.
METHODS: A retrospective analysis was conducted of consecutive primary aesthetic facelifts performed under local anesthesia between March 6, 2024, and January 14, 2026.
RESULTS: Overall, 117 procedures were included: 90 deep plane facelifts, 6 high superficial musculoaponeurotic system (SMAS) facelifts, and 21 coronal rhytidectomies. The cohort included 110 women (94.0%) and 7 men (6.0%), with a mean age of 56.53 ± 7.92 years and a mean BMI of 24.6 ± 3.1 kg/m2. Concomitant procedures were performed in 16 patients (13.7%). The mean operative time was 5.0 ± 0.6 hours (range, 3.5-8.0 hours). No case required conversion to general anesthesia or early termination. Six complications were documented (6/117, 5.13%), all occurring in the deep plane subgroup (6/90, 6.7%).
CONCLUSIONS: In selected patients, primary facelift surgery under local anesthesia appears feasible across a broad spectrum of cervicofacial lifting techniques when performed within a structured pathway including preoperative screening, standardized infiltration, maintenance of verbal responsiveness, and careful hemodynamic monitoring. Patient selection, procedural predictability, and proactive control of anxiety, pain, blood pressure, and nausea/vomiting are likely more important than any single anesthetic formula.
OBJECTIVES: To evaluate the feasibility and early safety of a standardized local-anesthesia pathway in a single-center retrospective series of primary aesthetic cervicofacial lifting procedures and to contextualize the findings within the existing literature on awake facial rejuvenation.
METHODS: A retrospective analysis was conducted of consecutive primary aesthetic facelifts performed under local anesthesia between March 6, 2024, and January 14, 2026.
RESULTS: Overall, 117 procedures were included: 90 deep plane facelifts, 6 high superficial musculoaponeurotic system (SMAS) facelifts, and 21 coronal rhytidectomies. The cohort included 110 women (94.0%) and 7 men (6.0%), with a mean age of 56.53 ± 7.92 years and a mean BMI of 24.6 ± 3.1 kg/m2. Concomitant procedures were performed in 16 patients (13.7%). The mean operative time was 5.0 ± 0.6 hours (range, 3.5-8.0 hours). No case required conversion to general anesthesia or early termination. Six complications were documented (6/117, 5.13%), all occurring in the deep plane subgroup (6/90, 6.7%).
CONCLUSIONS: In selected patients, primary facelift surgery under local anesthesia appears feasible across a broad spectrum of cervicofacial lifting techniques when performed within a structured pathway including preoperative screening, standardized infiltration, maintenance of verbal responsiveness, and careful hemodynamic monitoring. Patient selection, procedural predictability, and proactive control of anxiety, pain, blood pressure, and nausea/vomiting are likely more important than any single anesthetic formula.