Facelift Performed Safely Under Local Anesthesia With Oral Sedation: Analysis of 174 Patients.

UNASSIGNED

Anesthesia for elective ambulatory procedures must provide appropriate pain control while minimizing perioperative risk. Local anesthesia in combination with oral sedation provides a safe office-based method of anesthesia for rhytidectomy.

UNASSIGNED

The purpose of this analysis was to identify the incidence of traditional outcome parameters in ambulatory rhytidectomy performed with local anesthesia and oral sedation.

UNASSIGNED

A retrospective chart review was performed on all patients who underwent office-based rhytidectomy under local anesthesia with oral sedation from February 2011 to May 2017. A total of 174 patients were included. The data collected included patient medical and surgical history, medications, body mass index, tobacco use history, operative time, technique, and concurrent procedures. All intraoperative and postoperative complications were recorded.

UNASSIGNED

One hundred and sixty-five patients were female (94.8%) and nine were male (5.2%) with a mean age of 57.6 years (SD ± 7.90). There were 46 complications, including 23 hematomas (13.2%), six seromas, six episodes of emesis, five infections, four scar deformities, and two ear deformities. Of the 23 hematomas, only two hematomas required operative evacuation with local anesthesia in the office procedure room. Twenty-one hematomas were small and managed with percutaneous needle aspiration, followed by surveillance. The five infections resolved after oral antibiotics only. There were no thromboembolic events or hospitalizations.

UNASSIGNED

The use of only local anesthesia in combination with oral sedation safely permits the performance of rhytidectomy with similar incidence of rhytidectomy-related complications without the risk related to general anesthesia.