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Before and After: Facelift & Neck Lift

Modern Facelift Anaesthesia

Written by Dr Julian De Silva

Facelift anaesthesia, also known as “twilight anaesthesia,” is a combination of local anaesthesia and sedative medications.

Our patients literally sleep through their surgery, just like when you sleep at night, however, brought on with medicines.

At the centre, we have developed our own specialised form of twilight anaesthesia, based on practices in the USA. This sophisticated facelift sedation uses tiny amounts of four to five sedation medications that cumulatively give a relaxing and safe experience to avoid the risks and side effects of general anaesthesia.

In the NHS sedation can mean having a single medication (commonly midazolam) this is limited in effectiveness; Dr De Silva’s team use a more sophisticated form of sedation.

Our patients, by definition, are conscious and breathing themselves, but very relaxed and often euphoric, and typically patients do not remember the procedure.

The recovery period is much shorter than general anaesthesia, with most patients able to leave between 30 to 60 minutes following the procedure.

This is the most advanced sedation technique available, the highest level of safety and speed of recovery.

Dr De Silva considers this the best option for patients undergoing facelift and neck lift surgery.

All our anaesthesiologists specialised in sedation, have completed thousands of cases and are trusted by Dr De Silva to sedate his friends and family.

Modern Anaesthesia apparat schema

What difference does modern facelift sedation anaesthesia make compared with older general anaesthesia?

Gone are substantial nausea, feeling sick, and a sore throat from conventional surgery, with our services, less than 2% of patients have nausea and sickness.

Gone are the serious risk of general anaesthesia, including a blood clot in the leg (termed deep vein thrombosis). With our sedation anaesthesia, all your natural protective reflexes are working normally throughout the surgery; you are essentially sleeping during the surgery as you sleep at night.

Gone is the need for multiple strong pain relief medicine after facelift anaesthesia. More than half of our patients do not use any analgesia after surgery, and those that do only use a few medicines during the first 24-48 hours.

Many patients are concerned about the pain after surgery; with our techniques, you do not need to worry.

Gone is a machine line process where paid assistants following up on your care. Dr De Silva sees all his patients personally, to see how you are personally doing.

Gone are the same old techniques used for decades. We are continually improving, enhancing delivering more advanced technology.

There are always risks undergoing surgery; no surgery can be completely risk-free. We have looked at each of the potential risks and how to minimise and eliminate them. For example, smoking carries an additional risk of healing issues and scars after surgery.

Dr De Silva will not advise you to undergo facelift or neck lift surgery while smoking or using any nicotine products; this is purely for your own safety. Dr De Silva will give you the same advice he would give to his own friends and family. There are surgeons who may offer you surgery while smoking; unfortunately, we cannot advise this.

Dr De Silva has developed a Fast Healing Biotechnology, utilising the latest in science and technological advances to enhance healing and recovery. Dr De Silva developed this technique after listening to some of his patients who found a longer recovery from laser resurfacing.

Dr De Silva developed a combination of Micro-Needling, Micro-Drains, and Micro-Fat Transfer to deliver faster healing. Full face laser resurfacing can result in several weeks of redness in some patients, using Dr De Silva’s combination Fast Healing Biotechnology there was a marked reduction in redness at 2-weeks.

This fast healing technology utilises your own body’s growth factors to heal your body faster and was first used by professional athletes to heal joint injuries by localised treatment enabling athletes to recover faster. Dr De Silva has pioneered the use of this technology to enhance the recovery and results of facelift surgery.

Safety is always of primary importance, and there are specific checks based on your general health and age that we will complete before your surgery (e.g. blood tests) to ensure safety and speedy recovery. Occasionally these identify a condition such as anaemia, which means we can treat this before undergoing surgery.

Modern Anaesthesia

“Sedation was a simple “pleasant” and easy experience. As I am usually a very nervous person you can imagine how I worried about all the complications of general anaesthesia and all that could go wrong. Needless to say, I also worried about “Sedation”.

However, I went ahead with the procedure and was put at ease by very a warm and friendly team of doctors and nurses, who explained how I would be sedated and what drugs would be used and what each would do to me. I wasn’t anxious or nervous and as soon as I got the first shot I drifted off.

As the procedure came to an end, I recall simply slowly waking from peaceful rest. I was completely calm and not disorientated at all. I did not feel confused or nauseated… it was just like the 3 hours had passed and nothing had happened. Only I had had the procedure.

I was slightly off balance but knew fully where I was and after 30mins was able to get up and walk out of the centre. As I had had general anaesthesia before I feel this is definitely the better option for procedures like Rhinoplasty. Especially as there is no long wait post-op and also no side effects at all. I would strongly recommend it to anyone.

It’s safe comfortable and leaves no haziness afterwards. “

*Results May Vary

Will I be awake?

Most patients feel a little anxious or excited before surgery, once sedation is started to fall asleep, and literally sleep through the surgery. You will be drowsy, relaxed and comfortable during the procedure, with no discomfort or pain. The sedative medications combined with local anaesthesia ensures that you are comfortable and relaxed.

Will I remember the surgery?

Typically, patients do not remember the procedure or the short period of time following it, though you will feel a little euphoric. Occasionally patients can remember just before having sedation and waking up afterwards.

Is it safe?

Sedation is a very safe form of facelift anaesthesia as you are literally sleeping during the surgery. You are breathing yourself, and all your protective reflexes are working normally. The sedation could be stopped at any time, and you would just wake up. Facelift sedation anaesthesia is far less invasive than general anaesthesia.

What are the side effects of sedation?

As with any medication, the use of sedative anaesthetic agents can result in side effects. Notably, the incidence of side effects with facelift sedation are far less than general anaesthesia: drowsiness, dizziness, shivering (4%), headaches (4%), and post-sedation nausea & vomiting (0.7%).

Modern Anaesthesia

I am very worried about having anaesthesia?

Many of our patients are concerned about having anaesthesia; this is a natural human emotion as we all have some fear of the unknown. Safety is always our number one priority. With sedation anaesthesia, you literally sleep during the surgery, breathing yourself with your natural protective reflexes working normally, the sedation could be stopped at any time, and you would just wake up from sleeping.

Facelift sedation is utilised more in the US and is regarded as an advancement in anaesthesia as it avoids the risks of general anaesthesia.

Can I go home after surgery?

The recovery time after sedation anaesthesia is relatively short and we offer our patients supportive aftercare that includes the services of an experienced nurse overnight, this ensures that you have the reassurance and comfort of receiving the best possible attention. Every patient’s experience is important to us.

Who completes the sedation?

All the doctors who complete anaesthesia for Dr De Silva are very experienced, having treated tens of thousands of patients. If you would like to speak with one of our anaesthesiologists beforehand, please ask.

Modern Anaesthesia

Anaesthesia Description

General anaesthesia is commonly used for facelift and neck lift surgery. With general anaesthesia, an anesthesiologist will administer strong doses of anaesthesia that will put the whole body in an unconscious state.

Breathing is monitored and aided with a breathing tube, and our anesthesiologist will monitor the patient throughout the entire procedure. The downsides of general anaesthesia include a longer recovery period of hours, and there may also be some stronger side effects, such as drowsiness or nausea, making this option not suitable for all patients.

There are very rare and serious issues associated with general anaesthesia including thrombosis in the leg (termed DVT) or allergic reaction to inhaled anaesthesia. Most surgeons in the UK only offer patients general anaesthesia.

Sedation anaesthesia is a safer alternative type of anaesthesia. Also known as “twilight anaesthesia,” is local anaesthesia coupled with sedative medications. Dr De Silva and his team have developed our own specialised form of twilight anaesthesia, based on practices in the USA.

This sophisticated facelift sedation uses tiny amounts of four to five sedation medications that cumulatively give a relaxing and safe experience to avoid the risks and side effects of general anaesthesia. A much shorter recovery period than general anaesthesia, with most patients able to leave 30 to 60 minutes following the procedure.

This is the most advanced facelift sedation technique available, and the best option for patients considering rhinoplasty.

3D Photo. Woman's face, Markings PreOp SanDal

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