Facial Aesthetic Surgery Can be Completed Safely Under Oral Sedation, Local Anesthetics

According to study results, facial aesthetic surgical procedures performed by means of Oral Sedation along with with Local Anesthetics were safe and well-tolerated by patients.

Researchers conducted a retrospective chart review on 199 patients (mean age, 49.8 years; 176 women) who had an office-based Plastic Surgery procedure between July 2008 and July 2014. The patients received Oral Sedation in conjunction with Local Anesthesia.

Patients received minimal Oral Sedation that included a combination of diazepam, diphenhydramine, and hydrocodone/ acetaminophen or acetaminophen alone. There was a minimum of 30 minutes after receiving Oral Sedation before infiltration of Local Anesthesia to the surgical site was administered.

Age, gender, BMI, past medical history, social history, surgical history, allergies, and medications were the patient demographic data collected and included in the review. American Society of Anesthesia (ASA) class, type of procedure, medications administered and major complications related to sedation were measured.

Patients underwent 283 facial aesthetic surgical procedures, with 195 patients in ASA class I and 4 patients in ASA class II. Procedures included 44 Upper Blepharoplasty procedures, 5 Browlifts, 43 Upper Blepharoplasty-Browpexy, 46 Facelifts, 38 Neck Lifts/Lower Facelifts, 54 Fat Grafting, 3 Tip Rhinoplasties, and 15 minor revision cases.

Average follow-up time was 23.5 months. There were no major complications and no sedation issues during the study period, with all procedures completed under Oral Sedation. There were no cases converted to IV sedation, ended due to pain or discomfort, or requiring hospital transfer. All patients tolerated the procedures well, with the average surgery length of 84 minutes.

“In healthy patients, office-based facial plastic procedures can be safely performed under a combination of Oral Sedation and Local Anesthetics,” the researchers determined. “Patient selection and pretreatment counseling are critical in ensuring a satisfactory and safe experience.”

Learn about the major differences between General Anesthesia and Local Anesthesia.