Madnani Facial Plastics is your premier center for surgical and non-surgical facial rejuvenation and reconstruction procedures. Led by board-certified facial plastic and reconstructive surgeon, Dr. Dilip Madnani, the medical professionals at Madnani Facial Plastics are proud to offer cutting-edge cosmetic treatments to men and women in The Bronx, Queens, Brooklyn, Long Island and the neighboring communities in New York. We encourage our patients to browse through our anesthesia options before coming in for their one-on-one consultation with Dr. Madnani.

Differences Between Local Anesthesia, IV Sedation (Twilight Sedation), and
General Anesthesia

Local Anesthesia

Anesthetizes a specific, small area of the body.

  • Level of Consciousness: Patient remains fully awake and alert.
  • Administration: Injected directly into the area needing anesthesia, or remotely by anesthetizing a nerve that provides sensation to a region of the face.
  • Use: Facelift, Neck lift, Blepharoplasty (Eyelid surgery), Facial Fat Transfer, Lip Lift, Brow Lift, submental Liposuction, Mole Removal
  • Recovery: Quick, with patients able to go home shortly after the procedure.
  • Side Effects: Minimal, mostly limited to the injection site (e.g., bruising or soreness).

IV Sedation (Twilight Sedation)

Intravenous sedation that relaxes the patient, often making them drowsy and sleep

  • Consciousness: Patient is unconscious in a deeply relaxed, twilight state; may not remember the procedure.
  • Administration: Medications are delivered through an IV line.
  • Use: Facelift, Neck lift, good for multiple procedures
  • Recovery: Moderate; patients may feel groggy and need someone to accompany them home.
  • Side Effects: Drowsiness, potential nausea, or headache post-procedure.

General Anesthesia

Induces complete unconsciousness and loss of sensation throughout the entire body.

  • Consciousness: Patient is completely unconscious and unaware during the procedure.
  • Administration: Administered through inhalation of gases and intravenous medications.
  • Use: Facelift, Neck lift, Rhinoplasty; good for multiple procedures
  • Recovery: Longer, with patients needing time in a recovery room to wake up fully; requires someone to accompany them home.
  • Side Effects: Potential nausea, vomiting, sore throat (from breathing tube), and longer-lasting grogginess or fatigue.

Understanding the differences between these types of anesthesia can help patients and healthcare providers choose the most appropriate method based on the procedure’s complexity, the patient’s health, and their comfort level.

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