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Facelift Under Local Anesthesia

IN NASHVILLE, TN

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At Gilpin Facial Plastics + Aesthetics, we believe in staying at the forefront of innovation to help our patients look and feel their best, comfortably and confidently. One of the exciting advancements we offer is the facelift under local anesthesia. This modern approach allows patients to enjoy the rejuvenating benefits of a facelift without the need for general anesthesia, meaning a more comfortable experience and often a smoother recovery.

What Is a Facelift Under Local Anesthesia?

A facelift under local anesthesia is a surgical facial rejuvenation procedure that lifts and tightens sagging skin and underlying tissue using numbing medication at the treatment site rather than putting you fully to sleep. By targeting the lower face and jawline, this approach helps smooth deep creases, reduce jowling, and restore youthful contours, all while keeping you awake, relaxed, and comfortable. It’s a safe and effective option for many people who want significant results without the downtime and risks sometimes associated with general anesthesia.

Real Patient Results

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View Before & Afters

Ideal Candidates for a Facelift Under Local Anesthesia

You may be a great candidate for this procedure if you’re in overall good health and have mild to moderate signs of facial aging, such as skin laxity, jowling, or loss of definition in the jawline and neck. This technique is especially appealing to patients who want natural-looking results with less recovery time and those who prefer to avoid general anesthesia for medical or personal reasons.

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 Dr. Gilpin will carefully assess your facial anatomy, goals, and medical history during your consultation to determine if this approach is right for you.

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ELEVATE YOUR CONFIDENCE

IN A LUXURY SURGICAL PRACTICE

Investing in your confidence is a big step, and your choice of facial plastic surgeon should reflect it. We offer a premier, luxury environment where you can focus on yourself.

With the help of our professional and knowledgeable team, you can begin your journey toward a more confident you. We’ll take every step to ensure you feel comfortable, pampered, and acknowledged. Begin your refined and cultivated experience here at Gilpin Facial Plastics & Aesthetics.

Facelift Under Local Anesthesia: Pre-Op Recommendations

Before your procedure, you’ll meet with our team for a thorough consultation and evaluation. We’ll provide you with personalized instructions to help you prepare, including guidance on medications to avoid, skincare to follow, and how to plan for a smooth recovery. Because this is performed under local anesthesia, there’s typically no need for fasting or arranging for extensive post-op monitoring. Still, we’ll walk you through every step so you feel informed and at ease.

PATIENT REVIEWS

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I cannot recommend Dr Gilpin highly enough. He is so extremely knowledgeable and considerate in making the patient comfortable with all decisions and during the procedure. The nurses go above and beyond to make one feel at ease all along the way. The staff is wonderful! The office is beautiful. My results are amazing! Most of all Dr Gilpin is a true kind and professional surgeon!

Everyone at Gilpin Facial is wonderful! From the front desk, to the nurses to Dr. Gilpin himself. I’ve switched everything involving my skin and face over to their practice and I couldn’t be happier with the results. You will always feel comfortable and they go above and beyond to make you happy. I can’t recommend this place enough!

Every experience with Gilpin Facial Plastics + Aesthetics is better than the last. From the gorgeous location and caring team of skin care professionals, to the meticulous procedures, I always feel so well taken care of.

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The Facelift Under Local Anesthesia Procedure

On the day of your surgery, you’ll arrive at our comfortable Nashville office, where we’ll begin with a numbing injection to ensure you’re completely comfortable. Dr. Gilpin will then make discreet incisions, usually around the ears, to access and lift the underlying facial structures. He carefully repositions the tissue, removes excess skin, and refines the contours of the lower face and neck. The procedure is typically completed in just a few hours, and many patients are pleasantly surprised by how relaxed and painless the experience is. Because you remain awake, you’ll be able to communicate with the team and recover more quickly once it’s done.

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Results and Recovery for Facelift Under Local Anesthesia

Results in

7-10 days

Recovery

1-2 weeks

Lasts

10-15 years

Most patients return home the same day with minimal discomfort. Swelling and bruising are normal in the first week, but these side effects usually subside quickly. Because we avoid general anesthesia, many patients experience a faster recovery and feel more like themselves in a shorter amount of time. You can expect to enjoy a refreshed, more youthful appearance that still looks like you, just well-rested and lifted. Final results will continue to improve over the following weeks as the healing process progresses.

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Schedule a Consultation

If you’re ready to turn back the clock and regain confidence in your appearance, with less downtime and a more relaxed experience, we invite you to schedule a consultation with Dr. Gilpin at Gilpin Facial Plastics + Aesthetics. We’ll help you explore whether a facelift under local anesthesia is the right option for your needs and goals. Let’s talk about your vision and create a plan that works beautifully for you.

Frequently Asked Questions

Am I a good candidate for a facelift under local anesthesia?

You may be a good candidate for a facelift under local anesthesia if you are generally in good health, have mild to moderate facial aging, and prefer a less invasive option compared to general anesthesia. This option is especially appealing to individuals who are anxious about general anesthesia or have medical conditions that make general anesthesia riskier.

What are the advantages of having a facelift under local anesthesia?

Facelifts performed under local anesthesia can offer a couple key benefits, including a lower risk profile and shorter recovery time. Local anesthesia allows for a quicker return to normal activities, and there is often less bruising and swelling.

Is the procedure painful while I'm awake?

Before surgery begins, the treatment area is thoroughly numbed using local anesthetic injections, similar to what you might receive at the dentist. While you may feel slight pressure, tugging, or movement during the procedure, you should not feel pain.

How long does a facelift under local anesthesia take to perform?

The procedure typically takes 2 to 3 hours, depending on the complexity of the facelift and whether other treatments (like neck tightening or fat transfer) are being performed at the same time.

What is the recovery process like compared to a traditional facelift?

Recovery from a facelift under local anesthesia is usually a little quicker than recovery from one performed under general anesthesia. Most patients experience similar bruising and swelling as those receiving general anesthesia and many return to work or social activities within 7 to 10 days.

Are there any risks or complications specific to local anesthesia facelifts?

While facelift procedures under local anesthesia tend to have slightly less swelling, they are usually a bit more risky than one under general anesthesia because your airway is not secured. It’s for this reason, local anesthesia facelifts are generally reserved for those who are on the healthier side. Local anesthesia facelifts are not entirely without potential complications. These may include minor bleeding, swelling, infection, nerve irritation, or asymmetry.

Can I drive myself home or resume normal activities the same day?

In most cases, patients should not drive themselves home after the procedure, especially if they’ve received any sedation. While you’ll likely feel alert and stable, it’s still recommended to rest and avoid strenuous activities for a couple of days.

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Are you looking to enhance your appearance and boost your confidence? Complete this form to learn more or schedule a consultation with one of our experts at our Nashville, TN office. From facial plastic surgery to lasers & aesthetics, we offer a variety of services that help you put your best face forward.

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Double Board-certified Facial Plastic Surgeon and Founder of Gilpin Facial Plastics |  + posts

Dr. David Gilpin is Nashville’s most accomplished dual board-certified facial plastic surgeon and the founder of Gilpin Facial Plastics, the city’s largest facial plastic surgery and medspa practice. With advanced fellowship training under one of the world’s leading experts in facial plastic surgery, Dr. Gilpin brings extensive knowledge, skill, and experience to every procedure he performs. He is particularly recognized for his expertise in facelift plastic surgery, delivering natural-looking facelifts that enhance facial harmony while preserving each patient’s unique features. Committed to continual learning and innovation, Dr. Gilpin stays at the forefront of facial rejuvenation techniques to provide patients with the most advanced and cutting-edge facelift procedures available.

Renowned for his personalized approach to both surgical and non-surgical facial procedures, Dr. Gilpin is known for achieving refined, long-lasting, and natural results. He has been featured in Nashville Lifestyles, recognized as a RealSelf Top Doctor, and regularly serves as a national speaker, sharing his expert knowledge with peers across the country. Handpicked by his peers as a Castle Connolly Top Doctor for the past six years and selected by Allergan to host the official Allergan Botox Day celebration two years in a row, Dr. Gilpin is trusted by A-list clients and respected colleagues alike. His leadership, experience, and compassionate care firmly establish him as one of the most sought-after facial plastic surgeons in Nashville, TN, and the eastern United States.

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