Facelift Surgery and General Anesthesia

[@ElsaPeralta-m9f]

I love your videos, so educational. I appreciate them!

[@jniamtuiii]

I appreciate that!

[@caronmistry6171]

Very informative, thank you

[@jniamtuiii]

Glad it was helpful!

[@Anna-ss4sf]

I am a CRNA/40 years exp. Re: Post op Nausea and Vomiting… ZOFRAN is your best friend. 4mgs on induction, 4mgs on emergence. If patient has h/o of ponv, then also pretreat with Reglan, avoid narcs. But you already know this. 😊 By the way, I’m seriously thinking about scheduling an evaluation with you. I’ve seen a lot over my career and I’m perfectly comfortable putting my face in your hands.

[@jniamtuiii]

It would be my honor and thanks for the tips.

[@Anna-ss4sf]

@@jniamtuiii Sent contact info via your website

[@dammar117]

I know what you're saying is all true, but I had a bad experience with general anesthesia once, so I would not have undergone a facelift if that had been the condition. The doctor who did my mini facelift normally uses general, but did offer local with IV sedation. It was a wonderful experience. I have low blood pressure. This was actually the problem during my bad experience. It dropped to dangerously low levels, so much that the nurses couldn't hide their worry. Never again unless there's no other option to save my life. But you're right, apparently I moved and talked too much during the first side of my facelift, so they put more anesthetic for the other side, lol.

[@jniamtuiii]

What ever the surgeon and patient decide on is the best way. Some people have had problems with general anesthesia but I see patients who had big problems with local anesthesia and IV, such as waking up, feeling pain, and having to listen to the surgery and staff. Again, everyone is different so there are options out there.

[@dammar117]

@@jniamtuiii Listening to the surgery is great. I wish I could have WATCHED the surgery! That's why I enjoy your channel, because you post actual surgeries. It's fascinating.

[@jniamtuiii]

@@dammar117 Thanks for watching :)

[@evahernandez2928]

Precio

[@jniamtuiii]

:)

[@marycronin6061]

Thankyou dr i learned alot godbless😊

[@jniamtuiii]

My pleasure 😊

[@RisaBeesa]

This video made me feel better. My neck lift and lower facelift is scheduled for December 22… so 2 1/2 weeks away! I was nervous about it being under general anesthesia because I’ve watched other plastic surgeon’s videos where they say local or IV is much more safe. But like you, my surgeon emphasized that my airway would be protected (I have sleep apnea). So thank you for this video because it reinforced my confidence. I’m just so excited to get my jawline back… 💚

[@jniamtuiii]

I agree that general anesthesia is the safest way to have surgery and that is all I do.

[@bettyniemann6244]

I am 63 year old female in good shape, am I too old for a facelift?

[@jniamtuiii]

You are just getting to the right age! We do patients in their 80's. Come see me :)

[@amyleigh336]

Thank you so much for this video. I just had my surgery with Dr. Joe three days ago and the anesthesiologist was so nice and reassuring. I have had GA a few times and ended up with extensive pain and bruising at the needle site, there's not even a hint of a bruise from my recent surgery. I also had none of the godawful nausea I've had in the past. In fact I had none whatsoever.

[@jerometomas5809]

I dont mean to be so offtopic but does anybody know a tool to log back into an instagram account?? I was dumb forgot my password. I appreciate any assistance you can give me!

[@nathalienath7760]

Dear Dr Joe I just had my facelift three days ago with a general anesthesia. I am Swiss and I had this procedure in Switzerland. Let me tell you how your excellent videos help me to learn a lot about facelift. All is very well explained.Many thanks to share your knowledge through all these videos. I made a facelift with lipofiller and I am a woman of 55 years old. My general anesthesia went perfectly.

[@jniamtuiii]

Glad it helped, have a good recovery

[@thirdeye7611]

You are wonderful Dr Niamtu. Thank you

[@jniamtuiii]

You are very welcome

[@princessaKLG]

Fantastic I formative video! 👍🏽

[@jniamtuiii]

Glad you enjoyed it!

[@sandylewis8897]

Excellent video, doctor. Why does surgery take 3x longer under local anesthesia? Also, how can a patient use the bathroom in the middle of surgery-- aren't there sterile fields, etc?? Thx!

[@jniamtuiii]

It may not take 3x longer but generally much longer as there are many differences operating on a patient that is totally asleep that one who is awake. My patients don't use the bathroom, my surgeries are never longer that 3-4 hours and they are asleep. Thanks for watching

[@dammar117]

@@jniamtuiii One KZbinr said that they put a catheter in her. She was totally unprepared for this. Who would think you would need a catheter for a facelift?

[@Sweetiesplanet]

@@dammar117 you need a catheter for most surgeries because you're not able to get up to go if you need to and you can't hold it either

[@dammar117]

@@Sweetiesplanet Sounds horrible and invasive for a facelift. I wouldn't want a bunch of nurses probing my privates just because i want to tighten my face! Actually, the nurses in my case were supposed to wash my hair the day after. I thought they would have some kind of special sink, so I was totally unprepared for getting naked in the bathtub in front of them. I'm still a bit haunted by that experience, so a catheter, NO thank you.

[@Sweetiesplanet]

@@dammar117 anytime they put you to sleep, you get a catheter whether you know it or not. and, it's not a lot of probing really. just a few swipes to clean and then insert the catheter. and, yes, they should've explained how they would wash your hair so you would've been prepared but you could've kept your bra and undies on but you weren't thinking. sorry that still haunts you but as a nurse myself, we don't even see your nakedness. They too should've offered you another way since they weren't giving you a bath so I can only imagine how you feel. hopefully, you'll laugh at it one day. hope your face looks amazing!!!

[@Lisa_RNHealthHub]

Thank you for explaining.

[@jniamtuiii]

You are welcome!

[@mardipantz]

I’m scheduled for a Face, neck and brow lift in January in Vancouver. I found a great qualified (natural results) Surgeon from my research I did using your “what to look for in a Surgeon” videos. Thank you. (I mentioned you in the consult and he lit up and mentioned that he met you at a conference) He offers both IV Sedation or General anesthetic for his patients. I chose the former, however after listening to this I think I should change it to General as I do get very anxious and my heart races even getting lip injections. I’m so glad you do these videos. Hugs from Vancouver Island 🇨🇦😊

[@jniamtuiii]

Thanks for taking the time to comment, I am sure you will do well.

[@meirakorwal8118]

Same problem.... My heart start beating fast when i m stressed or worried about something..

[@janmackovcin5875]

How was your surgery?

[@yandexuk]

I was actually been opened up after receiving anesthesia and despite I could not move I heard surgeons talking! I said to them I hear you. They were so scared and shoot me another dose

[@jniamtuiii]

Sorry to heat that

[@dianajohnson3374]

Do you go home after surgery or stay overnight in hospital first night?

[@jniamtuiii]

Go home or to a local hotel

[@kc9337]

I can’t wait to contact your office to have my neck lift done .

[@jniamtuiii]

Will be our honor! You can communicate by [e-mail]

[@MrScooter33333]

Thank you..this was very helpful!!

[@nelsondesousa4496]

Very helpful video. Thank you

[@jniamtuiii]

Thank you.

[@ellyngoldberg9648]

You have a fabulous way of imparting medical information to the lay person.

[@Claudia-ry3bt]

Great video. With all the debate about anesthesia, I was so confused. Your explanations made sense. You've basically confirmed everything a PS told me. Awesome! I know exactly what I need to do now!

[@jniamtuiii]

Thanks for watching

[@lyndabustillos5209]

LIKE ALWAYS... SUCH AN AWESOME INFORMATIVE WELL ARTICULATED VIDEO!!

[@jniamtuiii]

Thanks again!

[@lidialidia4150]

I think nobody is using general anesthesia in Europe anymore, cos it’s so dangerous . How old is your videos..?

[@jniamtuiii]

In the USA most busy facelift surgeons use general anesthesia. It is safer than driving a car. Thanks for watching.

[@julieann4616]

You seem so knowledgeable. Lol

[@tessiedoyle]

Now I’m concerned. I’m speaking with a very busy, well know dr in NJ who has privileges in a nearby hospital. He only does local w pain meds. I spoke to one of his recent patients and she said she had no pain and in fact slept through most of it. His office is not an accredited surgery center. I do like him and he takes his time w patients (didn’t charge for FaceTime consult) and was very thorough, responsive and friendly. Saw lots of photos. I’m so confused! 😩

[@jniamtuiii]

He is probably very good. You can't judge all people by single factors. If he does safe surgery with natural outcomes, he sounds good.

[@lidialidia4150]

I have just been operated under local plus sedation for a neck lift, it took 2 housers and I fell well. It’s not tru that it takes 8 housers and you can vomit etc. maybe I. Europe is Different I dine mine in Marbella, by a very famous surgeon DR. Kay Kaye. Ocean clinic.

[@jniamtuiii]

I wish you a speedy recovery

[@julieann4616]

Housers lol

[@donnamcnamara8740]

Thank you Dr Joe, you have explained so many things to me that I did want to know, truly wish you were in Australia, you are such a straightforward and honest Dr, thank you for taking the time to do these videos...

[@jniamtuiii]

Thanks for watching.

[@redsloane879]

Another great video! Thanks Dr Joe!!

[@jniamtuiii]

Thanks for watching!

[@CatherineHoustonJackson]

Hello Dr.! Your videos are fantastic!! Thank you. I have a couple of questions. I am scheduled for this surgery in two days.... Well less than that now! I am losing it about going under anesthesia. I've done both iv sedation and general before and took both well but for some reason I am having horrible feelings about this one. Maybe it's because it's such a big deal! I hope it's not a horrible premonition:( It's with a very experienced and good anesthesiologist. I know my surgeon would prefer general for the exact reasons you are saying but I've so far been adament about doing iv sedation. He has agreed but I had to sign something saying that if general is needed during the surgery I would allow it. Which of course I would. The reason being is that my breathing may slow too much or stop and they would have to switch me over. How common is this and is it dangerous? I am assuming general from the start is less risky? Another question based on your other videos about facelifts. I am 38 and did the laser assisted necklift which just left me looking terrible with neck banding and loose skin. I have amazing skin to begin with, so this was very sad for me. My incisions will go from the top of the ear, in behind the tragus and behind the ear. Also the incision under the chin for the corset platysmaplasty. I asked if the incision out the back would be needed and my surgeon said no. Is this standard for someone as young as I or should I insist this be done for better tightning? What about the one in the hairline in front of the ear? Thank you and I am looking forward to your answers. My surgery is on Thursday and it's Tuesday night so I probably won't hear until after but am giving this a shot. Thanks again for your videos..... A lot to think about!

[@jniamtuiii]

I am sure you will do fine, I have done probably 50,000 general anesthetics without a problem. Sure you are in good hands. They know what to do. You are getting a minilift, if you have a lot of neck skin, usually you need the posterior incision, if it is mostly jowl with a little neck skin, probably fine.

[@CatherineHoustonJackson]

@@jniamtuiii oh wow that does make me feel better! Can't decide if I should switch it to general. Decisions! Are minilifts generally for a younger age? I'll let him know I'm open to the bigger scar one.... If it gives better results.... Thank you for your reply!!

[@meirakorwal8118]

@@CatherineHoustonJackson hii.... How was ur surgery Do u had any problem wid general anesthesia Plzzz reply

[@kc9337]

I hope your surgery goes much better than you expected. I’am wanting mine neck and face lift this summer if this Dr if this Dr is available I love his sincerity and knowledge he shares. I’am 60 this January

[@piccadilly369]

Would you please let us know what anesthesia was selected. Hope all is fine now.

[@lorettaehnes6588]

Your the bomb! Thank you so much

[@jniamtuiii]

Thanks Loretta

[@missymarkanson751]

Thanks again for thereat info!

[@jniamtuiii]

Thanks so much!

[@francesco6310]

Good morning doctor, I have a question: during the years we've heard so many things about Michael Jacskon's appearence, one of them is that the reason of his hollow cheeks is cheek implants. So my question is the following: if someone wanted Michael Jacskon's hollow cheeks, would cheek implants be enough to get to that result? Or it is just a matter of face fat? Thank you

[@jniamtuiii]

Thanks. Cheek implants really don't produce hollow cheeks, but can define the area, buccal fat is more for reducing volume.

[@alidanirwati6758]

It's a nice to meet you again Dr Joe Dr Joe would you give your phone number ? I'd like to ask to you about facelift who my older's friend want to be younger, thank you Dr Joe. Loving you.may God accept your obedience & your prayers,may God blessing all of you there.

[@jniamtuiii]

Thanks so much our office is 804-934-FACE (3223) and email is [e-mail]

[@julieann4616]

I bet the office staff couldn’t wait to receive your call. 😁

[@judyellard8191]

He dont do boobs butts lo hes cooll

[@jniamtuiii]

you got it, no boobs, bellies or butts, just faces :)

[@judyellard8191]

Put me to sleep do my face YES

[@jniamtuiii]

Yes :)

[@zakidelucainternational5345]

I do not agree whit you, many people died from general anesthesia

[@jniamtuiii]

thanks for watching.