{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:02:01Z","timestamp":1790776921029,"version":"4.1.0"},"reference-count":17,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":252,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Facelift surgery is increasingly performed in an outpatient setting, and local anesthesia with minimal sedation may reduce the anesthesiologic burden while preserving patient cooperation. However, the safety of local-anesthesia pathways for procedures of varying extent, including deep plane rhytidectomy, high SMAS facelift, and coronal rhytidectomy, remains incompletely characterized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the feasibility and early safety of a standardized local-anesthesia pathway in a single-center retrospective series of primary aesthetic cervicofacial lifting procedures and to contextualize the findings within the existing literature on awake facial rejuvenation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted of consecutive primary aesthetic facelifts performed under local anesthesia between March 6, 2024, and January 14, 2026.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 117 procedures were included: 90 deep plane facelifts, 6 high superficial musculoaponeurotic system (SMAS) facelifts, and 21 coronal rhytidectomies. The cohort included 110 women (94.0%) and 7 men (6.0%), with a mean age of 56.53 \u00b1 7.92 years and a mean BMI of 24.6 \u00b1 3.1\u2005kg\/m2. Concomitant procedures were performed in 16 patients (13.7%). The mean operative time was 5.0 \u00b1 0.6\u2005hours (range, 3.5-8.0\u2005hours). No case required conversion to general anesthesia or early termination. Six complications were documented (6\/117, 5.13%), all occurring in the deep plane subgroup (6\/90, 6.7%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In selected patients, primary facelift surgery under local anesthesia appears feasible across a broad spectrum of cervicofacial lifting techniques when performed within a structured pathway including preoperative screening, standardized infiltration, maintenance of verbal responsiveness, and careful hemodynamic monitoring. Patient selection, procedural predictability, and proactive control of anxiety, pain, blood pressure, and nausea\/vomiting are likely more important than any single anesthetic formula.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence: 4 (Therapeutic)<\/jats:title>\n                    <jats:p\/>\n                  <\/jats:sec>","DOI":"10.1093\/asjof\/ojag166","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:39:38Z","timestamp":1788521978000},"source":"Crossref","is-referenced-by-count":0,"title":["Facelift Under Local Anesthesia: A Retrospective Single-Center Series of 117 Patients Undergoing Deep Plane, High SMAS, and Coronal Rhytidectomy"],"prefix":"10.1093","volume":"8","author":[{"given":"Mariagiovanna","family":"Lombardi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1109-4209","authenticated-orcid":false,"given":"Martina","family":"Ponzo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Santamaria","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fibian Chaterinee","family":"Luna Aguilar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"D\u2019Andrea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Humberto Gustavo","family":"Mart\u00ecnez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis 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