Home > Current Controversies > Face lift surgery under local anesthesia Get the Flash Player to see this player. Rate: (Click the stars to rate) Published on Feb 10, 2011 by DrPaulNassif, Views: 11664 Follow Joan as she undergoes a Rhytidectomy or face lift surgery under local anesthesia. Joan’s face lift procedure included a platysmaplasty, placing smas into the smile or marionette lines, the removal of buccal fat and an upper blepharoplasty. Successful facial plastic surgery is a result of good rapport between patient and surgeon. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery is performed.