Every plastic surgery starts with a pre-operative consultation. During this time, all aspects of the procedure will be discussed in detail and explained to the patient. Among these important details is the type of anesthesia to be used. Plastic surgery can be performed with the patient under general anesthesia, local anesthesia with sedation, or spinal anesthesia. The type of anesthesia to be used is chosen by the plastic surgeon and the anesthetist, and it depends on the particularities of the procedure but also the characteristics of the patient. For example, certain allergies can make the patient ineligible for local anesthesia, even if otherwise the procedure could have been performed with this type of anesthesia. When it comes to the breast lift, many patients want to know if their procedure will be performed with the use of general anesthesia. This depends on the decision of the plastic surgeon and the anesthetist. However, generally speaking, many plastic surgeons and patients alike prefer to have the breast lift performed with the patient under general anesthesia, and there are different reasons for this. Before anything else, you should know that general anesthesia nowadays is safer than ever, and there are minimal risks involved with it for healthy patients. When the patient is under general anesthesia during a breast lift, she will feel no pain or discomfort during the operation, and she also has no recollection of the time spent during surgery. In other words, general anesthesia is often a good option for the comfort of the patient. To be able to have general anesthesia used for the breast lift, the patient needs to fast for at least six to eight hours before the procedure. This way we avoid potential complications that can occur during the surgery due to the anesthesia. There is another reason why general anesthesia might be used on patients undergoing a breast lift, and this is the duration of the procedure. In a vast majority of cases when the procedure is longer than an hour, the plastic surgeon might opt for general anesthesia, also for the comfort of the patient. The breast lift can be performed as a stand-alone procedure or combined with breast implants. Nowadays it is more and more common for patients with small breasts to choose to have implants inserted during the breast lift as they can achieve two significant aesthetic goals with just one surgery. When the breast lift is performed with a breast augmentation with implants, the duration of the surgery is longer, hence the procedure might require general anesthesia. It is important to discuss your concerns or questions about the type of anesthesia to be performed for your breast lift with the plastic surgeon and anesthetist and give them the opportunity to make things clear for you.