Most patients considering a facelift want to know if they will require general anesthesia. Usually, you do not have to get general anesthesia. When you undergo a neck lift or lower facelift, your surgeon will give you an IV sedation, also known as twilight sedation. The level of sedation is much lesser than the general anesthesia and incidences of feeling tired or nausea are less too. However, during your consultation, your surgeon will help determine the best anesthesia for you. If you have chronic back or neck pain, other medical issues or if you are undergoing multiple procedures at the same time, general anesthesia might be in your best interests.