Can A Jowl Tuckup Be Done Under IM Sedation?

Q: Dr. Eppley, can a secondary “jowl tuck” lift (for incipient jows and neck skin laxity) and secondary upper bleph (for slight recurring skin laxity) be done under sedation by intramuscular (not IV) midazolam? Might IM sedation be comparable, or preferable, to IV sedation in efficacy and/or safety? Original procedures, 16 years prior, under IV sedation, were: SMAS lift (w/retrotragal incision), platysmaplasty (submental incision), upper and lower (subconj) blepharoplaties.

Thank you for feedback.

A: I am sure someone may try to tackle that type of secondary upper blepharoplasties and jowl tuckup under this ‘modified’ sedation approach…it just wouldn’t be the way I would feel comfortable doing it.

Dr. Barry Eppley

World-Renowned Plastic Surgeon