Janet, thank you for your excellent question. The type of anesthesia performed is usually determined by both your plastic surgeon and the anesthesiologist they work with. In many cases, the procedure you described could be done under twilight. In our institution our anesthesiologist prefers general anesthesia for most of what we do. The most important thing is that you are cared for an ABMS board certified plastic surgeon and anesthesiologist in an accredited facility.