One of the most common questions I receive is why my patients often have less bruising and swelling during the first week after surgery. It isn't because they're having a less extensive procedure. In fact, I perform a comprehensive deep plane face and neck lift with complete ligament release and full midface mobilization. I believe there are three key reasons: • Stable blood pressure throughout surgery with local anesthesia, without the blood pressure spikes that can occur after general anesthesia. • A meticulous, tissue-preserving surgical technique that minimizes unnecessary trauma. • Local anesthetic medications that help reduce bleeding at the tissue level. Together, these factors often lead to less bruising, less swelling, and a smoother recovery. What should I cover on my next Beach Walk? Let me know in the comments. Dr. Novis is a double board certified facial plastic surgeon in North Myrtle Beach, SC, specializing in deep plane face and neck lift procedures under local ane...