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Q. I have a facelift and upper and lower bleph scheduled for tomorrow and I’ve had a cold for the past 12 days. Mostly congested sinuses and a non-productive cough. My chest x-ray is clear. Although, general practitioner has given clearance, I would like additional opinions. Would twilight be safer than general anesthesia in this situation? I am 45 years old and otherwise healthy. A. I hope your procedure went well as I am answering this most important question after your surgery. A viral cold causes inflammation and swelling which may lead to bacterial or prolonged inflammatory response without proper rest and medication (if needed). Symptoms such as: