Question :
What type of anesthesia is usually used for blepharoplasty? Can it be performed with local?
Answer :
Blepharoplasty, or eyelid surgery, can be performed under a variety of anesthetics. I prefer to use “Twighlight” anesthesia, which is an IV sedation in combination with local anesthesia when I perform blepharoplasty. Upper eyelid blepharoplasty can be perfomed under local anesthesia alone, but, I do not recommend that. Lower eyelid blepharoplasty can be relatively straight forward such as in the transconjunctival blepharoplasty, or it can be more involved when lower eyelid skin is removed and lower eyelid tightening is necessary. In these cases, IV sedation is definitely necessary.
Posted by Dr. Philip Schoenfeld