General anesthesia is preferred

Cosmetic eyelid surgery is painful when the fat is removed from the eyelids. The lower lid happens to be more painful than the upper lid because of the more extensive fat removal. The patient’s safety and comfort is best when the patients are put to sleep briefly under general anesthetic to have this surgery performed. Patients will not remember and feel pain when the fat is removed. The fat does not respond to the local numbing medication.

The eyelid surgery is generally well tolerated but some extra local anesthesia is usually needed if there is fat to remove.  The gentle pulling on the fat can irritate nerves deeper down than the original local covered.

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The only way to guarantee that you will not feel pain during a procedure is to have general anesthesia to insure you are completely asleep. I.V. sedation varies greatly in it's effectiveness. Every patient responds differently, some patients require very little to make them comfortable, while others require twice as much.

Generally speaking, I.V. sedation is very effective for most patients, but it is no a guarantee that you will not feel discomfort. Anesthetizing you completely for a browlift without any pain at all will be difficult with I.V. sedation unless it is very deep sedation. Hope that helps you.

 There are different options for anesthesia during cosmetic eyelid or brow surgery, but in general there is no reason to feel any pain.  The procedures are usually done with either IV sedation or general anesthesia, and eyelid surgery can at times be done with the patient awake and with local anesthetic only.

Speak with your surgeon about his plan, but there is little to no risk of pain during the procedure with proper IV sedation or a general anesthetic.

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