Can Eyelid Surgery Be Done Without Anesthesia?

Can bleph eyelid surgery be done without anesthesia? If so, how does it work?

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52 Doctor Answers | Asked by Carole one in graham nc

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Eyelid surgery without anesthesia would be intolerably painful

Eyelid surgery or for that matter any surgery would be too painful to perform without any anesthesia. I suspect that you meant to ask whether eyelid surgery could be performed while you are completely awake under a local anesthetic alone. This would be comparable to having a cavity filled by your dentist with an injection of the local anesthetic in your gum. In the case of blephroplasty or eyelid surgery, local anesthetic alone would suffice but I wouldn't recommend it. Patients undergoing... more

Don't pass on the local anesthesia!

Hi Carole, Upper and lower eyelid surgery is usually performed in my office under anesthesia. Local anesthesia with "adrenaline" is injected just under the skin about 5 to 10 minutes prior to the treatment. The only exception is if there is excessive fat pad protrusion in the lower lids, then I prefer having the patient under sedation anesthesia. Choose your surgeon carefully. Good luck. Dr. P

Michael A. Persky, MD

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Los Angeles Facial Plastic Surgeon

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Local anesthesia is my routine for eyelid surgery

Local anesthesia is my general routine for blepharoplasty. The local anesthesia injections in the eyelids are not painless, but relatively low pain. Some patients desire a little oral or IV sedation which is always a possibility.

Local anesthesia preferred for blepharoplasty

Upper eyelid blepharoplasty can be safely performed under local anesthesia in most patients. The preoperative workup of a patient for blepharoplasty is important in assessing the anesthetic and surgical risks of a patient. Your surgeon should be qualified in the surgical and perioperative managment of patients undergoing surgery. Upper eyelid blepharoplasty can be performed under general anesthesia and conscious sedation, however, local anesthesia with or without an anxiolytic is preferred. more

Eyelid surgery can be performed without general anesthesia.

Eyelid surgery can be performed without general anesthesia. It is reasonable to undergo upper eyelid blepharoplasty under straight local anesthesia. One can also perform some types of lower lid blepharoplasty procedures under local anesthesia as well. For some more aggressive procedures, patients will benefit from some sort of sedation or general anesthesia.

Blepharoplasty with valium and lidocaine

I have a plastic surgeon who does these in my office and uses 5 mg of valium and local anesthesia. His patients are very pleased and are driven home by a friend or spouse. I have watched him do this in many patients and I don't perceive them to have any discomfort whatsoever! Dr. Raffy Karamanoukian (disclosure - my brother) also does these in his offices. I think it is well tolerated. As a heart surgeon myself, I have done coronary bypass surgery on a dozen people who had eyelid surgery... more

It could - but you wouldn't want it

Some form of anesthesia is needed to do any kind of surgery. There are generally three levels of anesthesia - local, sedation, and general. Local is similar to what most dentists will administer. It involves injecting numbing medicine at the area to be operated on. Sedation involves some sort of medication which alters a person's state of consciousness. In general sedation will not require a breathing tube and is fairly easy to rebound from. General anesthesia is what is thought about for... more

D.J. Verret, MD

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Dallas Facial Plastic Surgeon

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Eyelid Surgery without General Anesthesia

Certain types of eyelid rejuvination can be done with only local anesthesia. More complex and deeper procedures involving fat or muscle work require sedation or general anesthesia. Local anesthesia is given with an injection (usually Lidocaine). No surgery on the body can be done without at least local anesthesia. Upper and lower eyelid blepharoplasty where only skin needs to be removed can be done under local. Look in the mirror and see if your upper eyelid skin appears to be excessive.... more

General Aesthesia is Preferred for Blepharoplasty, However Make Sure You Talk to Your Surgeon About a Local Anesthesia

There are several types of anesthesia that can be used during blepharoplasty. Most commonly, blepharoplasty is performed with local anesthesia with I.V. sedation or under general anesthesia. Both are excellent options with high satisfaction rates amongst patients. Our biggest priority is patient safety, and because of this, we always have an anesthesiologist present to monitor the patient. In most cases, we prefer general anesthesia, but are not opposed to local anesthesia with I.V.... more