Valium, Demerol and Xanax: Too Much Medication for Blepharoplasty Surgery?

It is not a good idea to have blepharoplasty performed in a doctor’s office. It is a sterile procedure that if not performed properly can result in disastrous consequences such as infection.
Blepharoplasty surgery is usually performed under general anesthesia because of the pain associated with removing the fat pads from both the upper and lower lids, which do not numb up sufficiently with local Novocain-type medications. Valium, Demerol, and Xanax are all respiratory agents and should be administered and monitored in a surgery center setting, not in a doctor’s office. It is also best to have a board-certified physician anesthesiologist perform the anesthesia in a certified ambulatory surgery center, not a doctor’s office.

The combo of Valium and Xanax seems a bit weird and heavy-handed since they're both benzodiazepines. I've gotten away from prescribing Valium for in-office procedures mainly because of its long elimination half-life (20-80 hours, given its multiple metabolites). Valium has become kinda of "old school," if you will.
Ativan is a reasonable choice and I like it for longer procedures (e.g., 2-ish hours), since it's got a shorter half-life than Valium and is well tolerated.
Lately, I've been keen on Halcion (triazolam), especially for short procedures such as a bleph. It's got *no* active metabolites, works quickly, and is gone quickly (half-life of about 2-5 hours).
The Demerol is probably way over the top for this procedure given the typically trivial pain involved.
Best of luck,
--DCP

Sounds good to me. But if you are so concerned than discuss this issue with your surgeon in detail. Or until you are satisfied with his explanation. Regards.