I Am Having an Upper/lower Bleph, No Health Issues. Will I Be Comfortable Enough with Just Po Benzo and Local? I Am Nervous :( Doctor Answers, Tips
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I Am Having an Upper/lower Bleph, No Health Issues. Will I Be Comfortable Enough with Just Po Benzo and Local? I Am Nervous :(

I Am Having an Upper/lower Bleph, No Health Issues. Will I Be Comfortable Enough with Just Po Benzo and Local? I Am Nervous :(

8 Doctor Answers | Asked by Lovinit
+1

Anesthesia choice for upper and lower bleph

We do not recommend upper and lower lid surgery performed under local anesthesia with a little bit of Valium. There are deep proprioceptive fibers and fat pads that are quite painful to remove as they do not adequately numb with local anesthesia. It is always best to have these performed under a brief general anesthesia for the patient’s comfort and safety.
+1

Eyelid surgery with oral sedation.

As with most responses, this is perfectly acceptable method for some patients. It seems with your concerns you may wish to discuss IV sedation with your surgeon as you will be more sedated and less aware of the procedure. Communication is key and you need to feel comfortable with the decision. Of course, you will always have some nervousness before any procedure, but anxiety should be minimal.
+1

Anaesthesia is taylored to the patient

It is very common to perform Blepharoplasty with local anaesthesia. Having said that some degree of sedation is often nice for the patient and can make the surgery easier for the surgeon. An oral sedative can relax patients significantly but if you are really nervous a more powerfull intravenous medication could be considered.

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+1

Anesthesia for eyelid surgery

Some patients do well with a little valium-like pill just before their surgery. I just did one last week like that in the office, and the woman did great. But a month before I tried that for a patient (a nurse) who was familiar with the procedure, and with me. And she seemed very calm in the office. But after the injection of the numbing agent she became uncontrollably anxious and her blood pressure sky-rocketed to the point where we never were able to start the... more
+1

Patient dependent

This is absolutely a personal decision. From a saftey standpoint, it is not an issue. Many surgeons across the country use this approach almost exclusively and do quite well. In our practice, we provide the patient with the option of deep IV sedation vs Oral sedation for blepharoplasty. Lower blepharoplasty is a bit more involved, and can cause a bit more anxiety for the patient, but I've done it without problems in dozens and dozens of patients without an issues. The savings from... more
+1

Discuss anesthesia needs with your surgeon

Typically I perform uncomplicated upper blepharoplasty under oral sedation with local analgesia; however, I prefer to perform upper and lowers under iv sedation with monitoring for comfort and safety. many surgeons perform upper and lower blepharoplasty under local analgesia with oral sedation with our any problems. Discuss your concerns with your surgeons so that you are not surprised or anxious during the procedure if you choose to proceed with oral sedation alone.
+1

Blepharoplasty Under Local is Safe

Blepharoplasty is routinely safely preformed under local anesthesia as your describe. Patients are able to tolerate the procedure and are comfortable after the area has been numbed. The advantages are: - No general anesthesia - Cost savings The disadvantages; - Requires cooperation from the patient It will be up to you what you feel comfortable in undergoing. It is completely normal to be nervous for the procedure.... more
+1

Eyelid surgery anesthesia

Every practice has its own policy but in my experience, a nervous patient does not do well with p.o. sedation and local especially in the lower eye region and if any fat work needs to be done. You might re-visit this with your surgeon so you have the best experience.
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