Is It Safe to Get a Blepharoplasty in the Doctor's Office?

In most states office based surgery is regulated if more than mild sedation is given. If your surgery is done with local anesthesia or local plus mild oral sedation it may not be regulated.
Upper blepharoplasty is a low risk and usually low pain procedure so if you are not being given IV sedation it can be safely done in an office setting. If you have a medical history or low pain tolerance you may want to have IV sedation given in which case you should be monitored in an accredited office based or ambulatory surgery center.
The largest accreditation organization for outpatient surgery is the Accreditation Association for Ambulatory Health Care (AAAHC) with over 4000 facilities accredited.
Members of the American Academy of Facial Plastic & Reconstructive Surgery are required by membership standards to perform surgery only in Accredited facilities if more than mild sedation is administered.
Disclosure: Dr. Gentile is member of the Board of Directors of the Accreditation Association for Ambulatory Health Care (AAAHC) and serves on its Standards Committee.

Surgical procedures are best performed in a Medicare-certified surgery center. Removing fat from the eyelids tends to be very painful and uncomfortable, so sedation is required. When sedation is required, instrumentation for heart rate, oxygen, and blood pressure all need to be performed, which is best done in a surgery center, not in an office setting.