Can Eyelid Surgery Be Done Without Anesthesia?

Eyelid surgery without any form of anesthesia would be cruel and unusual punishment. But I'm sure you are asking if eyelid surgery can be done without general anesthesia. And the answer is a definite yes. In fact, nearly everything that plastic surgeons do can be done without general anesthesia.
Your choices for eyelid surgery are three: Local, Local with sedation, and general anesthesia. With local anesthesia you will feel the injections of the anesthetic and may have moments of pain during surgery which will prompt your surgeon to inject more local to give you relief. With sedation and local the same is true only you will not remember the experience at all. Sedation makes surgery a lot more comfortable without placing a tube in your throat and helping you breathe.
When having surgery under general anesthesia you will have absolutely no pain during surgery and have no memory of the entire process. It is the most comfortable option, though probably takes the longest to wake up from after surgery. The risks and benefits of these choices are debatable and should be discussed with your anesthesiologist. If you have a strong preference for any of the above choices, your surgeon should be able to accommodate your wishes.
I hope this info helps!

Great question! Yes, blepharoplasty can be performed without full anesthesia. That being said, technically the numbing medicine we inject is also anesthesia and I wouldn't recommend having this done without any numbing! But this can commonly be done under "local anesthesia" in the office without going to sleep. This is done by performing very exact measurements and marking things with you awake before injecting any numbing medicine which can distort things. After marking, the numbing medicine is injected and sufficient time is given to allow for it to take effect so you don't experience pain during the procedure. Sometimes some anxiolytic medicine can also be administered before or during the procedure to help with the some mild anxiety associated with the procedure.
Hope this helps!Kyle Kimura, MDFacial Plastic and Reconstructive Surgery

Most eyelid surgeries in my practice are done under straight local anesthesia actually. Upper eyelid for sure can be easily done under local, lower eyelid is usually slightly more painful if just under straight local but it can be done and is done very often with simple injections only. But with zero anesthesia (not even local numbing injection), I think it would be a torture.