Usually the only issue with this condition is waking up with sore eyes or possibly corneal abrasion‘s sore throat, dry mouth which should all be managed during surgery by the anesthesiologist. If general anesthesia is not used then this shouldn’t be too much of an issue. it’s possible the anesthesiologist may have some thoughts or questions but I think it’s mostly related to symptoms where fluid production is decreased that can cause the symptoms described above.It’s possible a plastic surgeon may ask for medical clearance from your primary care doctor or a rheumatologist..you can still move forward and have a few in person consultations to see if you’re a good candidate for the BBL in the first place.Best, Mats Hagstrom MD