Plastic Surgeon or Ophthalmologist for Eyelid Surgery?

For cosmetic eyelid surgery, it is possible to have successful eyelid surgery with eye plastic surgeons, facial plastic surgeon, or general plastic surgeons. However, you do not have routine issues. You essentially need reconstructive surgery. You have profound upper eyelid ptosis.
You have highly complex midface issues. In your case, I strongly recommend that you see a top oculoplastic surgeon. There is excellent oculoplastic surgery in Columbus. You might consider seeing Jill Foster, M.D. There are others as well but you truly need a specialist.

Both plastic surgeons and ophthalmologists have extensive training in eyelid surgery. Within these specialties, wide variations exist in both expertise and experience. For this reason, patients need to do their homework when picking a surgeon. When this approach is taken, patients optimize the probability of having an excellent result.

It obviously depends on the expertise of the surgeon. One can choose an Oculoplastic surgeon or a Plastic Surgeon that has experience and expertise in eyelid ptosis repair and blepharoplasty. These specialists can perform this surgery in a confident and reliable manner.

You may see either a plastic surgeon or an ophthalmic surgeon for a consultation. They will choose to operate only after your health is thoroughly evaluated and you are determined to be a good candidate for surgery.
Local anesthesia can also cause problems with the heart. The epinephrine in the injection may be problematic. It is best to first get clearance from cardiologist. Thank you, and best of luck.

Certain severe heart conditions would make surgery--even under local--a bad idea for an elective procedure. If one's heart condition requires continuous anticoagulation, for example, then the risk:benefit ratio of stopping the anticoagulants would preclude an eyelid procedure.
Given the apparent degree of ptosis in this photo, repair requires more than just blepharoplasty. An ophthalmologist with fellowship training in oculoplastic surgery would be a good place to start in terms of evaluating this more complex problem.
All the best,
--DCP

If you have medical problems and even if you do not, upper and lower eyelid surgery can be performed under local anesthesia. Having surgery done by either a facial plastic surgeon or an oculoplastic ophthalmic surgeon is up to you. I would ask for references as both are qualified to perform the procedure. I hope this information helps.