How long should I wait before undergoing local anesthesia again?

Straightforward double eyelid surgery and Asian eyelid surgery will not involve dissection or manipulation of the lash line, and thus will not be significantly affected by your meibomian gland dysfunction as long as your hygiene and care of your meibomian glands remains the same.

The saggy and puffy feeling you have in your upper eyelids is due to some excess skin and fat. The best technique to address those aspects of your upper lids would be through an Asian blepharoplasty approach that removes the excess skin, and contours the excess fat while creating a crease shape...

You are a great candidate for Asian blepharoplasty. You have some excess upper eyelid skin, but also some asymmetry of your upper eyelid creases with multiple folds, especially on your left eye. It's important to seek out a surgeon specializing in Asian eyelid surgery as the crease will need to...

Normally there exists a connection between your eyelid muscle and skin that forms the crease whenever you open your eyes. It's not common for Asians to have a connection that is either naturally weak, or weakens with advancing age. That connection can be re-established during Asian...

It would be possible to change the shape and appearance of your upper eyelid crease to re-create a more tapered configuration with greater pre-tarsal show along the outer corner during a revision Asian eyelid surgery.

Your epicanthal folds are perfect. Any attempt to mess with them surgically would be a big mistake. Leave them alone