Even with just local anesthesia, you should not drive home after blepharoplasty because the muscles that move your eye may be anesthetized, and your vision generally isn't that clear due to ointment and tearing. Also, many that use local anesthesia may use a mild oral sedative to go with it. It is great that you are using local anesthesia, and your recovery will be much easier afterwards because of it, but it will also be best to have somebody with you at home to start it off, just for simple activities of daily living like making sure you're getting proper nutrition. To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon. Cameron Chesnut #realself500 Physician