How painful is a mullerocotemy?

It is not painful. The numbing injections stings for a few seconds and that's it. See following video for someone undergoing the procedure.

It can be done under local anesthesia.  However, most people have a degree of anxiety about having surgery and do best having a light intravenous sedation for the surgery.  That way you have almost no awareness of the surgery.  Post operatively it is also very comfortable.

Pain after surgery on the underside of the lid aka internal ptosis aka muller muscle surgery can be a very pleasant operation with proper planning.  Because the sutures are on the insider of the lid, you feel some irritation on the eyes which can be treated with lubrication after surgery.

Hi. As the other surgeons have already posted, mullerectomy is usually not painful. I typically perform this procedure under local anesthesia. I apply numbing cream for 20-40 minutes first. Then inject local anesthesia (some patients feel a slight pinch from the local injection). Some patients take an oral sedative if they are nervous. The procedure takes about 15 minutes. There is minimal post operative discomfort (I often place a bandage contact lens to help prevent irritation from the sutures). Most patients have some swelling and blurry vision for about a week after surgery.For patients that are anxious, mullerectomy can be performed with IV sedation at an outpatient surgery center. Good luck! Best regards, Ira Vidor, M.D.

Mullerectomy, or internal ptosis repair, is a way of raising drooping eyelids by way of an internal incision. It requires an injection of a numbing agent at the start. Most of our patients can tolerate this injection with some encouragement and maybe a Valium just before surgery. For those who are very anxious, some light sedation helps. Once you are numb, there shouldn't be any pain. The procedure only lasts about 10-15 minutes and afterward most patients take one pain pill, on average.  

I used to prescribe 10 tablets of narcotic pain medication (Vicodin) for Muellerectomy, but have stopped prescribing it since no one ever seemed to take it. I prefer to do all ptosis repairs under conscious sedation, but sometimes there isn't the availability of an anesthetist. If that is the case, the surgery isn't painful since local anesthesia is used, but it can be very nerve wracking having sharp things so close to your eye. I would definitely take a Valium or Xanax prior to the surgery if conscious sedation is not available. Ophthalmic lubrication is important in the first few days. 

There is usually minimal discomfort with a mullerectomy.  Some patients will feel a sandy sensation for the first couple of days since the incision is on the underside of the eyelid.  Artificial tears are usually sufficient to help with this discomfort.  But real pain is very rare. 

most patients report very little pain after this surgery. I have my patients wear a contact lens for a few days to avoid having the stiches on the inside of the lid rub against the eyeball. If a stitch scratches the cornea it becomes very painful. I would check in with your surgeon so you know exactly what is planned. Best of luck!