Awake upper eyelid surgery - what does this entail?

Upper lid Blepharoplasty's may be done while patient is awake with our Halcion protocol. Patient will be prescribed Halcion to make them super drowsy/ sleepy. Combined with Benadryl at the time of arrival and our usual numbing , while patient is not fully under , 9 times out of ten they do not remember the procedure the next day.

With only a few exceptions, cosmetic upper eyelid surgery is simply removal of some skin of the upper eyelid and preserving all other structures. Therefore, as long as the patient is comfortable with it, after the marking of the excess skin of the upper eyelid is done, local anesthesia can be placed beneath this ellipse of skin, the ellipse can be removed and the repair of the opening done all under local anesthesia only with the patient fully awake. Some patients may request a small sedative to be more relaxed during the surgery. Unless it is by patient demand, the use of general anesthesia for upper eyelid surgery is not necessary. All qualified plastic surgeons should be able to accommodate this request.