Is lower blepharoplasty with fat repositioning ever done as an office procedure without IV sedation or General Anesthesia?

I have been doing the lower lid surgery and other facial surgeries all without excwption with sedation only. There is no need whatsoever to have the risks of general anesthesia for these procedures at all.

The type of anesthesia for lower blepharoplasty depends on the comfort of the patient and the comfort of the surgeon. Lower blepharoplasty can certainly be done under local anesthesia (see video below) if both the patient and surgeon are comfortable that way or it could be done under conscious sedation (IV sedation). However, general anesthesia is generally overkill and unnecessary.

I would not recommend general anesthesia for this.  That means that you can not be asked to look up and down during surgery.  That bit of movement is very helpful to monitor the effect of surgery and assure that surgery is optimally performed.  That can be done under IV sedation.  Having this surgery under local anesthetic is stressful for both the surgeon and the patient.  Some surgeon to offer surgery this way.  Generally they are doing the procedure in an office procedure room that is not accredited.  The accreditation needed to offer intravenous sedation in most states means that the office has met a lot of standards that are designed to increase patient safety.  

Thank you for your question.Yes, with good local anesthesia, a lower lid blepharoplasty can be done.  However, proper patient selection is necessary for this (if you are more nervous about surgery, then it's best to have some sort of IV, or at least oral, anesthesia to relax you more so you aren't moving during this highly technical procedure).  I would choose the surgeon you feel is best for you, and not necessarily the method of anesthesia used.Best,Dr. Michael EpsteinMAE Plastic SurgeryNorthbrook, IL

Blepharoplasty can be performed either with or without the additional risks of general anesthesia. This depends on the experience of the doctor. It is important to ensure the comfort of the patient and that can be accomplished with some valium or similar medicine.As always, I recommend thorough assessment and consultation with experienced doctor prior to proceeding with any treatment.Best regards and I hope this helps, Dr. Sapijaszko.