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

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.