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

A lower blepharoplasty procedure is performed usually under deep IV sedation or general anesthesia. This is not performed in an office/ clinic setting, since this is real surgery and patients need to be monitored. In our practice, we perform fat removal, not repositioning  in the lower lids through trans conjunctival approach under a brief general anesthesia administered by a board-certified physician anesthesiologist for patient safety and comfort.  The fatty deposits in the lower lids have deep pain fibers and is very difficult to do this procedure without being placed completely asleep under anesthesia. Trying to perform the surgery  under local anesthesia patients will have conscious awareness of a very painful procedure

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.