How Painful is the Local Anaesthetic Injections for Upper Eyelid Lid Lift when Combined with Twilight Anaesthetic. So Scared?

Most of our upper blepharoplasties are performed with oral sedation (twilight anesthesia) and local anesthesia. Many do not remember the surgery at all. However, you have many choices of anesthesia. The most important of course is finding the most qualified surgeon.

       Upper eyelid surgery is not particularly painful with local anesthetic alone, and sedation will make this insignificant.  Find a plastic surgeon with ELITE credentials who performs hundreds of facial and eyelid surgeries each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Thank you for the question.  It is normal to be anxious and you should address your fears with your anesthesiologist prior to surgery so that they can explain to you exactly how your pain will be controlled  while under twilight sedation.  It is quite common to perform upper blepharoplasty strictly under local anesthesia after giving just valium to patients, so you should be extremely comfortable during injections if you are having twilight sedation.