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

The upper eyelid injections needed to perform surgery, can be provided with remarkable comfort.  Typically, I start with a topical anesthetic.  I use a pH adjusted local anesthetic and a special computer driving injecting systems that puts local anesthetic into the tissue much more slowly that it humanly possible.  Patients are actually shocked how comfortable the process is.  Many elect not be be sedated so they do not feel so drugged after surgery.  It is all technique.

I perform most of my eyelid surgeries with IV sedation (aka twilight anesthesia).  A patient yesterday stated she did not even feel the numbing at all.

I don't give much to worry about. I do many upper eyelids with sedation and local or local only. The same cannot be said of lower lids why prefer to put patients to sleep.