Eyelid surgery/ local vs general anesthesia? (Photo)

You can definitely get local anesthetic only for some eyelid procedures... it might be a lot for some other eyelid procedures! Local is always safer than general. Fat could help for your case.

I recommend general anesthesia for you for your lower eyelids. I also recommend fat repositioning. Your fat pads on the lower eyelids can be released and allowed to fall into the tear trough to fill out the hollow. You would also benefit from an upper blepharoplasty which can be done at the same time.

Best Wishes,

Gary Horndeski, M.D.

Upper eyelid blepharoplasty is nearly painless with local anesthetic and this is a preferred method. Since you appear to have an Asian eyelid appearance, the expertise of your facial plastic surgeon or oculoplastic surgeon would be most important. We are not proponents of fat grafting to the under eye area due to the thinness of lower eyelid skin. Hope this helps! Sincerely, Dr Joseph