Eyelid surgery/ local vs general anesthesia? (Photo)

Question

Is local anesthesia common for eyelid surgery? Is it considered safer than general? Would I benefit from a fat transfer for lower eye area? Could both be done with local? Thank you!

Lexie Wang, MD · Answer

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.

Gary M. Horndeski, MD · Answer

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.

Eric M. Joseph, MD · Answer

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

Metin Temel, MD · Answer

You can have surgery locally on your upper eyelid and lower eyelid. It does not require general anesthesia. There is no harm in fat injection for the pits under the eyes, which can be done in the same session.

William Portuese, MD · Answer

In our practice, we can perform most upper eyelid surgery under local anesthesia and patients tolerate it quite well. Regarding lower eyelid surgery, patients are not able to tolerate removal of the fat bags in the lower lids, so we used general anesthesia when performing lower lid surgeries.

Eyelid surgery/ local vs general anesthesia? (Photo)

Answers (6)

Answer: You can have surgery locally

Answer: You can have surgery locally

Answer: Eyelid surgery, local versus general anesthesia

Answer: Eyelid surgery, local versus general anesthesia

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Eyelid surgery/ local vs general anesthesia? (Photo)

Answers (6)

Answer: You can have surgery locally

Answer: You can have surgery locally

Answer: Eyelid surgery, local versus general anesthesia

Answer: Eyelid surgery, local versus general anesthesia

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.