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Yes, any time a patient undergoes surgery for the eyes, or any procedure that requires anesthesia ( whether it be general anesthesia or "twilight" sedation anesthesia), they need to have a responsible adult with them to take them home after surgery and care for them overnight. You cannot drive home or even take a cab by yourself after anesthesia. Every one needs someone with them in the event of an unlikely emergency.
Due to the sedation and medication administered to surgery patients, I require all my patients to have a responsible adult with them for at least 24 hours following surgery. Patients find it extremely useful (if not necessary) to have someone else assist them with daily activities such as giving medications and providing transportation to follow-up appointment as they are recovering. If finding someone to take care of you is difficult, ask your surgeon about the availability of after care facilities or in-home care.
All patients who undergo cosmetic surgery of any type should really have a responsible adult with them for at least 24 hours after surgery. An alternative is to see if a plastic surgery aftercare facility is avaiable or look for a plastic surgeon like myself who operates in the hospital setting and can just admit you overnight. Regardless of what arrangements you make you will be glad you made them. Best of luck! Dr Kerr
Have patients been able to get away without any help the night of surgery? Yes. Is it a good idea? ABSOLUTELY NOT. You have no doubt heard the saying : You have to prepare for the worst, and hope for the best. The worst case scenario is bleeding around the eyelids/eye with possible loss of vision. Is that scenario something you want to face alone? NO. Don't want to scare you, but this is an elective procedure and safety is paramount.
It sounds like you are asking because you do not have the option of having someone help you. Since the surgery is being done to improve vision the best solution is have the surgery in the hospital and stay they for less than 24 hours so the nurses can help you, show you how to put in the eyedrops and make sure you can care for yourself after leaving the hospital. I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery. My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.