I probably was asked half a dozen times if I'd had my optometrist check my peripheral vision (the doctor even 'explained' the test to me like I was ignorant). He suggested I get a second opinion, and I did write down the name of the other fellow, just in case.
Anyway, like I said, everyone was courteous. It took 70 minutes for me to be called back to the appointment room. The doctor came in, was friendly and introduced himself. He immediately started focusing on my upper lids, saying he thought he could help there, and when I reminded him about the lowers being my concern, oh, yes, those could be fixed, too. 45-60 minute surgery, done in their suite at the hospital, MD anesthesiologist, 1 week of recovery.
I then asked the $64 million dollar question--the one I got answered here from the experts (a wide range of mostly well-explained answers) and did loads of reading on (including watching 3 surgeries on YouTube--I'm not an MD, but I'm a Ph.D., so it's pretty fascinating) because it is a HUGE issue.
"Can you do this with just local anesthesia and light sedation? I have a long and significant history of PONV, and extreme vomiting while recovering would be difficult." He told me no, it would be too painful, but that the day before surgery, the anesthesiologist would call and answer any questions I had. I asked him what agents were used and read off my list of things I couldn't have. He said he didn't know; I'd have to wait for the anesthesiologist to call me the day before surgery, but he was sure something could be worked out. And then...he said good luck, good bye, and left. I got pictures done, initialed some general forms, and left. 120 minutes of driving, 70 minutes of sitting, and 10 minutes of actually speaking to a doctor or nurse. Oh, and yes, one more time, as I was leaving: "Definitely call the other optometrist before you schedule your surgery!" Well, folks, you're very nice, but without assurance on the anesthesia, I'm NOT scheduling.
I'm sorry the doctor couldn't have given me more helpful answers, such as, "I see you have legitimate concerns about nausea and vomiting, and that knowing your options are important. How about I see if Dr. Anesthesia could call you and discuss this before you schedule? That way, you can make an informed decision." Or, "I really am not comfortable with just local and sedation, but I see you are concerned about PONV. My colleague, Dr. Eyeball, often does this surgery with local anesthesia and light sedation. Could my staff help you with a referral?"
I'm a bit sad and letdown because I know there are doctors who are perfectly fine with the anesthesia I wanted. However, barring a lot of travel and taking time off from a busy job, this may just have to be put on hold until retirement in 10 years.
If anyone HAS had blepharoplasty in the Augusta or Athens GA area with local anesthestic or local plus light sedation (by this, I mean something like Valium or Xanax--NOT propofol and Versed), I'd love to know.
Bottom line: Ask questions and get all the answers you need to feel at ease before taking such a major step. :)
Best to all,