Blepharoplasty under local anesthesia — General anesthesia, does it hurt

Blepharoplasty represents a correction of the upper and lower eyelids. When plastic surgery removed the bags under the eyes and overhanging eyelids.

Surgical intervention is performed under local anesthesia, and with the help of sleep medication.

Anesthesiologists argue that the operation under local anesthesia is more appropriate than using sleep medication, but only if surgical intervention is performed on one of the eyelids — upper or lower.

In addition, the choice of anesthesia will influence the complexity of the operation.


Local anesthesia for blepharoplasty in the first place, helps to avoid risks of complications that can occur after General anesthesia.

Its action is aimed at blocking the nerve impulses that allows to achieve a temporary loss of sensitivity age.

Prior to surgery with anesthetics prescribed sedative therapy, which allows you to completely eliminate anxiety and relax.


In the case of local anaesthesia the risk of complications is minimized.

After a few hours the patient can leave the hospital while under General anesthesia will need to be during the day under the supervision of medical staff.

A period of rehabilitation with the use of a local anesthetic will take less time, in contrast to drug-induced sleep, and after about 10 days the patient will be able to return to normal life.

When is General anaesthesia

When transconjuctival aesthetic plastic necessarily performed General anesthesia as an incision is made on the inner side of the eyelids.

During the surgery the upper and lower eyelids at the same time, surgeons still recommend the resort to sleep medication.

Correction of two age tolerated by the patient more difficult, and takes twice more time.

Photo: Before and after surgery


Blepharoplasty under local anesthesia is performed in one of two methods:

  • application;
  • injection.

Or surface application method is to apply anesthetic on the area where it will be surgical intervention. The nerve endings and numb the sensitivity completely disappears.

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Injection or infiltration anaesthesia is performed by injection by an injection of anaesthetic under the skin in the area where the operation will be performed.

Along with anesthetics are usually injected sedatives, which can relax the patient.

The necessary tests

Before performing blepharoplasty, regardless of the type of anesthesia, need to be examined and tested.

When using local anesthesia the doctor provide:

  • General analysis of blood;
  • urinalysis:
  • koagulogrammou;
  • blood sugar;
  • screening for HIV infection, syphilis, hepatitis;
  • electrocardiogram;
  • photo x-rays (preferably in the last six months).

Only if all necessary tests and examinations can be scheduled for surgery. In addition, before surgery is necessary to consult a physician and anesthesiologist.

Video: How to carry out the operation


Before applying local anesthetics preparation for surgery will not require any complicated manipulation.

The patient should:

  • not to take alcohol the day before the start of the operation;
  • to refrain from Smoking;
  • tell the surgeon about all medication over the last 3 days;
  • in some cases, the doctor may prescribe a few days prior to the procedure, sedatives, acceptance of which is mandatory.

Prior to surgery plastic surgeon:

  • mark areas of skin to be removed;
  • the face is wiped with a disinfectant;
  • then cut away the area of surgical intervention or anesthetic gel.

After these manipulations, the doctor starts to perform blepharoplasty. The time of the operation depends largely on the complexity of the operation. Most often, the procedure does not take more than 20-40 minutes.

It hurts you do eyelid surgery under local anesthesia

During blepharoplasty under local anesthesia, tactile sensitivity nerve end is completely lost, so the patient feels no pain.

Still feel the touch of the scalpel and the moment of suture.

Pain may be present only when injecting at the injection method.

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Once the procedure is completed, the patient receives an anesthetic injection.

After surgery anesthesia gradually terminates and there are unpleasant sensations.

Important! In the presence of strong pain, burning or itching, after blepharoplasty, you must immediately consult the supervising doctor.

Are there any contraindications

As blepharoplasty under local anesthesia it is still surgery with the use of the mandatory anesthetics, that is, the list of contraindications in which operation is not performed.

Contraindicated any surgical intervention to persons suffering from:

  • cardiovascular disease in severe form;
  • eye diseases (glaucoma, dry eye syndrome);
  • diabetes;
  • diseases of the blood (thrombocytosis, hemophilia, etc.);
  • mental disorders;
  • a malignant tumor.

If the patient is afraid to go under the surgeon’s scalpel in consciousness, may be subjected to General anesthesia upon patient request.

What you need to know about the postoperative period

After the anesthetic wears off, the patient should know that pain syndrome to avoid completely fail.

With a strong sense of discomfort, the doctor may prescribe painkillers.

In the early days there is swelling of the eyelids, and in some cases, the formation of hematomas. The patient experiences pain in the eyes.


In the case of local anesthesia there is also the risk of complications. In rare cases, it may be an allergic reaction to the anesthetic used.

In the injection method, the error of a physician, an anesthetic may be introduced into a blood vessel. In this case, the patient experiences pain, burning sensation, and possible formation of severe swelling and bruising.

Incorrect calculation of medication leads to overdose, which causes toxic reactions. High blood concentration of local anesthetic is no less dangerous than General anaesthesia.

Recommendations after surgery

Rehabilitation after blepharoplasty lasts for 2-3 weeks. During this time the patient should:

  • to limit eye strain;
  • in the early days not to do sharp movements and not to lean;
  • limit physical activity;
  • avoid heat treatments and direct sunlight;
  • to wear sunglasses;
  • not to use cosmetics;
  • do not wash before removal of stitches;
  • do not wear contact lenses.
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The following simple actions will help to prevent development of such serious complications like extensive hematoma and joints, which will need another surgery.

Anesthesia or General anesthesia

What method of anesthesia will be used during blepharoplasty, is largely dependent on the patient’s wishes.

After passing all the necessary tests and consultations with a physician, decides what type of anesthesia is more appropriate.

Because this operation is not a serious surgical intervention, in the absence of any contraindication and with the consent of the patient, local anesthesia is performed.

The risk of complications of local anesthesia are minimal in contrast to the use of sleep medication.

Modern anesthetics and sedative drugs to completely relieve the patient from anxiety and numb during the operation, sinking into a light slumber.

General anesthesia causes sleep, and the awakening takes place after all the manipulations. As a rule, the patient does not remember any fragments of surgical intervention.

Out of drug-induced sleep is much harder than with local anesthesia.

In any case, the patient to decide for himself to use General anesthesia or local anesthesia.