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What kind of anesthesia will be used? Most eyelid surgery in my office is completed under general anesthesia. Patients are completely asleep during the surgery and remember little or nothing of the experience. It can also be completed under local anesthesia that is supplemented with either oral sedation or intravenous sedation. You have the choice. How is an eyelid surgery done? Eyelid surgery can be separated into four parts. First, a plan is outlined on the patient's eyelids. Second, the incision is placed on the upper and/or lower eyelid so that the subsequent scar will be inconspicuous and easily covered with make up. Next, extra fat is either removed (i.e. upper eyelid) or repositioned (i.e. lower eyelid). Extra skin and muscle is then removed. Finally, absorbable stitches are placed to close the incision in the skin. How long will I be in the operating room? The length of time it takes to complete eyelid surgery is about one to two hours. It takes longer if both upper and lower eyelid surgeries are done at the same time. You will spend about four to five hours in my office. Frequently, other surgery is combined with eyelid surgery increasing the time to complete the operation(s). For safety reasons, I limit the maximum time for surgery on each patient to six hours on a given day.
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