Blepharoplasty can be performed under local anaesthetic, allowing patients to remain awake during the procedure while the treatment area is numbed. According to the Mayo Clinic, blepharoplasty may improve the appearance of the eyelids and under-eye area when clinically appropriate. Patients considering blepharoplasty in Toorak may be offered local anaesthetic as one of several options, depending on their individual circumstances.
The choice of anaesthetic approach is determined during consultation, based on clinical assessment and patient preference.
What Does ‘Local Anaesthetic’ Mean?
Local anaesthetic involves injecting medication around the eyelids to numb the area. Patients remain conscious, while sensation in the treatment area is reduced. In some cases, mild oral or intravenous sedation may be used to support comfort and relaxation.
Considerations of Local Anaesthetic Blepharoplasty
For suitable patients, local anaesthetic may be considered as an alternative to general anaesthesia. Factors that may be discussed include:
- Recovery experience compared to other anaesthetic approaches
- Potential for reduced nausea following the procedure
- Anaesthetic-related risks
- Length of stay in the clinic
- Ability for the practitioner to assess eyelid positioning during surgery
What Happens on the Day of Surgery?
Patients typically attend the clinic on the day of surgery and may undergo the following steps:
- Pre-operative assessment and photography
- Marking of eyelid structures
- Administration of local anaesthetic
- Surgical procedure (duration varies depending on complexity)
- Post-procedure monitoring
- Same-day discharge, where appropriate
Patients are generally advised to arrange for someone to drive them home following the procedure.
During the Procedure
Patients remain awake during the procedure. While pain is typically reduced due to local anaesthetic, some pressure or movement sensations may still be experienced. Communication with the surgical team is maintained throughout.
Recovery After Local Anaesthetic Surgery
Swelling and bruising are common in the early stages of recovery. Cold compresses, head elevation, and rest are commonly recommended.
Return to normal activities varies between individuals and will depend on healing and practitioner advice.
Is Everyone Suitable?
Local anaesthetic blepharoplasty may not be suitable for all patients. Factors that may influence suitability include:
- Medical history
- Anxiety levels
- Length and complexity of the procedure
- Patient preference
These factors are discussed during consultation.
Safety Considerations
Blepharoplasty is a surgical procedure that carries risks. These may include infection, bleeding, dry eyes, asymmetry, and delayed healing.
Appropriate assessment and informed patient consent are essential prior to proceeding.
Long-Term Outcomes
Outcomes vary depending on factors such as ageing, genetics, lifestyle, and skin quality. While surgery may alter eyelid appearance, it does not stop the natural ageing process.
Author: Dr Fred Fotouhi MD FRACGP FACCSM
